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母亲在孕早期的焦虑和抑郁及其相关危险因素:对 20-22 孕周胎儿生长和活动的影响。

Mother's anxiety and depression and associated risk factors during early pregnancy: effects on fetal growth and activity at 20-22 weeks of gestation.

机构信息

School of Psychology, University of Minho, Braga, Portugal.

出版信息

J Psychosom Obstet Gynaecol. 2010 Jun;31(2):70-82. doi: 10.3109/01674821003681464.

Abstract

To examine effects of mother's anxiety and depression and associated risk factors during early pregnancy on fetal growth and activity. Repeated measures of mother's anxiety (State-Anxiety Inventory (STAI-S)) and depression (Edinburgh Postnatal Depression Scale (EPDS)) and related socio demographics and substance consumption were obtained at the 1st and 2nd pregnancy trimesters, and fetus' (N = 147) biometric data and behavior was recorded during ultrasound examination at 20-22 weeks of gestation. Higher anxiety symptoms were associated to both lower fetal growth and higher fetal activity. While lower education, primiparity, adolescent motherhood, and tobacco consumption predicted lower fetal growth, coffee intake predicted lower fetal activity. Vulnerability of fetal development to mother's psychological symptoms as well as to other sociodemographic and substance consumption risk factors during early and mid pregnancy is suggested.

摘要

目的

探讨母亲在妊娠早期的焦虑和抑郁及其相关危险因素对胎儿生长和活动的影响。在妊娠 1 至 2 个月末,使用状态焦虑量表(STAI-S)和爱丁堡产后抑郁量表(EPDS)对母亲的焦虑和抑郁进行了重复测量,并获取了相关的社会人口统计学和物质消费数据,同时在妊娠 20-22 周的超声检查中记录了胎儿的(N=147)生物测量数据和行为。较高的焦虑症状与胎儿生长迟缓及胎儿活动增加有关。较低的教育水平、初产、青少年母亲和吸烟与胎儿生长迟缓有关,而咖啡摄入与胎儿活动减少有关。提示胎儿发育对母亲心理症状以及妊娠早期和中期其他社会人口统计学和物质消费危险因素的脆弱性。

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