Maternal psychosocial risks predict preterm birth in a group of women from Appalachia
Maternal psychosocial risks predict preterm birth in a group of women from Appalachia
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DOI：
10.1016/s0266-6138(03)00031-7
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发表时间：
2003-09-01
期刊：
影响因子：
2.7
通讯作者：
Wallace, DC
中科院分区：
文献类型：
--
作者：
Jesse, DE;Seaver, W;Wallace, DC
目的：在一个关于妊娠风险的助产模型中，识别和评估哪些社会心理标准与早产相关设计：一项具有前瞻性相关性研究设计的定量研究设置：在田纳西州东部三家产前诊所就诊的妇女参与者：120名妊娠16 - 28周的孕妇。大多数诊所的客户来自农村阿巴拉契亚。测量和发现：多元逻辑回归统计分析显示，妇女抑郁症的症状，自尊水平较低，或怀孕的负面看法有显着较高的几率提供早产baby.Key结论和实践的影响：这些发现表明，在怀孕中筛查心理社会风险因素的重要性。应对这些心理社会风险的干预措施可以改善孕产妇的心理社会健康，保持助产护理的连续性，并减少早产的发生率。(C)2003爱思唯尔有限公司。保留所有权利。
Objectives: to identify and evaluate which psychosocial criteria are associated with preterm birth in a midwifery model of risk in pregnancy.Design: a quantitative study with a prospective correlational research design.Setting: women attending three prenatal clinics in East Tennessee.Participants: 120 pregnant women between 16 and 28 weeks gestation. The majority of the clinics' clients were from rural Appalachia.Measurements and findings: multiple logistic regression statistical analysis revealed that women with symptoms of depression, lower levels of self-esteem, or a negative perception of pregnancy had significantly higher odds of delivering a preterm baby.Key conclusions and implications for practice: these findings suggest the importance of screening for psychosocial risk factors in pregnancy. Interventions to address these psychosocial risks could improve maternal psychosocial health, maintain continuity of midwifery care, and reduce the incidence of preterm birth. (C) 2003 Elsevier Ltd. All rights reserved.