Relationship between psychological state and the mode of delivery in pregnant women
- VernacularTitle:孕产妇的心理状况与分娩方式的关系
- Author:
Liyue GUO
;
Bingqing BAI
;
Jing LONG
- Publication Type:Journal Article
- From:
Chinese Journal of Practical Gynecology and Obstetrics
2001;17(5):281-282
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the dynamic changes of psychological states and the results of delivery in pregnant women,simultaneously,study the effective way to reduce the rate of cesarean section.Methods Through applying the self-compiled test paper,the self-evaluating state table(SCL-90)and the table of overall feeling of happiness,we assessed the psychological states of 89 pregnant women.The results were recorded at 35 and 38 weeks of gestation and 72 hours postpartum.Results 48 delivered vaginally(53.93%).4 were managed by cesarean section(46.07%),including 12 non-indicated cesarean section(29.27%).The mark of anxiety,terror and depression factors increased in the group of non-indicated cesarean section before and after dilivery compared with the group of vaginal delivery and indicated cesarean section.There was remarkable difference(P<0.01).The value of overall feeling of happiness in the group of non-indicated cesarean section was less than that in the group of vaginal delivery.The difference was extremely significant(P<0.001).The rdevant analysis showed that the feeling of happiness,the desire of labor and educational level were related negatively to the level of symptom during pregnancy(P<0.01).The mode of delivery was related positively to the psychological state of pregnant women(P<0.01).Conclusion Non-indicated cesarean section is mainly interrelated to anxiety,terror and depression that proceed gradually during pregnancy and delivery.So it is suggested that the aimed psychological education be beneficial to decrease the rate of cesarean section.