Social support during pregnancy:: effects on maternal depressive symptoms, smoking and pregnancy outcome
Social support during pregnancy:: effects on maternal depressive symptoms, smoking and pregnancy outcome
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DOI：
10.1093/humrep/del432
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发表时间：
2007-03-01
影响因子：
6.1
通讯作者：
Arck, P. C.
中科院分区：
文献类型：
--
作者：
Elsenbruch, S.;Benson, S.;Arck, P. C.
背景技术背景：目的是研究社会支持在怀孕期间对母亲抑郁症状，生活质量和妊娠结局的影响。方法：896名妇女进行了前瞻性研究，在怀孕的第一个三个月和以下完成怀孕。样本被分为四分位数，根据感知的社会支持产生低，中，高社会支持组。结果：低支持的孕妇报告抑郁症状增加，生活质量下降。社会支持对妊娠结局的影响在孕期吸烟的妇女中尤为明显，在双向方差分析中社会支持的主效应显著（吸烟状况和社会支持）对儿童身长的影响（F = 4.26，P = 0.04; 50.43 +/- 2.81 cm（低支撑）vs 51.76 +/- 2.31 cm（高支撑））和出生体重（F = 11.35，P = 0.001; 3175 +/- 453 g（低支撑）vs 3571 +/- 409 g（高支撑））。吸烟者妊娠并发症发生率低支持组134%，高支持组10.3%，X-2 = 5.49，P = 0.019;相对风险（RR）= 3.3 [95%置信区间（95% CI）= 1.1-10.2]），低支持组早产率为10.0%，高支持组为0%，X2 = 3.84，P = 0.0 5，OR = 8.1。结论：缺乏社会支持是影响孕妇怀孕期间福祉的一个重要风险因素，并对怀孕结果产生不利影响。
BACKGROUND: The goal was to study the effects of social support during pregnancy on maternal depressive symptoms, quality of life and pregnancy outcomes. METHODS: Eight hundred ninety-six women were prospectively studied in the first trimester of pregnancy and following completion of the pregnancy. The sample was divided into quartiles; yielding groups of low, medium and high social support based on perceived social support. RESULTS: Pregnant women with low support reported increased depressive symptoms and reduced quality of life. The effects of social support on pregnancy outcomes were particularly pronounced in women who had smoked during pregnancy, with significant main effects of social support in a two-way analysis of variance (smoking status and social support) for child body length (F = 4.26, P = 0.04; 50.43 +/- 2.81 cm with low support versus 51.76 +/- 2.31 cm with high support) and birthweight (F = 11.35, P = 0.001; 3175 +/- 453 g with low support versus 3571 +/- 409 g with high support). In smokers, pregnancy complications occurred more frequently when given low support 134 versus 10.3% with high support, X-2 = 5.49, P = 0.019; relative risk (RR) = 3.3 [95% confidence interval (95% CI) = 1.1-10.2]), and the proportion of preterm deliveries was greater given low support (10.0 versus 0% with high support, X 2 = 3.84, P = 0.05, odds ratio = 8.1). CONCLUSIONS: Lack of social support constitutes an important risk factor for maternal well-being during pregnancy and has adverse effects on pregnancy outcomes.