Williamson H A, LeFevre M
Department of Family and Community Medicine, University of Missouri School of Medicine, Columbia 65212.
Fam Pract Res J. 1992 Sep;12(3):289-95.
The association between tangible assistance, a single-item measure of social support, and serious perinatal complications was prospectively measured in 548 rural pregnant women. Those 38 women who reported no or one reliable helper in the third trimester (low tangible assistance) had a higher rate of poor outcomes (at least one of the following: neonatal death, transfer to neonatal intensive care unit, birthweight less than 2500 g or 5-min Apgar score less than 7) than those with 2 or more helpers (13.2% vs. 5.7%, p = 0.08). All of the increase in poor outcomes occurred in women with high sociodemographic risk (at least one of the following: age less than 18, no male partner, or less than high school education). In this subgroup of 121 women, the difference in poor perinatal outcomes was striking (28.6% vs. 7.6%, p = 0.03). The association between tangible assistance and poor outcome remained after controlling for biomedical risk. A simple question about the availability of supportive companions may be clinically useful.
对548名农村孕妇进行前瞻性测量，以研究实际援助（社会支持的单项指标）与严重围产期并发症之间的关联。在孕晚期报告没有或只有一名可靠帮手的38名妇女（实际援助少），其不良结局发生率（至少以下一项：新生儿死亡、转入新生儿重症监护病房、出生体重低于2500克或5分钟阿氏评分低于7分）高于有2名或更多帮手的妇女（13.2%对5.7%，p = 0.08）。不良结局的所有增加都发生在社会人口学风险高的妇女中（至少以下一项：年龄小于18岁、没有男性伴侣或高中以下学历）。在这121名妇女的亚组中，围产期不良结局的差异显著（28.6%对7.6%，p = 0.03）。在控制生物医学风险后，实际援助与不良结局之间的关联仍然存在。一个关于是否有支持性陪伴者的简单问题可能在临床上有用。
