| Abstract |
Abstract: Objective To analyze the effects of prenatal anxiety on umbilical hemodynamics, labor quality and perinatal outcome. Methods 350 pregnant women in our hospital from January 2015 to July 2017 were randomly selected, and they were divided into severe anxiety group (SAS ≥ 60, n = 43), mild anxiety group (59 ≥ SAS > 50, n = 39) and normal group (SAS < 50, n = 268) by SAS. The index of hemodynamics(S/D, RI and PI), the quality of delivery (delivery mode, postpartum 2h bleeding volume, pain degree and labor duration) and perinatal outcome (neonatal Apgar score and low weight rate) were compared between the three groups. Results S/D, RI, PI, postpartum 2h bleeding volume, pain score and labor duration in severe anxiety group and mild anxiety group were significantly higher than those in normal group (P < 0.05), and the spontaneous labor rate was significantly lower than that in normal group (P < 0.05). S/D, RI , PI, pain score, postpartum 2h bleeding volume, low weight rate and labor duration in moderate and severe anxiety group were significantly higher than those in the mild anxiety group (P < 0.05), and Apgar score of neonates and the spontaneous labor rate were significantly lower than those in mild anxiety group (P < 0.05). Apgar score has no significantly differences between the normal group and mild anxiety group(P > 0.05). Conclusion The prenatal anxiety can affect the umbilical hemodynamics on pregnant women, aggravate the physiological stress reaction, influence the normal fetus development, and reduce the quality of childbirth.
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