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患有精神疾病的母亲及其子女。一项关于产前护理使用情况、产科状况和新生儿健康的流行病学研究。

Mentally ill mothers and their children. An epidemiological study of antenatal care consumption, obstetric conditions, and neonatal health.

作者信息

Bågedahl-Strindlund M

出版信息

Acta Psychiatr Scand. 1986 Jul;74(1):32-40. doi: 10.1111/j.1600-0447.1986.tb06223.x.

DOI:10.1111/j.1600-0447.1986.tb06223.x
PMID:3766181
Abstract

Antenatal care consumption, obstetric conditions, and neonatal health, were studied retrospectively in all women in the county of Stockholm who had a baby during 1976-77 and also had been admitted to a psychiatric department after the 20th week of pregnancy or within the first postpartum year, and the findings were compared in matched obstetric controls. Fewer index women had had uncomplicated pregnancies than the controls. A positive relationship was found between acute mental illness and pregnancy complications. Delivery complications tended to to be more common in the index group than in controls, but, only in patients with prepartum onset of mental illness. More index women had a history of several previous abortions than the controls. The index women, and especially the addicts, attended the antenatal care clinics significantly less frequently than the controls. The neonatal health of the index children seemed to be more closely correlated with alcohol or drug dependency per se in the mothers than with mental illness.

摘要

对斯德哥尔摩县1976 - 1977年期间生育子女且在妊娠20周后或产后第一年内入住精神科的所有女性的产前护理情况、产科状况和新生儿健康状况进行了回顾性研究,并将研究结果与匹配的产科对照组进行了比较。与对照组相比,病例组中经历无并发症妊娠的女性较少。发现急性精神疾病与妊娠并发症之间存在正相关关系。分娩并发症在病例组中往往比对照组更常见,但仅在产前出现精神疾病的患者中如此。与对照组相比,更多的病例组女性有多次既往流产史。病例组女性,尤其是成瘾者,到产前护理诊所就诊的频率明显低于对照组。病例组儿童的新生儿健康状况似乎与母亲本身的酒精或药物依赖关系更为密切,而非与精神疾病相关。

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