van der Wal Marcel F, van Eijsden Manon, Bonsel Gouke J
Municipal Health Service, Department of Epidemiology Documentation and Health Promotion, Amsterdam, The Netherlands.
J Dev Behav Pediatr. 2007 Dec;28(6):431-7. doi: 10.1097/DBP.0b013e31811ff8f4.
There is evidence that stress and emotional problems during pregnancy are related to adverse health outcomes of the child at birth and in later life. The aim of this study was to determine the association between stress and emotional problems during pregnancy and excessive infant crying.
From an initial sample of 8266 pregnant women, a follow-up sample of 4976 women and their 3- to 6-month-old babies was examined. Depressive symptoms, pregnancy related anxiety, parenting stress, and job strain during pregnancy were all univariately and multivariately associated with excessive infant crying (adjusted odds ratios between 1.69 and 2.23).
Women with three or four of these antenatal risks were more likely to have an infant who cries excessively than women with no antenatal risks (adjusted odds ratio of 4.89).
In conclusion, stress and emotional problems during pregnancy increase the chances of having an excessively crying baby. Women with multiple antenatal risk factors are at particular risk.
有证据表明孕期的压力和情绪问题与孩子出生时及以后生活中的不良健康结果有关。本研究的目的是确定孕期压力和情绪问题与婴儿过度哭闹之间的关联。
从8266名孕妇的初始样本中，选取了4976名妇女及其3至6个月大的婴儿作为随访样本。孕期的抑郁症状、与怀孕相关的焦虑、育儿压力和工作压力，在单变量和多变量分析中均与婴儿过度哭闹有关（调整后的优势比在1.69至2.23之间）。
有三项或四项这些产前风险因素的妇女，比没有产前风险因素的妇女更有可能生出过度哭闹的婴儿（调整后的优势比为4.89）。
总之，孕期的压力和情绪问题会增加生出过度哭闹婴儿的几率。有多种产前风险因素的妇女尤其危险。
