关键词: 妊娠, 焦虑, 分娩方式, 剖宫产术, 倾向性评分匹配, 产科护理

Abstract:

Objective To explore the effects of anxiety on pregnant women in the first and third trimesters on delivery modes,in order to improve the labor outcomes. Methods Maternal data from November 2017 to June 2019 in the Obstetrics and Gynecology Hospital of Fudan University information system were extracted after psychological assessment of pregnant women in the first or third trimester. An anxiety group and a non-anxiety group were divided according to the Generalized Anxiety Disorder Scale（GAD-7scale）,and the delivery modes of 2 groups with propensity score matching were compared. Results After propensity score matching,447 pairs of anxiety groups and non-anxiety groups in early trimesters and 53 pairs in late trimesters were successfully matched;there was no significant difference in delivery modes between anxiety groups and non-anxiety groups in early trimesters（ χ ²=1.620,P=0.203）;there were significant differences in delivery modes between anxiety groups and non-anxiety groups in late trimesters（ χ ²=4.330,P=0.037）. Pregnant women in the anxiety group tended to choose cesarean section. Conclusion Results showed that anxiety in the first trimester had no effect on the choice of delivery modes,but anxiety in the third trimester might increase the incidence of cesarean section. It is suggested that cesarean section rates can be reduced by alleviating anxiety in the third trimester,so as to improve the labor outcomes.

Key words: Pregnancy, Anxiety, Delivery Mode, Cesarean Section, Propensity Score Matching, Obstetrical Nursing