Department of Neurology, Psychology and Psychiatry, Botucatu School of Medicine, Univ Estadual Paulista, Botucatu, Brazil.
Reprod Health. 2010 Oct 29;7:28. doi: 10.1186/1742-4755-7-28.
To study maternal anxiety and perinatal outcomes in pregnant women submitted to a Multidisciplinary Program for Childbirth and Motherhood Preparation (MPCM).
This is a not randomized controlled trial on 67 nulliparous pregnant women divided into two groups according to participation (MPCM Group; n = 38) or not (Control Group; n = 29) in MPCM. The program consisted of 10 meetings (between the 18th and the 38th gestational week) during which educational, physiotherapeutic and interaction activities were developed. Anxiety was quantified at the beginning and at the end of the gestational period by the Trace-State Anxiety Inventory (STAI).
Initial maternal anxiety was equivalent between the groups. At the end of the gestational period, it was observed that anxiety levels increased in the Control Group and were maintained in the MPCM Group. A higher occurrence of vaginal deliveries (83.8%) and hospital discharge of three-day-older newborns (81.6%) as a result of MPCM was also significant. Levels of state-anxiety at the end of pregnancy showed a negative correlation with vaginal delivery, gestational age, birth weight and Apgar index at the first minute and positive correlation with the hospital period remaining of the newborns.
In the study conditions, MPCM was associated with lower levels of maternal anxiety, a larger number of vaginal deliveries and shorter hospitalization time of newborns. It was not related to adverse perinatal outcomes.
研究在接受分娩和母婴准备多学科计划（MPCM）的孕妇中母亲焦虑与围产期结局的关系。
这是一项针对 67 名未产妇的非随机对照试验，根据是否参与 MPCM 将她们分为两组（MPCM 组；n = 38）或不参与 MPCM（对照组；n = 29）。该计划包括 10 次会议（妊娠第 18 周至第 38 周），在此期间开展了教育、物理治疗和互动活动。在妊娠期末期，使用状态焦虑量表（STAI）量化焦虑。
两组孕妇的初始焦虑水平相当。在妊娠期末期，对照组的焦虑水平升高，而 MPCM 组的焦虑水平保持不变。MPCM 还显著增加了阴道分娩（83.8%）和 3 天以上新生儿出院（81.6%）的发生率。妊娠期末期的状态焦虑水平与阴道分娩、胎龄、出生体重和第 1 分钟的 Apgar 指数呈负相关，与新生儿的住院时间呈正相关。
在研究条件下，MPCM 与母亲焦虑程度较低、阴道分娩率较高、新生儿住院时间较短有关，与不良围产期结局无关。
