A prospective study of the impact of psychosocial and lifestyle variables on pregnancy complications
A prospective study of the impact of psychosocial and lifestyle variables on pregnancy complications
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DOI：
10.3109/01674829809044218
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发表时间：
1998-03-01
影响因子：
3.1
通讯作者：
Larouche, J
中科院分区：
文献类型：
--
作者：
Da Costa, D;Brender, W;Larouche, J
这项前瞻性研究探讨了母亲的压力，社会支持和生活方式变量的影响，在随后的妊娠和分娩并发症的怀孕过程中报告。人口统计学和生物医学因素也进行了研究，102名妇女在怀孕的第三个月开始，每月进行一次随访。每月测量日常压力（麻烦）、状态焦虑（STAI状态）和妊娠特定压力。按三个月评估妊娠进展和生活方式行为，如吸烟、咖啡因和酒精摄入量：分娩后一个月，进行电话采访，询问临产/分娩和婴儿状况。63%的妇女出现了妊娠并发症。形成了三个组，由经历妊娠并发症、仅分娩期并发症和PM并发症的妇女组成。随后经历妊娠并发症的女性在怀孕过程中报告了更高水平的状态焦虑，日常麻烦和怀孕特定压力，从怀孕第三个月开始，在分娩期间经历并发症的女性只报告了怀孕期间更高的日常麻烦，并且与其他组相比消耗了更多的含咖啡因饮料，初产妇女比经产妇女更容易发生妊娠和产时并发症。这些发现支持了心理社会变量在妊娠并发症中的比率。结果表明，某些社会心理和生活方式变量可能与妊娠不同阶段发生的并发症有差异。
This prospective study examines the influence of maternal stress, social support and lifestyle variables reported over the course of pregnancy on subsequent gestational and intrapartum complications. Demographic and biomedical factors were also studied One hundred and two women were followed on a monthly basis beginning in the third month of pregnancy. Measures a daily stress (hassles), state-anxiety (STAI-state) and pregnancy-specific stress were taken monthly Pregnancy progress and lifestyle behaviors such as smoking, caffeine and alcohol intake were assessed by trimester: One month following delivery, a telephone interview was conducted to inquire about the labor/delivery and infant status. Sixty-three per cent of the women experienced a pregnancy complication. Three groups consisting of women who experienced gestational complications, intrapartum complications only, and PM complications were formed. Women who subsequently experienced gestational complications reported over the course of their pregnancy higher levels of state-anxiety, daily hassles and pregnancy-specific stress beginning in the third month of pregnancy, Women who experienced complications during the intrapartum period only reported higher daily hassles during pregnancy and consumed more caffeinated beverages compared to the other groups, Primiparous women were more likely to experience gestational and for intrapartum complications than multiparous women. These findings support a rate for psychosocial variables in pregnancy complications. The results indicate that certain psychosocial and lifestyle variables may be differentially associated with complications occurring at various phases of pregnancy.