a Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa , Pisa , Italy.
b Department of Health Sciences, University of Florence , Florence , Italy.
J Reprod Infant Psychol. 2019 Sep;37(4):444-452. doi: 10.1080/02646838.2019.1581919. Epub 2019 Mar 16.
: Depression symptomatology in pregnant women is a condition that represents an important risk factor for the health of both women and children. : The aim of this study was to investigate the influence of women's depression symptomatology on the clinical aspects of their delivery, both directly and indirectly, through mothers' prenatal attachment to their unborn children. Moreover, we analysed whether these aspects affect the well-being of the newborn, assessed through the Apgar score. : A longitudinal design was carried out on a total of 203 pregnant women. At weeks 31-32 of gestation, women filled out the Beck Depression Inventory and the Prenatal Attachment Inventory. The day of childbirth, hospital healthcare staff registered the clinical data of childbirth. : A woman's depressive symptomatology negatively affects prenatal attachment to her unborn child and positively affects the clinical aspects of the delivery, both directly and mediated by the quality of prenatal attachment. Moreover, the Apgar score was negatively influenced by the clinical aspects of the delivery and, indirectly, by the depressive symptomatology. : Depressive symptomatology during pregnancy has negative outcomes, affecting the delivery experience of women, the first emotional bond with the child, and the well-being of the newborn.
孕妇的抑郁症状是一种重要的母婴健康风险因素。本研究旨在探讨女性抑郁症状对分娩临床方面的直接和间接影响,通过母亲对未出生孩子的产前依恋来体现。此外,我们还分析了这些方面是否会通过阿普加评分评估来影响新生儿的健康。
本研究采用纵向设计,共纳入 203 名孕妇。在妊娠 31-32 周时,女性填写贝克抑郁量表和产前依恋量表。分娩当天,医院医护人员记录分娩的临床数据。
女性的抑郁症状会对其未出生孩子的产前依恋产生负面影响,并直接和通过产前依恋质量对分娩的临床方面产生积极影响。此外,阿普加评分受到分娩临床方面的负面影响,而间接受到抑郁症状的影响。
怀孕期间的抑郁症状会产生负面影响,影响女性的分娩体验、与孩子的第一情感联系以及新生儿的健康。