孕产妇分娩恐惧现状及干预措施的研究进展
Research Progress on Maternal Fear Current Status of Childbirth and Interventions
DOI: 10.12677/ACM.2023.1361407, PDF,   
作者: 褚 淼*, 陈瑾沛, 张新敏:延安大学医学院,陕西 延安;张永爱#:西安医学院护理与康复学院,陕西 西安
关键词: 孕产妇分娩恐惧干预综述Maternal Fear of Childbirth Intervention Review
摘要: 分娩恐惧是女性妊娠期间普遍存在的心理问题,同时是影响剖宫产率增加、产程延长、产后抑郁等不良结局的重要因素,对新生儿以及家庭关系产生诸多负面影响。鉴于此,笔者现通过回顾国内外近十年有关文献,对孕产妇分娩恐惧现状进行概括,分析孕产妇分娩恐惧的相关影响因素,并对孕妇产前分娩恐惧的干预措施进行详细阐述,以期为临床开展孕期心理护理工作提供参考。
Abstract: Fear of childbirth is a common psychological problem among women during pregnancy, and it is al-so an important factor affecting adverse outcomes such as increased cesarean section rate, pro-longed labor process, and postpartum depression. It has many negative impacts on newborns and family relationships. In view of this, the author summarizes the current situation of fear of child-birth among pregnant and postpartum women by reviewing relevant literature both domestically and internationally in the past decade, analyzes the relevant influencing factors of fear of childbirth among pregnant and postpartum women, and elaborates in detail on the intervention measures for fear of childbirth before childbirth, in order to provide reference for clinical psychological care dur-ing pregnancy.
文章引用:褚淼, 陈瑾沛, 张新敏, 张永爱. 孕产妇分娩恐惧现状及干预措施的研究进展[J]. 临床医学进展, 2023, 13(6): 10063-10068. https://doi.org/10.12677/ACM.2023.1361407

参考文献

[1] 吴苗, 唐文佩. 复归女性关怀的产科实践: 迪克-瑞德自然分娩理念的提出、争论与影响[J]. 医学与哲学, 2022, 43(24): 61-66.
[2] 王诗纨, 江会. 国外分娩恐惧干预方法的研究进展[J]. 中国实用护理杂志, 2019, 35(35): 2797-2801.
[3] Dencker, A., Nilsson, C., Begley, C., et al. (2019) Causes and Outcomes in Studies of Fear of Child-birth: A Systematic Review. Women and Birth, 32, 99-111. [Google Scholar] [CrossRef] [PubMed]
[4] 黄金贵, 张敏, 等. 分娩恐惧的危害及干预策略研究进展[J]. 临床护理杂志, 2021, 20(1): 64-67.
[5] Gelaw, T., Ketema, T.G., Beyene, K., et al. (2020) Fear of Childbirth among Pregnant Women Attending Antenatal Care in Arba Minch Town, Southern Ethiopia: A Cross-Sectional Study. BMC Pregnancy and Childbirth, 20, Article No. 672. [Google Scholar] [CrossRef] [PubMed]
[6] Deforges, C., Noël, Y., Eberhard-Gran, M., Garthus-Niegel, S. and Horsch, A. (2021) Prenatal Insomnia and Childbirth-Related PTSD Symptoms: A Prospective Population-Based Cohort Study. Journal of Affective Disorders, 295, 305-315. [Google Scholar] [CrossRef] [PubMed]
[7] Sluijs, A.M., Wijma, K., Cleiren, M., et al. (2020) Preferred and Actual Mode of Delivery in Relation to Fear of Childbirth. Journal of Psychosomatic Obstetrics & Gynecology, 41, 266-274.
[8] 吴祝凤, 徐琼, 杨楠楠, 等. 产后泌乳启动延迟的现状及其干预措施分析[J]. 护理学报, 2018, 25(1): 30-34.
[9] 肖苏琴. 中心群组化干预对孕晚期初产妇分娩恐惧的影响研究[D]: [硕士学位论文]. 衡阳: 南华大学, 2021.
[10] O’Connell, M.A., Leahy-Warren, P., Khashan, A.S., Kenny, L.C. and O’Neill, S.M. (2017) Worldwide Prevalence of Tocophobiain Pregnant Women: Systematic re-view and Meta-Analysis. Acta Obstetricia et Gynecologica Scandinavica, 96, 907-920. [Google Scholar] [CrossRef] [PubMed]
[11] 郑丹丹. 初产妇分娩恐惧现状及影响因素分析[D]: [硕士学位论文]. 合肥: 安徽医科大学, 2018.
