Rautava P, Helenius H, Lehtonen L
University of Turku, Finland.
BMJ. 1993 Sep 4;307(6904):600-4. doi: 10.1136/bmj.307.6904.600.
To study associations between characteristics of families during the first pregnancy and after childbirth and the development of infantile colic.
Randomised, stratified cluster sampling. Follow up from the first visit to a maternity health care clinic during pregnancy to three months after birth with confidential semistructured questionnaires.
Maternity health care clinics in primary health care centres in Finland.
1443 nulliparous women and 1407 partners. Altogether 1333 women and 1279 men returned the questionnaires. When the infants were 3 months old 1208 women and 1115 men returned questionnaires.
Marital relationship; personal and social behaviour of parents during the pregnancy and their coping with the pregnancy; mothers' physical health and events, symptoms, and experiences in relation to pregnancy; self confidence and experiences of mothers and fathers in relation to childbirth; and parents' sociodemographic and educational variables. Measure of colic when the infant was 3 months old.
Experience of stress and physical symptoms during the pregnancy, dissatisfaction with the sexual relationship, and negative experiences during childbirth were associated with the development of colic in the baby. None of the sociodemographic factors was associated with colic.
Early preventive health work during pregnancy should attempt to improve parents' tolerance of symptoms of stress and ability to cope and increase their confidence in parenting abilities.
研究首次怀孕及产后家庭特征与婴儿腹绞痛发生之间的关联。
随机分层整群抽样。从孕期首次到产妇保健诊所就诊开始随访至产后三个月，采用保密的半结构化问卷。
芬兰初级保健中心的产妇保健诊所。
1443名未生育过的女性及其1407名伴侣。共有1333名女性和1279名男性返回了问卷。婴儿3个月大时，1208名女性和1115名男性返回了问卷。
婚姻关系；孕期父母的个人及社会行为及其应对孕期的方式；母亲的身体健康状况以及与妊娠相关的事件、症状和经历；母亲和父亲在分娩方面的自信心和经历；以及父母的社会人口统计学和教育变量。婴儿3个月大时腹绞痛的测量情况。
孕期的压力体验和身体症状、对性关系的不满以及分娩时的负面经历与婴儿腹绞痛的发生有关。社会人口统计学因素均与腹绞痛无关。
孕期早期预防性保健工作应致力于提高父母对压力症状的耐受性和应对能力，并增强他们为人父母的信心。
