Mamelle N
INSERM U 265, Lyon.
Rev Fr Gynecol Obstet. 1989 Jul-Sep;84(7-9):593-9; discussion 600-2.
Consideration of psycho-social factors in monitoring pregnancy, especially in a gravida I patient, permits predicting an increased risk of unfavorable results. Research conducted in the Rhone-Alpes region concerns specifically the risk factors for prematurity related to the psycho-social environment of the woman, for the purpose of long-term prevention, i.e., from the beginning of the pregnancy. The prematurity rate remains much higher in women under 20, in foreign or French women living overseas, in unmarried women living with someone or alone, and in women of low socio-cultural level. A profession does not, per se, constitute an increased risk factor for prematurity, since women staying at home present a higher prematurity rate than that of working women. However, tiresome working conditions constitute an increased factor for prematurity. Several factors related to living habits are evaluated. Finally, the role of psychological modifications related to the pregnancy is also considered, and appears to be important, especially in women without any other known medical risk factor. In view of these results, the authors present a number of suggestions for a better prevention of prematurity.
在监测孕期情况时考虑心理社会因素，尤其是对于初产妇，有助于预测不良结果风险的增加。在罗纳-阿尔卑斯地区开展的研究特别关注与女性心理社会环境相关的早产风险因素，旨在进行长期预防，即从怀孕初期开始。在20岁以下的女性、外国女性或居住在海外的法国女性、与他人同居或独居的未婚女性以及社会文化水平较低的女性中，早产率仍然高得多。职业本身并不构成早产的风险增加因素，因为待在家中的女性早产率高于职业女性。然而，令人疲惫的工作条件是早产的一个增加因素。对一些与生活习惯相关的因素进行了评估。最后，还考虑了与怀孕相关的心理变化的作用，这似乎很重要，尤其是在没有其他已知医学风险因素的女性中。鉴于这些结果，作者提出了一些更好地预防早产的建议。