[12] 胡颖, 周明芳, 万艳平. 孕妇孕晚期分娩恐惧现状及影响因素研究[J]. 护理管理杂志, 2020, 20(11): 768-773.
[13] Makara-Studzińska, M., Zaręba, K., Kawa, N. and Matuszyk, D. (2022) To-kophobia and Anxiety in Pregnant Womenduring the SARS-CoV-2 Pandemic in Poland—A Prospective Cross-Sectional Study. International Journal of Environmental Research and Public Health, 19, Article 714. [Google Scholar] [CrossRef] [PubMed]
[14] 刘珊珊, 刘均娥. 北京地区孕妇分娩恐惧现状及影响因素分析[J]. 中华现代护理杂志, 2015, 21(9): 997-1000.
[15] 危娟, 刘洁英, 吴艳萍, 等. 孕妇分娩恐惧状况及其影响因素调查[J]. 护理学杂志, 2016, 31(14): 86-89.
[16] 张明. 孕妇产前分娩恐惧及影响因素的研究[D]: [硕士学位论文]. 长春: 吉林大学, 2016.
[17] 袁德慧, 李玉红, 董袁圆, 王明欢. 不同人格特质和产后抑郁关系的Meta分析[J]. 中国全科医学, 2023, 26(14): 1775-1782.
[18] 谢珊珊. 静默疗法对初产妇产前分娩恐惧的干预效果研究[D]: [硕士学位论文]. 郑州: 郑州大学, 2018.
[19] Rúger-Navarrete, A., et al. (2023) Antenatal Fear of Childbirth as a Risk Factor for a Bad Childbirth Experience. Healthcare, 11, Article 297. [Google Scholar] [CrossRef] [PubMed]
[20] 吴贞红, 刘欢. 无锡市545名孕晚期妇女分娩恐惧现状及影响因素调查分析[J]. 当代护士(下旬刊), 2019, 26(1): 32-34.
[21] 尹航, 陈志红, 张利卷, 等. 自我效能感在妊娠压力和产前抑郁关系中的中介效应[J]. 解放军护理杂志, 2017, 33(1): 21-24.
[22] 高国芳. 育龄期初产妇分娩恐惧状况及其影响因素分析[J]. 中国妇幼保健, 2020, 35(3): 541-543.
[23] 肖苏琴, 刘芬, 黄雅莲, 等. 基于Logistic回归与决策树模型的初产妇分娩恐惧的影响因素分析[J]. 护理学报, 2020, 27(18): 1-5.
[24] Çankaya, S. and Şimşek, B. (2021) Effects of Antenatal Education on Fear of Birth, Depression, Anxiety, Childbirth Self-Efficacy, and Mode of Delivery in Primiparous Pregnant Women: A Pro-spective Randomized Controlled Study. Clinical Nursing Research, 30, 818-829. [Google Scholar] [CrossRef] [PubMed]
[25] 李腾, 张永爱, 张海苗, 等. 非药物干预减少分娩恐惧的网状Meta分析[J]. 中国循证医学杂志, 2022, 22(12): 1410-1418.
[26] 储成美, 康小玲. 初产妇与经产妇妊娠期保健知识需求及程度比较[J]. 中国妇幼保健, 2018, 33(17): 3881-3883.
[27] Uçar, T. and Golbasi, Z. (2019) Effect of an Educational Program Based on Cognitive Behavioral Techniques on Fear of Childbirth and the Birth Process. Journal of Psychosomatic Obstetrics & Gynecology, 40, 146-155. [Google Scholar] [CrossRef
[28] Catsaros, S. and Wendland, J. (2023) Psychological Impact of Hypnosis for Pregnancy and Childbirth: A Systematic Review. Complementary Therapies in Clinical Practice, 50, Article ID: 101713. [Google Scholar] [CrossRef] [PubMed]
[29] 庞丽娟, 康瑞, 张蓟. 集中群组孕期健康教育对孕妇分娩恐惧心理的影响[J]. 国际精神病学杂志, 2022, 49(5): 945-947, 958.
[30] 李红, 李玉, 赵月亮. 体验式分娩模拟教学对初产妇影响的Meta分析[J]. 天津护理, 2023, 31(2): 197-202.
[31] 周文娟, 巫素芳, 卢颖兰. 助产士一对一门诊模拟分娩教育对初产妇分娩结局的影响[J]. 中西医结合护理(中英文), 2023, 9(2): 85-87.