产前评估管理模式对初产妇产后抑郁及分娩结局的影响分析

Analysis of the influence of prenatal evaluation management mode on postpartum depression and delivery outcome in primipara

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(1)
作者
作者单位

郑州大学第一附属医院妇科门诊 ;

摘要
分析初产妇应用产前评估管理模式干预后效果及对产妇抑郁情绪、分娩结局的影响。方法 将我院91例初产妇采用随机数字表法分为对照组45例及观察组46例,两组患者均于孕32周开始干预,对照组产妇给予常规产前教育,观察组产妇给予产前评估管理模式,对比两组产妇干预后认知功能、产程时间、分娩方式、妊娠结局、爱丁堡抑郁量表(EPDS)评分、及抑郁发生率。结果 观察组认知水平评分高于对照组,产程时间、EPDS评分、产后出血、感染、新生儿窒息率、剖宫产率、抑郁发生率均低于对照组(P<0.05)。结论 产前评估管理模式有效改善初产妇不良心理状态,提升认知水平,缩短产程时间,增加阴道顺产率,减少产后出血、产后抑郁、新生儿窒息及感染发生率
Abstract
Objective To analyze the effect of antenatal maternal application of prenatal management model and the effect on maternal depression and outcome. Methods 91 primiparas in our hospital were randomly divided into the control group (n=45) and the observation group (n=46). The two groups of patients began to intervene at 32 weeks of gestation. The control group gave routine prenatal education to the maternal group. Pre-assessment management model, comparing cognitive function, labor time, mode of delivery, pregnancy outcome, Edinburgh Depression Scale (EPDS) score, and incidence of depression after maternal intervention. Results The cognitive level score of the observation group was higher than that of the control group. The time of labor, EPDS score, postpartum hemorrhage, infection, neonatal asphyxia rate, cesarean section rate and incidence of depression were lower than those of the control group (P<0.05). Conclusion The prenatal evaluation management model can effectively improve the dysfunctional state of primipara, improve cognitive level, shorten the time of labor, increase the vaginal yield, and reduce the incidence of postpartum hemorrhage, postpartum depression, neonatal asphyxia and infection.
关键词
产前评估管理模式;初产妇;产后抑郁;分娩结局;认知功能;产程
KeyWord
prenatal assessment management model; primipara; postpartum depression; delivery outcome; cognitive function;Labor process
基金项目
页码 174-176
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范雅静*. 产前评估管理模式对初产妇产后抑郁及分娩结局的影响分析 [J]. 国际精神病学杂志. 2020; 47; (1). 174 - 176.

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