Kwon Mi-Kyung, Bang Kyung-Sook
Department of Nursing, Kwandong University, Gangneung, Korea.
J Korean Acad Nurs. 2011 Apr;41(2):276-83. doi: 10.4040/jkan.2011.41.2.276.
Prenatal depression is associated with potential negative consequences for the mother and infant. The purpose of this study was to examine pregnant women's stress, and depression and their impact on maternal-fetal attachment and fetal growth.
Data were collected by means of a questionnaire and fetal sonogram from a convenience sample of 166 pregnant women.
Women who have a low educational level, poor health and are dissatisfied with their marriage showed low maternal-fetal attachment. Prenatal depression had significant correlations with length of pregnancy and level of stress. Even though correlation between maternal stress and fetal weight (r=-.15, p=.099) and correlation between maternal depression and maternal-fetal attachment (r=-.13, p=.095) were not statistically significant, the impact of the prenatal psychological state of mothers can not be ignored as it relates to fetal health.
Maternal-fetal attachment and fetal growth can be affected by maternal emotional state, including stress or depression. These findings suggest that primary care nurses in hospitals and public health centers should provide prenatal depression screening and nursing intervention programs for management and prevention of prenatal stress and depression.
产前抑郁会给母亲和婴儿带来潜在的负面影响。本研究旨在探讨孕妇的压力和抑郁状况及其对母婴依恋和胎儿生长的影响。
通过问卷调查和胎儿超声检查，从166名孕妇的便利样本中收集数据。
教育水平低、健康状况差且对婚姻不满意的女性母婴依恋程度较低。产前抑郁与孕期时长和压力水平显著相关。尽管母亲压力与胎儿体重之间的相关性（r = -0.15，p = 0.099）以及母亲抑郁与母婴依恋之间的相关性（r = -0.13，p = 0.095）在统计学上不显著，但母亲产前心理状态对胎儿健康的影响不容忽视。
母婴依恋和胎儿生长会受到母亲情绪状态的影响，包括压力或抑郁。这些研究结果表明，医院和公共卫生中心的初级护理护士应为管理和预防产前压力及抑郁提供产前抑郁筛查和护理干预项目。
