自然与自然的对比. 辅助怀孕:从怀孕到产后的睡眠和情绪健康-一项探索性研究
Olympia Evagorou1, Aikaterini Arvaniti1, Spyridon Plakias2
1Department of Psychiatry, Faculty of Medicine, Democritus University of Thrace, 68100 Alexandroupolis, Greece.
Journal of clinical medicine
|September 13, 2025
概括
接受辅助生殖治疗 (ART) 的女性在怀孕早期比通过自然方式怀孕的女性更容易经历睡眠障碍. 早期查睡眠障碍 (SDis) 和心理支持对于母亲的福祉至关重要.
科学领域:
- 生殖医学 生殖医学
- 围产期心理健康 围产期心理健康
- 睡眠科学 睡眠科学
背景情况:
- 睡眠对于女性生育能力和母亲健康至关重要.
- 睡眠障碍 (SDis) 在怀孕期间很常见,并与围产期抑郁和焦虑有关.
- 辅助生殖治疗 (ART) 可能会影响与怀孕有关的睡眠模式和心理健康.
研究的目的:
- 研究怀孕妇女的睡眠,焦虑和抑郁之间的关系.
- 为了比较自然 (NC) 和通过ART怀孕的女性之间的睡眠质量和心理健康结果.
- 确定ART怀孕者在怀孕期间和分娩后所面临的具体挑战.
主要方法:
- 具有五个评估点的前性研究:怀孕前期,第1-3个季度和分娩后期.
- 使用了验证的问卷:PSQI,AIS,ESS,FFS用于睡眠和疲劳;EPDS用于抑郁和焦虑.
- 在数据分析中采用负二项式回归,考虑组大小不平衡.
主要成果:
- 一般来说,ART怀孕者年龄较大,更有可能结婚,失业,并且有甲状腺疾病史.
- 在NC和ART组的时间点之间观察到睡眠,疲劳和福祉参数的显著差异.
- 在ART组的妇女在第一季度结束时报告了更严重的失眠症状 (t1).
结论:
- 睡眠障碍在怀孕期间很普遍,特别是在ART孕妇的头三个月.
- 在怀孕早期,ART受孕与睡眠障碍的增加有关.
- 建议在产前护理中对SDis进行早期查和量身定制的心理支持,特别是对ART患者.
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