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孕期母亲焦虑:对妊娠38至40周胎儿行为的影响。

Maternal anxiety during pregnancy: effect on fetal behavior at 38 to 40 weeks of gestation.

作者信息

Groome L J, Swiber M J, Bentz L S, Holland S B, Atterbury J L

机构信息

Department of Obstetrics and Gynecology, University of South Alabama 36617, USA.

出版信息

J Dev Behav Pediatr. 1995 Dec;16(6):391-6.

PMID:8746547
Abstract

The purpose of this study was to determine if there is a relationship between fetal behavior and maternal anxiety during pregnancy. The study population consisted of 18 uncomplicated human pregnancies at 38 to 40 weeks gestation. Maternal anxiety was assessed one time using Spielberger's State-Trait Anxiety Inventory. After an overnight fast, each mother was given a standard meal on arrival to the fetal testing unit. Each fetus was examined for 4 hours using heart rate monitoring and real-time sonography. Fetal behavioral states were assigned based on heart rate pattern and the presence or absence of eye and gross body movements. We found that, compared with fetuses of mothers with low trait anxiety scores, fetuses of mothers with relatively high trait anxiety scores spent significantly more time in quiet sleep and exhibited less gross body movement when in active sleep. The results of this pilot study raise the possibility that maternal anxiety during pregnancy may have a significant effect on fetal behavior.

摘要

本研究的目的是确定孕期胎儿行为与母亲焦虑之间是否存在关联。研究对象为18例妊娠38至40周的无并发症孕妇。使用斯皮尔伯格状态-特质焦虑量表对母亲的焦虑进行了一次评估。经过一夜禁食后,每位母亲到达胎儿检测单位时均给予标准餐食。使用心率监测和实时超声对每个胎儿进行4小时检查。根据心率模式以及眼睛和身体大幅度运动的有无来确定胎儿行为状态。我们发现,与特质焦虑得分低的母亲的胎儿相比,特质焦虑得分相对较高的母亲的胎儿在安静睡眠中花费的时间明显更多,并且在活跃睡眠时身体大幅度运动较少。这项初步研究的结果增加了孕期母亲焦虑可能对胎儿行为产生重大影响的可能性。

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