Abstract：Objective To investigate the influence of anxiety during pregnancy on the way of delivery, the course of labor and pregnancy outcome. Methods One hundred parturients who gave birth in the obstetrics department of our hospital from January 2018 to January 2020 were selected as the research objects. All parturients were given SelfRating Anxiety Scale (SAS) to assess their anxiety during pregnancy, and according to the SAS score, all parturients were divided into the anxiety group (SAS score≥50 points) and the non-anxiety group (SAS score<50 points). The methods of delivery, labor time and pregnancy outcome of the two groups of pregnant women were collected. Results Among 100 parturients, 27 cases had anxiety symptoms during pregnancy, accounting for 27.00%; the proportion of pregnant women in the anxiety group who chose natural vaginal delivery was 29.63% (8/27), which was significantly lower than 76.71% (56/73) in the non-anxiety group (P＜0.05); the incidence of postpartum hemorrhage, premature rupture of membranes, fetal distress and infection in the anxiety group (25.93%, 37.04%, 25.93%, and 25.93%) was significantly higher than that of the non-anxiety group (4.11%, 2.74%, 2.74%, and 1.37%) (P＜0.05); the first, second, and third stages of labor of pregnant women with natural childbirth in the anxiety group were significantly longer than those in the non-anxiety group (P＜0.05). Conclusion The way of delivery, delivery process, and pregnancy outcome of parturients are all affected by anxiety during pregnancy. Clinical interventions should be developed to relieve the anxiety of parturients during pregnancy and help improve pregnancy outcome.
蒋婷婷，陈瑶，周雪微，王小梅. 孕期焦虑状态对产妇分娩方式、产程和妊娠结局的影响[J]. 中国医院统计, 2021, 28(5): 409-412.
Jiang Tingting, Chen Yao, Zhou Xuewei, Wang Xiaomei. Influence of anxiety state during pregnancy on the way of delivery, delivery process and pregnancy outcome of parturients. journal1, 2021, 28(5): 409-412.
［1］赵丽娟，冯国芹，丁秀梅，等．积极心理疏导对子痫前期孕妇负面情绪、治疗依从性及分娩结局的影响［J］．国际精神病学杂志，2019，46(1)：143-146．
［2］张纳，秦玲，翁玲玲，等．产前焦虑对脐血流动力学、分娩质量及胎儿围生结局的影响［J］．国际精神病学杂志，2018，45(5)：901-903．
［3］BRUNTON R, GOSPER K, DRYER R. Psychometric evaluation of the pregnancyrelated anxiety scale: Acceptance of pregnancy, avoidance, and worry about self subscales［J］. J Affect Disord, 2021, 278:341-349.
［4］范秀丽，季庆华，叶张艳，等．系统化心理干预对初产妊娠孕妇社会行为、分娩方式及妊娠结局的影响［J］．实用预防医学，2018，25(3)：352-354．
［5］蒋海霞，左洁，卫小玉，等．产妇焦虑、抑郁情绪与分娩方式及不良分娩结局的关系［J］．检验医学与临床，2018，15(5)：623-625．
［6］邵珊珊,严双琴,郝加虎,等.孕期妊娠相关焦虑与婴幼儿神经行为发育关联的队列研究［J］.中华预防医学杂志,2021,55(2):177-183.
［7］王晓旭,严双琴,徐叶清,等.母亲妊娠相关焦虑与学龄前儿童执行功能关联的队列研究［J］.中华预防医学杂志,2020,54(5):511-518.
［8］MASUMOTO T, ONISHI K, HARADA T, et al. Plasma oxytocin concentrations during and after gestation in Japanese pregnant women affected by anxiety disorder and endometriosis［J］. Yonago Acta Med, 2020, 63(4):301-307.
［9］杨龙腾，叶丽娅，颜慧，等．孕妇妊娠期焦虑、抑郁状况及与配偶心理弹性的关系［J］．中国计划生育学杂志，2021，29(3)：498-502．
［10］邢燕，李文英，郑牧村，等．常态化疫情防控时期妊娠期女性心理健康状况调查及影响因素分析［J］．齐鲁护理杂志，2021，27(1)：94-96．
［11］钱舒华，朱新丽，沈蓓蓓，等．孕早期和孕晚期焦虑状态对产妇分娩方式的影响［J］．中华护理杂志，2021，56(2)：245-249．
［12］冯荣程，刘丽丽．妊娠各期妇女焦虑抑郁状态及影响因素分析［J］．中国社区医师，2021，37(3)：38-39．
［13］高慧芳，水玲玲，唐莹莹．产前团体正念瑜伽对妊娠高血压产妇心理状态、产程及母婴结局的影响［J］．实用临床医学，2021，22(1)：27-29．
［14］THIEL F, IFFLAND L, DROZD F, et al. Specific relations of dimensional anxiety and manifest anxiety disorders during pregnancy with difficult early infant temperament: A longitudinal cohort study［J］. Arch Womens Ment Health, 2020, 23(4):535-546.
［15］姚瑞，安晓妤，张阔亮，等．高龄孕产妇心理健康状况及妊娠结局调查分析［J］．贵州医科大学学报，2021，46(2)：185-189．
［16］HAGQVIST O, TOLVANEN M, RANTAVUORI K, et al. Changes in dental fear and its relations to anxiety and depression in the FinnBrain Birth Cohort Study［J］. Eur J Oral Sci, 2020, 128(5):429-435.
［17］王小兰．妊娠期糖尿病孕妇焦虑和抑郁情绪对妊娠结局的影响［J］．河北医科大学学报，2020，41(2)：229-232．
［18］杨蕾,李艳,李冬梅.高危妊娠孕产妇焦虑抑郁情绪状况调查及相关影响因素分析［J］.临床心身疾病杂志,2020,26(1):76-80.
［19］马新雅，杨单单，徐耀明，等．简阳市322名妊娠期妇女焦虑抑郁现状及影响因素［J］．中华疾病控制杂志，2020，24(1)：109-113．
［20］杨怀洁，王涛，杨虹，等．919例妊娠晚期女性焦虑、抑郁发生情况及影响因素分析［J］．护理研究，2020，34(13)：2360-2364．
