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目的:探讨产妇产前精神状态对分娩方式、产后出血及乳汁分泌的影响。方法:选择在宜昌市妇幼保健院分娩的健康初产妇78例,用汉密顿焦虑量表(HAS)和抑郁量表(HDS)评定其产前精神状态。按分娩方式不同分为剖宫产组及顺产组;按产后出血情况分为产后出血组和无产后出血组;按产后乳汁分泌不同分为纯母乳喂养组和母乳加代乳品喂养组,观察其分娩方式、产后出血及产后乳汁分泌情况。结果:78例产妇出现焦虑26例,发生率33.33%,出现抑郁24例,发生率30.77%。焦虑评分及抑郁评分剖宫产组明显高于顺产组(P<0.05),产后出血组与无产后出血组相比焦虑评分与抑郁评分差异也有统计学意义(P<0.05)。母乳加代乳品喂养组焦虑与抑郁评分亦明显高于纯母乳喂养组(P<0.05)。结论:产前焦虑与抑郁状态是影响分娩方式、产后出血及乳汁分泌的重要因素,应对其进行相关干预。
Objective: To investigate the effect of maternal prenatal mental state on delivery mode, postpartum hemorrhage and milk secretion. Methods: A total of 78 healthy primiparous women delivered at Yichang Maternal and Child Health Hospital were selected and their prenatal mental status was assessed by Hamilton Anxiety Scale (HAS) and Depression Rating Scale (HDS). According to the mode of delivery is divided into cesarean section group and the cesarean section group; according to the postpartum hemorrhage is divided into postpartum hemorrhage group and postpartum hemorrhage group; according to different postpartum milk secretion is divided into exclusive breastfeeding group and breast milk plus milk feeding group, observe its delivery Way, postpartum hemorrhage and postpartum milk secretion. Results: There were 26 cases of anxiety in 78 maternal women, the incidence rate was 33.33%. There were 24 cases of depression, the incidence rate was 30.77%. Anxiety and depression scores were significantly higher in the cesarean section than those in the cesarean section (P <0.05). There was also a significant difference in anxiety score and depression score between the postpartum hemorrhage group and the postpartum hemorrhage group (P <0.05). The scores of anxiety and depression in breast milk plus milk substitute group were also significantly higher than those of pure breast milk feeding group (P <0.05). Conclusion: Prenatal anxiety and depression status are the important factors influencing the mode of delivery, postpartum hemorrhage and milk secretion, and should be intervened accordingly.