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与孕妇及其伴侣的压力和抑郁反应相关的围产期医学。

Prenatal medicine related to stress and depressive reactions of pregnant women and their partners.

作者信息

Kowalcek Ingrid, Huber Georgine, Mühlhof Anne, Gembruch Ulrich

机构信息

Division of Prenatal Medicine, Department of Obstetrics and Gynecology, Medical University of Lübeck, Germany.

出版信息

J Perinat Med. 2003;31(3):216-24. doi: 10.1515/JPM.2003.029.

Abstract

OBJECTIVE

Our study analyses the emotional mood of pregnant women and their partners before various prenatal diagnostic procedures (amniocentesis, ultrasound, chorion villus sampling), and their psychological stress both before and after the diagnostic procedures.

METHODS

We studied 472 pregnant women and 308 partners. 88 women (18.6%) had an amniocentesis, 344 (72.8%) had ultrasound and 40 (8.5%) a chorionic villus sampling. The German version of the Center for Epidemiological Studies-Depression Scale of Hautzinger and the short questionnaire of actual situative perceived stress of Müller were used.

RESULTS

Before prenatal examination, the mean level of depression and strain was equal in women and men in all groups (ultrasound, amniocentesis, chorionic villus sampling). Before the start of the prenatal examination the pregnant women had a significantly higher depressive feature on the depression-scale and significantly higher stress score than their partners. After prenatal examination the couples' stress differed significantly in the three groups for women and for men. Comparing the stress experienced before and after the prenatal diagnosis revealed both for women and men statistically significant differences.

DISCUSSION

The individual experience of prenatal diagnosis is not determined by the invasivity of the procedure.

摘要

目的

我们的研究分析了孕妇及其伴侣在各种产前诊断程序(羊膜穿刺术、超声检查、绒毛取样)前的情绪状态,以及诊断程序前后他们的心理压力。

方法

我们研究了472名孕妇和308名伴侣。88名女性(18.6%)接受了羊膜穿刺术,344名(72.8%)接受了超声检查,40名(8.5%)接受了绒毛取样。使用了豪青格流行病学研究中心抑郁量表的德文版以及米勒实际情境感知压力简短问卷。

结果

在产前检查前,所有组(超声检查、羊膜穿刺术、绒毛取样)中女性和男性的抑郁和紧张平均水平相等。在产前检查开始前,孕妇在抑郁量表上的抑郁特征显著高于其伴侣,压力得分也显著更高。产前检查后,三组中女性和男性的压力存在显著差异。比较产前诊断前后经历的压力,女性和男性在统计学上均有显著差异。

讨论

产前诊断的个体体验并非由该程序的侵入性决定。

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