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目的研究孕妇产前心理状态对分娩方式产生的影响。方法选取产前确定存在抑郁症、疑似存在抑郁症、不存在抑郁症的孕妇,各44例。分别为研究1组、研究2组、研究3组;再选取同期产前确定存在焦虑症、疑似存在焦虑症、不存在焦虑症的孕妇,各44例。分别为观察1组、观察2组、观察3组。比较各组孕妇的分娩方式。结果研究1组自然分娩率明显低于研究2组和研究3组,剖宫产和阴道助产率明显高于研究2组和研究3组,差异有统计学意义(P<0.05);研究2组自然分娩率明显低于研究3组,剖宫产和阴道助产率明显高于研究3组,差异有统计学意义(P<0.05)。观察1组自然分娩率明显低于观察2组和观察3组,剖宫产和阴道助产率明显高于观察2组和观察3组,差异有统计学意义(P<0.05);观察2组自然分娩率明显低于观察3组,剖宫产和阴道助产率明显高于观察3组,差异有统计学意义(P<0.05)。结论产前焦虑、抑郁等不良心理状态,会使孕妇的自然分娩率下降,使分娩的危险性增大。
Objective To study the influence of prenatal psychological state on delivery mode in pregnant women. Methods Select prenatal diagnosis of depression, suspected depression, and absence of depression in pregnant women, 44 cases each. Respectively, study group 1, study group 2, study group 3; then choose the same period prenatal diagnosis of anxiety, suspicion of anxiety, anxiety-free pregnant women, each 44 cases. They were observation group 1, observation group 2 and observation group 3 respectively. Compare the mode of delivery of pregnant women in each group. Results The natural delivery rate in study group 1 was significantly lower than that in study group 2 and study group 3, and the cesarean section and vaginal delivery rate were significantly higher than those in study group 2 and study group 3 (P <0.05). Study 2 The rate of spontaneous delivery was significantly lower in group 3 than in study 3, and the rate of cesarean section and vaginal delivery was significantly higher than that in study 3, with significant difference (P <0.05). The rate of natural delivery in observation group 1 was significantly lower than that in observation group 2 and observation group 3, and the cesarean section and vaginal delivery rate were significantly higher than those in observation group 2 and observation group 3 (P <0.05) Natural delivery rate was significantly lower than the observation group 3, cesarean section and vaginal delivery rate was significantly higher than the observation group 3, the difference was statistically significant (P <0.05). Conclusion Prenatal anxiety, depression and other adverse psychological conditions, the natural delivery rate of pregnant women will decline, increasing the risk of childbirth.