Bastani Farideh, Hidarnia Alireza, Montgomery Kristen S, Aguilar-Vafaei Maria E, Kazemnejad Anoshirvan
Department of Health Education, Tarbiat Modares University, Tehran, Iran.
J Perinat Neonatal Nurs. 2006 Apr-Jun;20(2):138-46. doi: 10.1097/00005237-200604000-00007.
Maternal anxiety and stress are found to be predictors of adverse pregnancy outcomes, including low birth weight and prematurity.
The aim of the study was to determine whether relaxation education in anxious pregnant Iranian women in their first pregnancy affects selected pregnancy outcomes, including birth weight, preterm birth, and surgical delivery rate.
A total of 110 obstetrically and medically low-risk primigravid women in Iran with a high anxiety level demonstrated by Spielberger's State-Trait Anxiety Inventory were randomly assigned into experimental and control groups.
In this randomized controlled trial, the experimental group received routine prenatal care along with 7-week applied relaxation training sessions, while the control group received only routine prenatal care. Anxiety and perceived stress were measured by pre-educational and post-educational intervention. Data related to pregnancy outcomes include birth weight, gestational age at birth, and type of delivery.
Significant reductions in low birth weight, cesarean section, and/or instrumental extraction were found in the experimental group compared with the control group. No significant differences were found in the rate of preterm birth.
The findings suggest beneficial effects of nurse-led relaxation education sessions during the prenatal period. This intervention could serve as a resource for improving pregnancy outcomes in women with high anxiety.
研究发现，孕产妇焦虑和压力是不良妊娠结局的预测因素，包括低出生体重和早产。
本研究旨在确定对首次怀孕的焦虑伊朗孕妇进行放松教育是否会影响选定的妊娠结局，包括出生体重、早产和剖宫产率。
通过斯皮尔伯格状态-特质焦虑量表显示焦虑水平较高的110名伊朗产科和医学低风险初产妇被随机分为实验组和对照组。
在这项随机对照试验中，实验组接受常规产前护理以及为期7周的应用放松训练课程，而对照组仅接受常规产前护理。在教育干预前后测量焦虑和感知压力。与妊娠结局相关的数据包括出生体重、出生时的孕周和分娩方式。
与对照组相比，实验组低出生体重、剖宫产和/或器械助产率显著降低。早产率无显著差异。
研究结果表明，产前由护士主导的放松教育课程具有有益效果。这种干预可作为改善高焦虑女性妊娠结局的一种资源。
