陈艳芬 彭宇 吴丽婷 陈普贤 温月花

【摘要】 目的：分析孕婦妊娠期内情绪管理及动态评估对产后抑郁发生情况和分娩结局的影响。方法：选择2018年8月-2020年8月在本院行产前检查的初次妊娠孕妇116例作为研究对象，采用随机数字表法将其分为研究组和对照组，每组58例。于妊娠28周开始，研究组给予情绪管理及动态评估进行干预，对照组给予常规干预，观察并比较两组孕期及产后抑郁的发生情况、分娩方式及分娩结局，并比较自然分娩孕妇各产程时间差异。结果：研究组妊娠36周PHQ评分、产后6周EPDS评分均明显低于对照组，产后6周抑郁发生率明显低于对照组，差异均有统计学意义（P<0.05）。研究组会阴损伤率低于对照组（P<0.05），两组分娩方式、产后出血及新生儿窒息情况比较，差异均无统计学意义（P>0.05）。研究组第二产程时间明显短于对照组（P<0.05），两组第一、三产程时间比较，差异均无统计学意义（P>0.05）。结论：初次妊娠孕妇妊娠期内情绪管理及动态评估可降低围生期抑郁的发生率，缩短产程时间，减少母婴不良事件的发生，值得在临床上予以推广实施。

【关键词】 情绪管理 动态评估 抑郁 分娩结局

Influence of Emotion Management and Dynamic Assessment during Pregnancy on Incidence of Postpartum Depression and Delivery Outcome/CHEN Yanfen， PENG Yu， WU Liting， CHEN Puxian， WEN Yuehua. //Medical Innovation of China， 2021， 18（33）： -180

[Abstract] Objective： To analyze the influence of emotion management and dynamic assessment during pregnancy on the incidence of postpartum depression and delivery outcome. Method： A total of 116 pregnant women with first pregnancy who underwent prenatal examination in our hospital from August 2018 to August 2020 were selected as the research subjects， they were divided into the study group and the control group according to the random number table method， 58 cases in each group. Begins at 28 weeks of gestation， the study group was intervened by emotional management and dynamic assessment， while the control group was intervened by routine intervention. The occurrence of depression during pregnancy and postpartum， delivery mode and delivery outcome of two groups were observed and compared， the time differences of each stage of labor of pregnant women with natural childbirth between two groups were compared. Result： The PHQ score at 36 weeks of pregnancy and EPDS score at 6 weeks postpartum in the study group were significantly lower than those in the control group， and the incidence of depression at 6 weeks postpartum was significantly lower than that in the control group， the differences were statistically significant （P<0.05）. The perineal injury rate in the study group was lower than that in the control group （P<0.05）， there were no significant differences between two groups in delivery mode， postpartum hemorrhage and neonatal asphyxia （P>0.05）. The time of the second stage of labor in the study group was significantly shorter than that in the control group （P<0.05）， there were no significant differences between two groups in the time of the first and third stages of labor （P>0.05）. Conclusion： Emotion management and dynamic assessment during pregnancy can reduce the incidence of perinatal depression， shorten the duration of labor and reduce the incidence of maternal and infant adverse events， which is worthy of clinical promotion and implementation.

[Key words] Emotion management Dynamic assessment Depression Delivery outcome

First-author’s address： The Fifth Affiliated （Zhuhai） Hospital of Zunyi Medical University， Zhuhai 519100， China

doi：10.3969/j.issn.1674-4985.2021.33.043

随着目前生活水平的提高以及人们对分娩观念的改变，围生期保健逐渐受到重视。分娩是一项与心理、生理、社会以及精神等方面密切相关的过程，孕妇在分娩过程中会产生极为复杂的情绪变化或波动[1-2]。由于缺乏分娩经验，初孕妇在分娩时常产生不同程度的恐惧、焦虑等负面情绪，而负面情绪不仅增加分娩时的痛感与体力消耗，延长产程，严重时还会导致难产、胎儿窒息等不良母婴结局，因此在妊娠期内对初孕妇实施合理的情绪管理可能有助于降低孕期或产后抑郁的风险[3-4]。……