Xing Huilin, Luo Yaping, Wang Shouying
School of Basic Medical Sciences, Xinxiang Medical University, Xinxiang, Henan 453000, P.R. China.
Dept. of Gynaecology and Obstetrics, Xiamen Maternal and Child Health Care Hospital, Xiamen, Fujian 361003, P.R. China.
Iran J Public Health. 2018 Feb;47(2):219-224.
To investigate the effects of negative emotions and life events on women's missed miscarriage.
Overall, 214 women diagnosed with a missed miscarriage by prenatal examination from 2016-2017 in Xiamen Maternal and Child Health Care Hospital, Xiamen, China were selected as the observation group compared to 214 women as control group. The general data of the patients were investigated by self-programmed questionnaires. Zung Self-Rating Anxiety Scale, Center Epidemiological Studies Depression Scale; Life Events Scale for Pregnant Women were used conduct the study. General data, anxiety, depression and life events were compared between the two groups of patients, and statistically different factors were included in the multivariate Logistic regression analysis.
There were statistically significant differences in the educational level, pre-pregnancy health status, planned pregnancy, pre-pregnancy or gestational gynecological inflammation and the initiative to obtain knowledge of prenatal and postnatal care between the two groups of pregnant women (<0.01); there were also statistically significant differences in score of life events, score of anxiety and score of depression between them (<0.01). The high educational level, good health status before pregnancy and the initiative to obtain the knowledge of prenatal and postnatal care were taken as the independent protective factors for the missed miscarriage in pregnant women, while life events, anxiety and depression were independent risk factors for it.
Negative emotions and life events increase the risk of women's missed miscarriage, and the high educational level, good health status before pregnancy and the initiative to obtain the knowledge of prenatal and postnatal care reduce the risk of women's missed miscarriage.
探讨负性情绪及生活事件对女性稽留流产的影响。
选取2016年至2017年在福建省厦门市妇幼保健院产前检查确诊为稽留流产的214例女性作为观察组，另选214例女性作为对照组。采用自编问卷对患者的一般资料进行调查。采用zung自评焦虑量表、流调中心抑郁量表、孕妇生活事件量表进行研究。比较两组患者的一般资料、焦虑、抑郁及生活事件情况，将有统计学差异的因素纳入多因素Logistic回归分析。
两组孕妇在文化程度、孕前健康状况、计划妊娠、孕前或孕期妇科炎症及主动获取围产保健知识方面比较，差异均有统计学意义（<0.01）；两组孕妇生活事件得分、焦虑得分及抑郁得分比较，差异均有统计学意义（<0.01）。文化程度高、孕前健康状况好及主动获取围产保健知识是孕妇稽留流产的独立保护因素，而生活事件、焦虑及抑郁是其独立危险因素。
负性情绪及生活事件增加女性稽留流产的风险，文化程度高、孕前健康状况好及主动获取围产保健知识可降低女性稽留流产的风险。
