PSYCHOSOCIAL STRESS IN PREGNANCY AND ITS RELATION TO LOW-BIRTH-WEIGHT
PSYCHOSOCIAL STRESS IN PREGNANCY AND ITS RELATION TO LOW-BIRTH-WEIGHT
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DOI：
10.1136/bmj.288.6425.1191
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发表时间：
1984-01-01
影响因子：
105.7
通讯作者：
HUNT, LP
中科院分区：
文献类型：
--
作者：
NEWTON, RW;HUNT, LP
采用生活事件量表和状态焦虑指数对低出生体重与孕期心理社会压力的关系进行了研究。妇女（250）被随机选择，并在怀孕期间和分娩后不久采访了3次。在这些妇女中，有26人被排除在外，在剩下的224名妇女中，9人流产，195人有健康的足月婴儿，20人生下早产或足月低体重婴儿。低出生体重和早产与客观主要生活事件显著相关，但与状态焦虑无关。妊娠晚期客观重大生活事件的发生可能是促成早产的重要因素。吸烟是低出生体重的最佳预测因子，客观主要生活事件是第二位最佳预测因子。结果并不取决于社会阶层。因此，吸烟可能是胎儿压力的重要媒介。产前护理应更多地考虑到怀孕期间的压力，并应评估社会支助系统。
The relation of low birth weight to psychosocial stress in pregnancy was examined using a life events inventory and a state anxiety index. Women (250) were randomly selected and interviewed 3 times during pregnancy and shortly after delivery. Of the women, 26 were excluded, and of remaining 224 women, 9 miscarried, 195 had healthy term babies and 20 gave birth to babies that were either premature or of low birth weight at term. Low birth weight and prematurity were significantly associated with objective major life events but not state anxiety. The occurrence of objective major life events in the 3rd trimester may be important in precipitating preterm labor. Cigarette smoking was the best predictor and objective major life events the 2nd best predictor of low birth weight. The result was not dependent on social class. Thus, cigarette smoking may be an important mediator of stress on the fetus. Antenatal care should take greater account of stress in pregnancy, and social support systems should be evaluated.