丈夫陪伴分娩对产妇分娩结局及产后抑郁的影响

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摘要 目的: 探讨丈夫陪伴分娩对产妇分娩结局及产后抑郁的影响。方法: 选取2021年8月1日—2021年11月1日在我院分娩的660 名初产妇为研究对象,应用区组随机对照实验法分为干预组（丈夫配合助产士陪伴分娩）和对照组（仅助产士陪伴分娩）。观察两组产妇分娩结局和产后抑郁及焦虑等心理状况的差异。结果: 干预组总产程、产后出血量、中转剖宫产率、阴道助产率、新生儿窒息率均较对照组低;虽然干预组产妇产后抑郁及焦虑的发生率稍高,但差异无统计学意义。结论: 丈夫参与陪伴分娩可改善母胎分娩结局,但产后抑郁的发生率稍高,虽然差异无统计学意义,仍需加强对参与陪产的丈夫进行培训与宣教,进一步规范丈夫陪产的流程,以提高分娩过程中夫妻双方的满意度及社会效应,降低产后抑郁发生率,增加产妇再生育意愿。

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	倪萍
	彭景
	李华
	黄乐
	黄利辉

关键词 ：丈夫, 陪伴分娩, 分娩结局, 产后抑郁, 产后焦虑

Abstract：Objective Exploring the impact of husband companionship during childbirth on the delivery outcomes and postpartum depression of parturients. Method 660 primiparous women who gave birth in our hospital from August 1, 2021 to November 1, 2021 were selected as the research subjects. A randomized controlled trial method was used to divide them into an intervention group (husband cooperating with midwife for delivery) and a control group (only midwife for delivery). Observe the differences in delivery outcomes and psychological conditions such as postpartum depression and anxiety between two groups of parturients. Results The intervention group had lower total labor process, postpartum hemorrhage, conversion rate to cesarean section, vaginal delivery rate, and neonatal asphyxia rate compared to the control group; Although the incidence of postpartum depression and anxiety in the intervention group was slightly higher, the difference was not statistically significant (P>0.05). Conclusion The postpartum outcome of the husband's participation in the accompanying delivery is good, and does not increase the incidence of postpartum depression. However, it is necessary to further standardize the process of the husband's accompanying delivery, strengthen training and education, improve the satisfaction and social effect of the husband's participation in the accompanying delivery, and increase the maternal willingness to reproduce.

Key words： husband accompanying delivery delivery outcome postpartum depression postpartum anxiety

收稿日期: 2023-12-15

中图分类号:

R714

基金资助:湖南省科技厅临床医疗技术创新引导项目“丈夫陪产对产妇产后抑郁的影响”（2020SK53103）; 湖南省卫健委基金项目 “应用移动终端技术进行心理干预对夫妻双方产后抑郁的预防”（20220524110）

通讯作者: 黄利辉,E-mail：m13637424928_2@163.com

引用本文:

倪萍, 彭景, 李华, 黄乐, 黄利辉. 丈夫陪伴分娩对产妇分娩结局及产后抑郁的影响[J]. 湖南师范大学学报(医学版), 2024, 21(2): 102-106. NI Ping, PENG Jing, LI Hua, HUANG Le, HUANG Lihui. Influence of husband accompanying delivery on the outcome of parturient and postpartum depression. HuNan ShiFan DaXue XueBao(YiXueBan), 2024, 21(2): 102-106.

链接本文:

