Oz Yasmin, Sarid Orly, Peleg Roni, Sheiner Eyal
Department of Obstetrics and Gynecology, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
J Psychosom Obstet Gynaecol. 2009 Mar;30(1):29-33. doi: 10.1080/01674820802546196.
The present study aimed to investigate factors predicting uncomplicated deliveries and specifically whether a sense of coherence (SOC) and perceived stress can predict such deliveries. A prospective observational study was conducted employing self-administered SOC and perceived stress scale (PSS) questionnaires with pregnant women attending the outpatient clinic for routine surveillance. Following delivery, data regarding maternal and fetal delivery complications were collected from the participants' medical records. Of one hundred forty-five women completing the study, 43.4% completed the delivery process without complications. Women experiencing delivery complications, on average, had lower SOC scores (67.7 +/- 1.19 vs. 72.2 +/- 1.32, p = 0.014). Maternal complications (as opposed to fetal complications) accounted for this divergence and were related to lower SOC scores (67.74 +/- 1.19 vs. 72.18 +/- 1.32, p = 0.01). PSS was not associated with uncomplicated delivery (18.82 +/- 0.59 vs. 17.98 +/- 0.62, p = 0.341). Nulliparity, however, was associated with higher occurrence of complicated delivery (31.9% of complicated vs. 13.2% of uncomplicated deliveries, p = 0.007). Multivariable analysis demonstrated that high SOC (OR = 1.042; 95% CI = 1.004-1.08; p = 0.03) and nulliparity (OR = 0.293; 95% CI = 0.113-0.758; p = 0.011) both were independent predictors of uncomplicated delivery, directly and inversely, respectively. In conclusion, higher SOC scores are an independent protective factor for the prediction of uncomplicated delivery.
本研究旨在调查预测顺产的因素，特别是心理一致感（SOC）和感知压力是否能预测顺产。我们进行了一项前瞻性观察研究，对到门诊进行常规监测的孕妇采用自填式SOC和感知压力量表（PSS）问卷。分娩后，从参与者的病历中收集有关母婴分娩并发症的数据。在完成研究的145名女性中，43.4%顺利完成分娩过程，无并发症。经历分娩并发症的女性，其SOC得分平均较低（67.7±1.19 vs. 72.2±1.32，p = 0.014）。这种差异是由母体并发症（而非胎儿并发症）导致的，且与较低的SOC得分相关（67.74±1.19 vs. 72.18±1.32，p = 0.01）。PSS与顺产无关（18.82±0.59 vs. 17.98±0.62，p = 0.341）。然而，初产与分娩并发症的较高发生率相关（31.9%的并发症分娩vs. 13.2%的顺产，p = 0.007）。多变量分析表明，高SOC（OR = 1.042；95%CI = 1.004 - 1.08；p = 0.03）和初产（OR = 0.293；95%CI = 0.113 - 0.758；p = 0.011）分别直接和反向地都是顺产的独立预测因素。总之，较高的SOC得分是预测顺产的独立保护因素。
