Dokuhaki Sara, Dokuhaki Fateme, Akbarzadeh Marzieh
Community Based Psychiatric Care Research Center, Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Psychology, Islamic Azad University of Marvdasht, Marvdasht, Iran.
Contracept Reprod Med. 2021 Apr 1;6(1):12. doi: 10.1186/s40834-021-00155-8.
Exposure of mothers to negative moods and stress before childbirth leads to negative consequences for the infants. Given the importance of psychological health, this study aimed to examine the effect of these factors on the infants' psychological health.
This cross-sectional study was conducted in Shiraz hospitals on 110 pregnant women selected with multistage random sampling. Research tools included The McGill Pain Questionnaire (MPQ) to measure fatigue with three criteria; The Positive and Negative Emotion Schedule (PANAS); and The Spielberger State-Trait Anxiety Inventory (STAI) were used to measure maternal mood and anxiety level. Also, neonatal psychological health was assessed by a checklist. Neonatal psychological health's correlation with maternal anxiety, fatigue, and mental state was assessed. Data were analyzed by SPSS-19 software using Pearson correlation coefficient and statistical regression at the significance level of 0.05.
Although there was no significant relationship between maternal anxiety score and neonatal psychological health after birth (p = 0.231; r=-0.343), the relationship was significant immediately after birth with positive (P < 0.001; r = 0.343) and negative affect scores (P < 0.001; r=-0.357).
There was a statistically significant relationship between the neonatal psychological health and maternal fatigue (p ≤ 0.001; r = -0.357) and PANAS (p ≤ 0.001) of the mother; however, it had no significant relationship with maternal anxiety (p = 0.231; r=- 0.343). Therefore, nurses and midwives can reduce maternal anxiety and improve neonatal mental health by supporting mothers.
母亲在分娩前暴露于负面情绪和压力下会给婴儿带来负面后果。鉴于心理健康的重要性，本研究旨在探讨这些因素对婴儿心理健康的影响。
本横断面研究在设拉子的医院对110名采用多阶段随机抽样选取的孕妇进行。研究工具包括用于从三个标准测量疲劳程度的麦吉尔疼痛问卷（MPQ）；积极和消极情绪量表（PANAS）；以及用于测量母亲情绪和焦虑水平的斯皮尔伯格状态-特质焦虑量表（STAI）。此外，通过一份清单评估新生儿的心理健康状况。评估了新生儿心理健康与母亲焦虑、疲劳和精神状态之间的相关性。使用SPSS-19软件，在显著性水平为0.05的情况下，采用Pearson相关系数和统计回归分析数据。
尽管产后母亲焦虑评分与新生儿心理健康之间无显著关系（p = 0.231；r = -0.343），但出生后即刻该关系与积极情绪得分（P < 0.001；r = 0.343）和消极情绪得分（P < 0.001；r = -0.357）显著相关。
新生儿心理健康与母亲的疲劳（p ≤ 0.001；r = -0.357）和PANAS得分（p ≤ 0.001）之间存在统计学上的显著关系；然而，与母亲焦虑无显著关系（p = 0.231；r = -0.343）。因此，护士和助产士可以通过支持母亲来减轻母亲的焦虑并改善新生儿的心理健康。
