妇女与健康相关的功能及其与产前期不严重的孕产妇疾病的关联:一项纵向观察性研究
Sulin Dong1, Chanya Zhang1, Meiyi Chen2
1Department of Nursing, Obstetrics and Gynecology Hospital of Fudan University, Shanghai Key Lab of Reproduction and Development, Shanghai Key Lab of Female Reproductive Endocrine Related Diseases, Shanghai, China.
BMJ open
|December 18, 2025
概括
产后与母亲健康相关的功能下降,损伤与身体症状,焦虑和抑郁有关. 早期评估和干预对于改善围产期结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 生殖健康 生殖健康
背景情况:
- 与健康相关的功能是产前期母亲福祉的关键指标.
- 了解功能轨迹及其与疾病的关联对于有针对性的干预措施至关重要.
研究的目的:
- 研究孕妇和产后母亲的与健康相关的功能水平.
- 检查功能障碍与非严重的孕产妇疾病之间的关联.
主要方法:
- 一项纵向观察性研究对中国城市624名孕妇进行了观察.
- 与健康相关的功能,身体症状,焦虑和抑郁被测量,使用中国版本的妇女产妇健康结果仪器CarE仪器.
- 评估是在怀孕晚期 (怀孕28-41.6周) 和产后6周进行的.
主要成果:
- 与健康相关的功能评分在怀孕晚期明显高于产后6周 (p<0.001).
- 严重的功能障碍从怀孕后期的20.5%降至产后的11.2%.
- 产前功能障碍与身体症状,焦虑和抑郁症有关. 产后障碍与子分娩,身体症状,焦虑和抑郁症有关. 在产前损伤严重程度和产后发病率之间观察到剂量反应关系 (p<0.001).
结论:
- 功能障碍在产前期很常见,并与孕产妇的疾病相互作用.
- 建议评估与健康相关的功能,并提供有针对性的干预措施,以提高孕产妇健康结果.
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