http://yxb.hunnu.edu.cn/CN/ 或 http://yxb.hunnu.edu.cn/CN/Y2024/V21/I2/102

[1] 朱雯惠, 黄敏, 熊梅. 妊娠女性生活质量与抑郁关系研究[J]. 湖南师范大学学报 (医学版), 2017, 14(06): 120-122.
[2] 邱美玲, 叶云. 人性化护理在自然分娩产妇中的应用效果分析[J]. 基层医学论坛, 2018, 22(17): 2431-2432.
[3] 谢立桦, 唐松华, 吴亚利. 增强陪产丈夫角色适应力的方法及实施效果[J]. 护士进修杂志, 2014, 29(05): 447-449.
[4] 习红丽. 拉玛泽分娩减痛法联合音乐疗法对初产妇产程及不良情绪的影响[J]. 中国健康心理学杂志, 2023, 31(07): 1041-1046.
[5] 中华医学会妇产科分会产科学组. 正常分娩指南[J]. 中华妇产科杂志, 2020, 55(6): 361-370.
[6] 中华预防医学会妇女保健分会. 产后保健服务指南[J]. 中国妇幼健康研究, 2021, 32(06): 767-781.
[7] 中华医学会妇产科分会产科学组. 围产期抑郁筛查与诊治专家共识[J]. 中华妇产科杂志, 2021, 56(8): 521-527.
[8] 杨柒琴, 郦杭婷, 何桂娟. 家属陪伴分娩对初产妇母婴结局影响的系统评价[J]. 护理与康复, 2022, 21(01): 21-27.
[9] KASHAIJA DK, MSELLE LT, MKOKA DA.Husbands' experience and perception of supporting their wives during childbirth in Tanzania[J]. BMC Pregnancy Childbirth, 2020, 20(1): 85.
[10] MUNKHONDYA B M J, MUNKHONDYA T E, CHIRWAE, et al. Efficacy of companion-integrated childbirth preparation for childbirth fear, self-efficacy, and maternal support in primigravid women in Malawi[J]. BMC Pregnancy Childbirth, 2020, 20(1): 48.
[11] 孙国庆, 周金玲, 靳西龙. 围产期抑郁发病的社会心理和产科因素分析[J]. 中国妇幼健康研究, 2020, 3(31): 317-322.
[12] 李青, 王艳娜, 王天宇. 二胎产妇产后抑郁及其社会支持情况分析[J]. 世界最新医学信息文摘, 2019, 19(48): 40-41.
[13] 李婷婷, 周小霞. 丈夫积极情感支持对初产妇分娩结局的影响[J]. 当代护士, 2019, 26(03): 96-98.
[14] 李幼娟, 周军, 王琳, 等. 丈夫共同参与陪伴分娩的临床服务模式效果分析[J]. 河北医药, 2017, 39(12): 1904-1906.
[15] 吴燕, 林玉飞. 助产士陪伴孕产妇分娩与家属陪伴分娩的临床比较分析[J]. 中国妇幼保健, 2018, 33(16): 3645-3647.
[16] 郑莉彦, 杨宏, 孙春燕, 等, 不同角色陪伴分娩对产妇心理、产程和分娩方式的影响[J]. 中国医科大学学报, 2012, 41(05): 444-445+449.
[17] CHORWE-SUNGANI G, CHIPPS J.A systematic review of screening instruments for depression for use inantenatal services in low resource settings[J]. BMC Psychiatry, 2017, 17(1): 112.
[18] BOUCHOUCHA M, HEJNAR M, DEVROEDE G, et al.Anxiety and depression as markers of multiplicity of sites of functional gastrointestinal disorders: a gender issue?[J]. Clin Res Hepatol Gastroenterol, 2013, 37(4): 422-430.
[19] FELL METH G, OPONDO C, HENDERSON J, et al.Identifying postnatal depression: comparison of a self–reported depression item with Edinburgh Postnatal Depression Scale scores at three months postpartum[J]. J Affect Disord, 2019, 251(1): 8-14.
[20] GONG Y, ZHOU H, ZHANG Y, et al.Validation of the 7-item Generalized Anxiety Disorder scale (GAD-7) as a screening tool for anxiety among pregnant Chinese women[J]. J Affect Disord, 2021, 3(282): 98-103.
[21] 周小丹, 谢春丽, 林娟, 等. 准父亲陪产配合导乐陪产对初产妇分娩的影响[J]. 重庆医学, 2018, 47(34): 4419-4420.
[22] VISCHER LC, HEUN X, STEETSKAMP J, HASENBURG A, et al.Birth experience from the perspective of the fathers[J]. Arch Gynecol Obstet, 2020, 302(5): 1297-1303.
[23] HILDINGSSON I, JOHANSSON M, FENWICK J, et al.Childbirth fear in expectant fathers: findings from a regional Swedish cohort study[J]. Midwifery, 2014, 30(2): 242-247.
[24] FENWICK J, BAYES S, JOHANSSON M.A qualitative investigation into the pregnancy experiences and childbirth expectations of Australian fathers-to-be[J]. Sex Reprod Healthc, 2012, 3(1): 3-9.
[25] ERTAN D, HINGRAY C, BURLACU E, et al.Post traumaticstress disorder following childbirth[ J]. BMC Psychia-try, 2021, 21(1): 155.
[26] WEBB R, AYERS S, BOGAERTS A, et al.When birth is not as expected: a systematic review of the impact of a mismatch between expectations and experiences[J]. BMC Pregnancy Childbirth, 2021, 21(1): 475.
[27] 黄孙兴, 常琦圆, 周灿权. 生育力重建的现状和未来[J]. 中国实用妇科与产科杂志, 2022, 38(06): 609-613.