The influence of obstetric complications and pregnancy outcome because of prenatal anxiety and depression

Abstract

Objective To investigate the influence of obstetric complications and pregnancy outcome because of prenatal anxiety and depression. Methods One hundred primipara were selected as the research objects, their emotions were evaluated by Self- Rating Anxiety Scale(SAS), Self- Rating depression Scale(SDS). The patients'scores of SAS ≥50points or SDS≥53points were selected as the observation group,the patients'scores of SAS≥50points and SDS≥53points were selected as the control group. The pregnant women childbirth way, preeclampsia, hyperemesis gravidarum, gestational diabetes,perinatal infection, hydramnios, oligohydramnios, premature rupture of membranes,postpartum hemorrhage, fetal distress, premature birth, low birth quality, neonatal asphyxia of two groups were compared. Results The primipara cesarean delivery rate of the control group was lower than that of the observation group(4.00% vs 22.00%,χ2= 7.161,P< 0.05), the obstetric complications incidence of the observation group was higher than that of the control group(32.00% vs 2.00%,χ2= 15.946,P< 0.05), the birth outcomes incidence of the observation group was lower than that of the control group(4.00% vs 20.00%,χ2= 6.061,P< 0.05). Conclusion Prenatal anxiety and depression significantly increase pregnant women obstetric complications, increase the perinatal fetal intrauterine distress and the probability of premature birth, low birth quality and neonatal asphyxia. Key words: Anxiety; Depression; Pregnancy complications; Pregnancy outcomes