Haghparast Elahe, Faramarzi Mahbobeh, Hassanzadeh Ramezan
Elahe Haghparast, Department of Psychology, Islamic Azad University, Sari, Iran.
Mahbobeh Faramarzi, Infertility and Reproductive Health Research Center, Babol University of Medical Sciences, Babol, Iran.
Pak J Med Sci. 2016 Sep-Oct;32(5):1097-1101. doi: 10.12669/pjms.325.10909.
Spontaneous abortion is one of the most important complications of pregnancy with short and long adverse psychological effects on women. This study assesses the implications of a spontaneous abortion history has on women's psychiatric symptoms and pregnancy distress in subsequent pregnancy less than one years after spontaneous abortion.
A case-control study was conducted on pregnant women of Babol city from September 2014 to May 2015. In this study, 100 pregnant women with spontaneous abortion history during a year ago and 100 pregnant women without spontaneous abortion history were enrolled. All the participants in two groups completed the Symptom Checklist-90-Revised (SCL-90-R), and pregnancy Distress Questionnaire (PDQ).
Women with spontaneous abortion history had significantly higher mean of many subscales of SCL-90 (depression, anxiety, somatization, obsessive-compulsiveness, interpersonal sensitivity, psychoticism, hostility, paranoid, and Global Severity Index) more than women without spontaneous abortion history. Also, women with spontaneous abortion history had significantly higher mean of two subscales of PDQ concerns about birth and the baby, concerns about emotions and relationships) and total PDQ more than women without spontaneous abortion history.
Pregnant women with less than a year after spontaneous abortion history are at risk of psychiatric symptoms and pregnancy distress more than controls. This study supports those implications for planning the post spontaneous abortion psychological care for women, especially women who wanted to be pregnant during 12 month after spontaneous abortion.
自然流产是妊娠最重要的并发症之一，会对女性产生短期和长期的不良心理影响。本研究评估自然流产史对女性在自然流产后不到一年的后续妊娠中的精神症状和妊娠困扰的影响。
2014年9月至2015年5月对巴博勒市的孕妇进行了一项病例对照研究。在本研究中，纳入了100名有一年前自然流产史的孕妇和100名无自然流产史的孕妇。两组的所有参与者均完成了症状自评量表90修订版（SCL-90-R）和妊娠困扰问卷（PDQ）。
有自然流产史的女性在SCL-90的许多子量表（抑郁、焦虑、躯体化、强迫、人际敏感、精神病性、敌对、偏执和总体严重程度指数）上的平均得分显著高于无自然流产史的女性。此外，有自然流产史的女性在PDQ的两个子量表（对分娩和婴儿的担忧、对情绪和人际关系的担忧）以及PDQ总分上的平均得分也显著高于无自然流产史的女性。
自然流产史不到一年的孕妇比对照组有更多精神症状和妊娠困扰的风险。本研究支持了对自然流产后女性进行心理护理规划的意义，特别是那些在自然流产后12个月内想要怀孕的女性。
