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目的:探究初产妇产前焦虑抑郁情绪对产程行为及顺产率的影响。方法:选取我院待产的100例初产妇,根据产前焦虑自评量表(SAS)和抑郁自评量表(SDS)的评分结果,分为SAS高分组、SAS低分组、SDS高分组、SDS低分组,调查并记录各组初产妇的产程行为反应及分娩方式,并分析其与焦虑、抑郁情绪的关系。结果:SAS、SDS高分组产妇行为异常百分率分别高于SAS、SDS低分组(P<0.05),SDS、SAS高分组剖宫产率分别高于SDS、SAS低分组(P<0.05);而各高分组顺产率均低于低分组(P<0.05)。SAS、SDS评分组内,高分组第一、第二和第三产程均长于低分组(P<0.05)。结论:产前焦虑抑郁情绪可严重影响初产妇的产程行为及顺产率,不仅表现为产程行为反应异常,还降低初产妇的顺产率。
Objective: To investigate the effect of prenatal anxiety and depression on labor process and spontaneous labor. Methods: A total of 100 primiparous women were enrolled in our hospital. According to the results of prenatal anxiety self-rating scale (SAS) and depression self-rating scale (SDS), SAS patients were divided into SAS high score group, SAS low score group, SDS low group, investigate and record the labor process response and delivery mode of primipara in each group, and analyze its relationship with anxiety and depression. Results: The percentages of maternal behavioral abnormalities in SAS and SDS groups were higher than those in SAS and SDS groups respectively (P <0.05). The rates of cesarean section in SDS and SAS groups were higher than those in SDS and SAS groups (P <0.05) The high birth rate was lower than the low group (P <0.05). SAS, SDS score group, high-score group, the first and second and third stage of labor were longer than the low group (P <0.05). Conclusion: Anxiety and depression in prenatal period can seriously affect the labor process and labor rate of primipara, which not only shows abnormal behavior of labor process, but also reduces the birth rate of primipara.