Study On The Mental Health Of Pregnant Women In Late Pregnancy And Its Relationship With Birth Outcomes

Objective Study on the mental health of pregnant women in late pregnancy and its relationship birth outcomes,to seek effective countermeasures to promote mental health of pregnant women in late pregnancy, to apply basis for improving pregnant women's mental health, lowering rate of cesarean section, optimizing of birth outcomes.Methods Samples are pregnant women who accepted antenatal examination or took in School for Pregnant Women when their gestational age was 28 to 37 weeks of pregnancy in Qilu Hospital, Qingdao Children's Hospital, Chiping Maternity and child care centers from July to December 2010.Using self-designed questionnaire, SCL-90 and SSRS to survey the basic conditions, mental status and social support, acquire 462 effective questionnaires. Getting informations on birth outcomes by consulting hospital childbirth records or phoning return, received 263 pregnant women's birth outcome data. Using logistic regression analysis to explore the influence factors of the psychological healthy pregnant women in late pregnancy, Using t-test and chi-square analysis relationships psychological status with birth outcome.Results1 Reliability and validity of SCL-90 in late pregnant woman:The Cronbach'a coefficients of ten subscales were between 0.628 and 0.851;The corrclation coefficients between each item score and the total score were in 0.703-0.886; These all coefficients were less than the subscale of Cronbach'a alphas; 10 factors scores of Psychological symptoms positive group were higher than mental health group, the difference was significant.2 SCL-90 total score and the nine factors comparison with the national norm showed:Score of Depression subscale, score of hostility subscale that pregnant women compared with the national norm were not significant, other subscales were statistically significant. Somatization, anxiety, terror subscale's score were higher than the national norm. Interpersonal sensitivity, paranoid, psychotic subscale's score were lower than the national norm.3 Detection rate of the positive psychological symptoms was 25.5%, Detection rate of Obsessive-compulsive symptoms was 34.42%, Somatization, hostility, anxiety, depression, interpersonal sensitivity, paranoia, horror, mental illness were respectively 30.30%,21.10%,20.78%,14.29%,11.90%,11.47%,9.96%,5.63%.4 Multivariate logistic regression analysis showed that factors of mental health of pregnant women in late pregnancy were:the risk of positive psychological symptoms was higher Junior high school and below group of pregnant women than University or more groups of pregnant women (OR=0.295); Poor relationship with her in-laws (OR=2.237); family history of genetic disease (OR=5.631); number of abortions before pregnancy (OR=1.653);whether fell childbirth was terrible (OR=2.162);concerns on Children's health (OR=1.518).5 SCL-90 total score and scores of 10 subscales were respectively negatively correlated with subjective support, support utilization and social support, there were significant (P<0.05).6 SCL-90 total score and scores of 10 subscales were compared between the two groups,showed that scores of caesarean section group was higher than non-cesarean section group, there were significant (P<0.05).7 Psychological symptoms positive group comparison with the Normal group showed that there was no significant difference in their children's birth weight (P>0.05).Conclusions1 The intemality reliability,content validity and division validity were better in migrants, but structure validity was not very well.2 Pregnant women in late pregnancy were low level of mental health and proned to psychological problems.3 Level of education, relationship with her husband's parents, whether there is family history of genetic disease, number of abortions before pregnancy, whether fell childbirth was terrible, concerns on Children's health were factors of mental health of pregnant women in latepregnancy.4 Hospital, pregnancy BMI, concerned on body changes, the safest mode of delivery thought by pregnant woman, the objective support are influencing factors of the delivery mode.5 Somatization, compulsion, depression are influencing factors of the mode of delivery.6 Psychology of pregnant women in late pregnancy is not influencing factor of birth weight.