Giraldi G, Fapperdue L
Divisione di Ginecologia e Ostetricia, Ospedale Cristo Re, Roma.
Minerva Ginecol. 1998 Dec;50(12):527-32.
Evaluation of the hardiness test, already used to evidentiate the ability to face the stress, among women in pregnancy, in order to evaluate the possibility to face the stress of labor and delivery.
The test has been used in 67 normal pregnant women, with gestational age between the 32th and 36th week of gestation. The value of the hardiness test in the three components of "Challenge", "Control", and "Commitment" has been evaluated. These indexes have been correlated with the modality of delivery, age, choice of epidural analgesia, fetal weight and gestational age at delivery.
Higher incidence of vaginal delivery among subjects with high value of hardiness in relation with subjects with low value of hardiness has been found. The index parameter which seems most conditioning the ability to affront the stress of labor is the "Challenge". Significant correlation between the value of hardiness and other parameters of delivery are not evident.
The values of the Hardiness test seems to be significant, but it would be a mistake to use them as a predictive index of the modality of delivery; it seems to be most important to employ the test to assure more care to pregnant women with a reduction of the ability to face the stress of labor and delivery, in order to reduce the risk of problems in mother-child relations.
对坚韧性测试进行评估，该测试已被用于证明孕期女性应对压力的能力，以评估应对分娩压力的可能性。
该测试应用于67名正常孕妇，孕周在妊娠第32至36周之间。评估了坚韧性测试在“挑战”“控制”和“投入”三个组成部分中的价值。这些指标与分娩方式、年龄、硬膜外镇痛的选择、出生时胎儿体重和孕周相关。
与坚韧性值低的受试者相比，坚韧性值高的受试者阴道分娩发生率更高。似乎最能影响应对分娩压力能力的指标参数是“挑战”。坚韧性值与其他分娩参数之间没有明显的显著相关性。
坚韧性测试的值似乎具有重要意义，但将其用作分娩方式的预测指标是错误的；利用该测试确保对应对分娩压力能力下降的孕妇给予更多护理，以降低母婴关系出现问题的风险似乎更为重要。
