Worrall Semra, Christiansen Paul, Carlisle Naomi, Fallon Victoria, Khalil Asma, Shennan Andrew H, Tribe Rachel M, Carter Jenny, Silverio Sergio A
Department of Psychology, Institute of Population Health, University of Liverpool, Liverpool, United Kingdom.
Department of Women & Children's Health, School of Life Course & Population Sciences, King's College London, London, United Kingdom.
Front Glob Womens Health. 2024 Dec 6;5:1511352. doi: 10.3389/fgwh.2024.1511352. eCollection 2024.
Women identified at risk for preterm may be vulnerable to developing mental health difficulties due to the increased likelihood of poor pregnancy outcome and uncertainty surrounding their delivery. Formal assessment of mental wellbeing in specialist preterm birth clinics is not routinely offered, but may offer the opportunity for early intervention.
We aimed to investigate if demographic characteristics and obstetric risk factors were associated with psychological wellbeing in women at risk of preterm birth. We explored associations between mental wellbeing and risk factors for preterm birth using hierarchical regression analyses.
When demographic variables were considered alone, high body mass index (BMI) was significantly associated with anxiety ( = .026), however became non-significant when obstetric risk factors were also considered. Previous late miscarriage was associated with high anxiety ( = .049). Lower maternal age at estimated date of delivery ( = .019) and non-European ethnic heritage ( = .029) were significantly associated with depression. High maternal BMI ( < .001), being of any other non-European ethnic heritage ( = .043), currently smoking ( = .002), and previous spontaneous preterm birth ( = .017) were associated with lower perceived wellbeing.
The results of this study highlight the importance of routinely monitoring mental health in women with relevant risk factors, particularly if they are already at risk of preterm birth.
由于不良妊娠结局的可能性增加以及分娩的不确定性，被确定为有早产风险的女性可能更容易出现心理健康问题。在专科早产诊所中，并未常规提供对心理健康的正式评估，但这可能提供早期干预的机会。
我们旨在调查人口统计学特征和产科风险因素是否与有早产风险的女性的心理健康相关。我们使用分层回归分析探讨了心理健康与早产风险因素之间的关联。
仅考虑人口统计学变量时，高体重指数（BMI）与焦虑显著相关（=0.026），但在同时考虑产科风险因素时变得不显著。既往晚期流产与高焦虑相关（=0.049）。预计分娩日期时较低的产妇年龄（=0.019）和非欧洲族裔（=0.029）与抑郁显著相关。高产妇BMI（<0.001）、任何其他非欧洲族裔（=0.043）、目前吸烟（=0.002）和既往自发性早产（=0.017）与较低的幸福感相关。
本研究结果强调了对有相关风险因素的女性，尤其是那些已经有早产风险的女性，常规监测心理健康的重要性。
