Jesse D Elizabeth, Seaver William, Wallace Debra C
Purdue University School of Nursing, West Lafayette, IN 47907-1337, USA.
Midwifery. 2003 Sep;19(3):191-202. doi: 10.1016/s0266-6138(03)00031-7.
To identify and evaluate which psychosocial criteria are associated with preterm birth in a midwifery model of risk in pregnancy.
A quantitative study with a prospective correlational research design.
Women attending three prenatal clinics in East Tennessee.
120 pregnant women between 16 and 28 weeks gestation. The majority of the clinics' clients were from rural Appalachia.
Multiple logistic regression statistical analysis revealed that women with symptoms of depression, lower levels of self-esteem, or a negative perception of pregnancy had significantly higher odds of delivering a preterm baby.
These findings suggest the importance of screening for psychosocial risk factors in pregnancy. Interventions to address these psychosocial risks could improve maternal psychosocial health, maintain continuity of midwifery care, and reduce the incidence of preterm birth.
确定并评估在妊娠风险的助产模式中，哪些心理社会标准与早产相关。
一项采用前瞻性相关研究设计的定量研究。
田纳西州东部三家产前诊所的就诊女性。
120名妊娠16至28周的孕妇。这些诊所的大多数客户来自阿巴拉契亚农村地区。
多元逻辑回归统计分析显示，有抑郁症状、自尊水平较低或对妊娠有负面认知的女性早产几率显著更高。
这些发现表明在孕期筛查心理社会风险因素的重要性。针对这些心理社会风险的干预措施可改善孕产妇的心理社会健康，保持助产护理的连续性，并降低早产发生率。
