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母亲产前抑郁和焦虑对新生儿结局的影响:一项基于人群的研究。

Neonatal outcome following maternal antenatal depression and anxiety: a population-based study.

作者信息

Andersson Liselott, Sundström-Poromaa Inger, Wulff Marianne, Aström Monica, Bixo Marie

机构信息

Department of Clinical Sciences, Division of Obstetrics and Gynecology, Umeå University, Umeå, Sweden.

出版信息

Am J Epidemiol. 2004 May 1;159(9):872-81. doi: 10.1093/aje/kwh122.

Abstract

The aim of this study was to determine neonatal outcomes among women who had depressive and anxiety disorders during the second trimester of pregnancy in a population-based sample. Participants were 1,465 women and their neonates born at two obstetric clinics in Sweden. The inclusion period for the women was October 2, 2000-October 1, 2001. The Primary Care Evaluation of Mental Disorders (PRIME-MD) classification system was used to evaluate mental disorders in the second trimester of pregnancy. For assessment of demographic characteristics, birth statistics, and birth-related complications, the medical records of the included women and their offspring were reviewed after delivery. The study results revealed no differences in neonatal outcome between women with antenatal depressive disorders and/or anxiety disorders and healthy subjects. The authors conclude that neonatal outcome did not deteriorate despite the women's impaired mental health during pregnancy.

摘要

本研究的目的是在一个基于人群的样本中,确定妊娠中期患有抑郁和焦虑症的女性的新生儿结局。参与者为瑞典两家产科诊所出生的1465名女性及其新生儿。女性的纳入期为2000年10月2日至2001年10月1日。使用精神障碍初级保健评估(PRIME-MD)分类系统评估妊娠中期的精神障碍。为了评估人口统计学特征、出生统计数据和与出生相关的并发症,在分娩后对纳入女性及其后代的病历进行了审查。研究结果显示,产前患有抑郁症和/或焦虑症的女性与健康受试者之间的新生儿结局没有差异。作者得出结论,尽管女性在怀孕期间心理健康受损,但新生儿结局并未恶化。

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