General Psychiatry, Center for Psychosocial Medicine, Heidelberg University Hospital, Heidelberg, Germany,
Arch Womens Ment Health. 2013 Oct;16(5):363-9. doi: 10.1007/s00737-013-0344-0. Epub 2013 Apr 5.
In the present study, we examined a German sample to determine whether anxiety symptoms during pregnancy had an impact on the duration and method of childbirth. Data of N = 88 women recruited at the Heidelberg University Hospital were used in the analyses. Prepartum anxiety symptoms were assessed with the State-Trait Anxiety Inventory (STAI, general anxiety) and the Pregnancy Related Anxiety Questionnaire (PRAQ-R, pregnancy-specific anxiety). Obstetric outcome was taken from birth records and operationalized by two parameters: the total duration of birth (dilation and fetal expulsion) and the incidence of pregnancy or birth-related interventions (ventouse, planned, and unplanned Cesarean section). The data show that childbirth-specific anxiety assessed by the PRAQ-R is an important predictor of total birth duration. In contrast, general anxiety measured by the STAI had no effect. The incidence of birth intervention was explained by parity. Anxiety, however, had no predictive value. In addition to medical factors, childbirth-specific anxiety during pregnancy plays an important role in the process of childbirth. The findings of the present study point to the need of implementing psychological interventions to reduce childbirth-specific anxiety and thereby positively influencing birth outcome.
在本研究中，我们检查了一个德国样本，以确定怀孕期间的焦虑症状是否会影响分娩的持续时间和方式。分析中使用了海德堡大学医院招募的 N = 88 名女性的数据。产前焦虑症状使用状态-特质焦虑量表（STAI，一般焦虑）和妊娠相关焦虑问卷（PRAQ-R，妊娠特异性焦虑）进行评估。产科结局取自分娩记录，并通过两个参数来操作：分娩的总持续时间（扩张和胎儿娩出）和妊娠或分娩相关干预的发生率（吸引器、计划和非计划剖宫产）。数据表明，PRAQ-R 评估的分娩特异性焦虑是总分娩持续时间的重要预测因素。相比之下，STAI 测量的一般焦虑没有影响。分娩干预的发生率由产次解释。然而，焦虑没有预测价值。除了医疗因素外，妊娠期间的分娩特异性焦虑在分娩过程中起着重要作用。本研究的结果表明需要实施心理干预措施来降低分娩特异性焦虑，从而对分娩结局产生积极影响。
