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| Analysis of the factors influence of childbirth outcomes based on the psychological and personal situation of the pregnant women and their correlation |
| 1. Tunchang people's Hospital, Hainan Province, 571600；2. The Second Affiliated Hospital of Hainan Medical University |
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Abstract To explore the influence of maternal psycho-psychological and personal factors of pregnant women on their incidence of adverse delivery outcomes. Methods: The clinical data of 122 primiparas who gave birth in hospital from March 2020 to March 2022were collected. The incidence of adverse delivery outcomes of these primiparas was investigated. Self-rating Anxiety Scale (SAS) was used to evaluate the anxiety of the primiparas. Multivariate logistic regression was used to analyze the influencing factors of maternal adverse delivery outcomes. Results: The incidence of adverse delivery outcomes of these primiparas was 66.4%, including 45 cases with postpartum hemorrhage and 30 cases with neonatal asphyxia. The SAS score of these primiparas was 64.23±3.23 points, including 55 cases with mild anxiety, 43 cases with moderate anxiety, and 24 cases with severe anxiety. The maternal age ≥35 years and the moderate to severe anxiety of the primiparas were the risk factors of their postpartum hemorrhage, and the age ≥35 years old, the moderate to severe anxiety, the abnormal labor, the gestational diabetes mellitus, and the placenta previa of the primiparas were the risk factors of their neonatal asphyxia (all P＜0.05). Conclusions: The risk factors of adverse delivery outcomes, such as postpartum hemorrhage and neonatal asphyxia, include advanced age, prolonged duration of labor, gestational diabetes mellitus, placenta previa, and anxiety. The primiparas with these risk factors of adverse delivery outcomes should be paid attention in clinic. Timely treatment of the abnormal conditions of the primiparas can reduce the risk of their adverse delivery outcomes.
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