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目的分析妊娠晚期孕妇抑郁与剖宫产的相关影响因素。方法选取2013年1月~2014年11月滨州医学院附属医院收治的正常妊娠晚期孕妇200例,应用抑郁自评量表(CES-D)评价孕妇的抑郁情况,并分析其分娩方式,调查相关影响因素。结果 200例正常孕妇中,55例存在抑郁,占27.50%,年龄、受教育程度、家庭收入、和配偶的关系、担心胎儿健康、周围人的分娩情况均是妊娠晚期孕妇抑郁的相关影响因素(P<0.05);存在抑郁的妊娠晚期孕妇中,剖宫产率为78.18%(43/55),显著高于正常心境的孕妇(62.76%,91/145)(P<0.05);受教育程度、家庭收入、心理准备、对医院的信任程度、分娩评估是剖宫产的相关影响因素(P<0.05)。结论妊娠晚期孕妇抑郁是剖宫产的相关影响因素。
Objective To analyze the related factors of depression and cesarean section in the third trimester of pregnancy. Methods From January 2013 to November 2014, 200 pregnant women with normal late pregnancy who were admitted to Affiliated Hospital of Binzhou Medical College were selected. The depression of pregnant women was evaluated by self-rating depression scale (CES-D), and the mode of delivery was analyzed. Influencing factors. Results Of the 200 normal pregnant women, 55 cases had depression, accounting for 27.50%. Age, education level, family income, relationship with spouse, worry about fetal health and the circumstance of childbirth were the related factors of depression in pregnant women of late pregnancy P <0.05). Among pregnant women with depression in the third trimester, the rate of cesarean section was 78.18% (43/55), significantly higher than that of the normal mood (62.76%, 91/145) (P <0.05) , Family income, psychological preparation, the degree of trust in the hospital, childbirth assessment is related to caesarean section (P <0.05). Conclusions Pregnancy-related depression in the third trimester of pregnancy is related to cesarean section.