You Y, Yan S Q, Huang K, Mao L J, Zhou S S, Ge X, Hao J H, Zhu P, Tao F B
Anhui Provincial Key Laboratory of Population Health and Aristogenics, Department of Maternal and Child Health, Anhui Medical University, Hefei 230032, China.
Maternal and Child Health Care Center of Ma'anshan, Ma'anshan 243000, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Sep 10;38(9):1179-1182. doi: 10.3760/cma.j.issn.0254-6450.2017.09.007.
To understand the association between pregnancy intention and pregnancy-related anxiety in the second and third trimester and its strength. A prospective cohort study was conducted in Ma'anshan, Anhui province. A total of 3 474 eligible pregnant women within 14 weeks of gestation were recruited. The information about their demographic characteristics were collected in early pregnancy. The completed questionnaire of pregnancy-related anxiety were asked to return in the second and third trimester. Logistic regression analysis was conducted to evaluate the association between pregnancy intention and pregnancy-related anxiety in the second and third trimester. A total of 3 083 pregnant women were included in final analysis, The rate of unintentional pregnancy was 15.00 (=461). The detection rates of pregnancy-related anxiety in the second and third trimester were 29.13 (=898) and 30.36 (=936). After controlling potential confounding factors, unintentional pregnancy increased the risk of pregnancy-related anxiety in the second trimester compared with intentional pregnancy (=1.85, 95: 1.44-2.38); The risk of pregnancy-related anxiety also increased in the third trimester (=1.84, 95: 1.44-2.35). Intentional pregnancy did not increase the risk of pregnancy-related anxiety in the second and third trimester. The study results suggests that unintentional pregnancy could increase the risk of pregnancy-related anxiety in the second and third trimester.
为了解妊娠中期和晚期的妊娠意愿与妊娠相关焦虑之间的关联及其强度。在安徽省马鞍山市进行了一项前瞻性队列研究。共招募了3474名妊娠14周内符合条件的孕妇。在孕早期收集她们的人口统计学特征信息。要求在妊娠中期和晚期返回填写完整的妊娠相关焦虑问卷。进行逻辑回归分析以评估妊娠中期和晚期妊娠意愿与妊娠相关焦虑之间的关联。最终分析纳入了3083名孕妇,意外妊娠率为15.00(=461)。妊娠中期和晚期妊娠相关焦虑的检出率分别为29.13(=898)和30.36(=936)。在控制潜在混杂因素后,与有意妊娠相比,意外妊娠增加了妊娠中期妊娠相关焦虑的风险(=1.85,95%:1.44-2.38);妊娠晚期妊娠相关焦虑的风险也增加了(=1.84,95%:1.44-2.35)。有意妊娠在妊娠中期和晚期并未增加妊娠相关焦虑的风险。研究结果表明,意外妊娠可能会增加妊娠中期和晚期妊娠相关焦虑的风险。