The Research On Pregnancy Outcome, Psychological And And Its Influencing Factor Among Advanced-age Delivery Women

Objective：To investigate the advanced-age delivery women’s anxiety&depression situation and its cause, by comparing the anxiety&depressionlevel change before and after delivery, so to provide theory support forpsychological intervene during prenatal period.Methods：By compare and contrast different cases. After reviewed clinicaldata of the260randomly-chosen delivery women in Fujian MedicalUniversity Subsidiary Hospital during the time period June2011to January2012, I divided them into two groups: Group1with130advanced-agedelivery women not younger than35, and Group2with130non-advanced-agedelivery women younger than35. These women were asked to fill in aquestionnaire3days before delivery and another questionnaire3daysafter delivery. The before-delivery questionnaire includes: generalinformation, relative factors, Zung Sel-Rating Depression Scale(SDS),Sel-Rating Anxiety Scale(SAS). The after-delivery questionnaire includes:relative factors, Zung Sel-Rating Depression Scale(SDS), Sel-RatingAnxiety Scale(SAS). All data were analyzed by SPSS17.0. Statistic methodincluded descriptive statistic analysis, t test, and logistic recurrenceanalysis.Results：1. Advanced-age delivery women have before-delivery anxiety rate of29.2%,and after-delivery anxiety rate of32.3%; for depression rate, thebefore-delivery rate is31.7%and the after-delivery rate is36.9%.2.（1）The main6symptoms of before-delivery anxiety are: get anxiouseasily, body tremble, feeling of weak and weary, dizzy, sweaty, andlack of sleep.（2） The main7symptoms of after-delivery depression include: decline interest in sex, heavy symptoms in the morning andlight symptoms in the evening, fade in capability, confuse in decision,feeling of useless, difficulty in thinking, and lost of appetite.3.（1）A protective factor to prevent before-delivery anxiety is toincrease the number of attending lectures. The dangerous factors forbefore-delivery anxiety include: having inadvisable disease, acyesishistory, unhealthy pregnant history, worry about baby being deformityor having hereditary disease.（2）The dangerous factors for before-delivery depression include:artificial fecundation, repetitive abortion, unsatisfactory livingcondition, too-often medical check, bad relationship with familymembers.（3）The dangerous factors for after-delivery anxiety include: worryabout vulnus heal situation, and poor sleep situation after delivery.（4）The dangerous factors for after-delivery depression include:unsmooth delivery process, the pregnant woman being too old, uncaringhusband, social difficulty for the delivery woman.More understanding of the delivery process is a protective factor toprevent after-delivery depression.（5）Unsatisfied about baby’s gender or worry about breast-feeding aredangerous factors that will affect anxiety change before and afterdelivery.（6）Unsatisfied about baby’s gender, unhappy about hospital staff’sservice, or uncaring family members are dangerous factors that willaffect depression change before and after delivery.Conclusion: The incidenes of anxiety and depression of Pre-delieveryPregnant women were high. We should Pay close attention to their anxietyand dePression，strengthen Psychological care，and take appropriatePsychological intervention if necessary in order to ensure the smooth delivery of Pre-delievery Pregnan twomen. Objective：To investigate the advanced-age delivery women’s encyesisresult, prenatal baby’s result, as well as effects from differentdelivery methods.Methods：After reviewed clinical data of the200advanced-age (not youngerthan35) delivery women in Fujian Medical University Subsidiary Hospitalduring the time period January2010to January2011, and compared withthe clinical data of200non-advanced-age (younger than35) delivery womenchosen by computer randomly at the same time period, I analyzed thedifference in delivery women’s complication situation, prenatal baby’sresult, as well as effects from different delivery methods of the twogroups. Statics methods include: SPSS17.0Software， Chi-square Test,Fisher Precise Probability Test, T Test, Bi-group Multi-factor LogisticFly-back Analysis.Results：1.In aspect of Delivery Women’s Complication Situation:①The incidence rate of Fibroid, Chronic Pelvic Inflammatory Disease,Pregnancy Hypertension, Pregnancy Diabetes Mellitus, Premature Labor,and Natural Miscarry of the Advanced-age group is obviously higher thanthe Non-advanced-age group.②The incidence rate of Fibroid, Pregnancy Hypertension, PregnancyDiabetes Mellitus, Premature Labor, and Perineum Laceration of theAdvanced-age Primipara group is obviously higher than the Advanced-ageMultipara group.2.In aspect of Prenatal Baby’s result:The incidence rate of Foetus Stress, Stillborn Foetus of the Advance-aged group is higher than the Non-advanced-age group.3.In aspect of delivery methods:①Caesarean Rate: the Advanced-age group is higher than thenon-advanced-age group(P<0.05)，the Primipara group is higher thanthe Multipara group(P<0.001).②The incidence rate of Perineum Laceration during delivery: theAdvanced-age group is higher than the non-advanced-agegroup(P<0.01)，the Advanced-age Primipara group is higher than theAdvanced-age Multipara group(P<0.01).③Age is an independent dangerous factor to affect Advance-agedelivery women caesarean rate.（OR=2.47,95%CI1.069-6.013，P<0.05）Conclusion：1. Advanced-age pregnant woman has high incidence rate of Fibroid andChronic Pelvic Inflammatory Disease, so it is very important to doscreening to avoid cacoethic complication situation2. Advanced-age pregnant woman has high incidence rate of PregnancyHypertension, Pregnancy Diabetes Mellitus, Premature Labor and NaturalMiscarry. Besides, Pregnancy Hypertension is very common amongadvanced-age premipara women, so it is important to enhance antenatalhealth-care, to discover any disease at an early stage and cure it promptly,so to guarantee neonate quality.3. The caesarean rate among advanced-age pregnant women especiallythe advanced-age primepara women is increasing, due to some social factors.Age is an independent dangerous factor to affect Advance-age deliverywomen caesarean rate.4. The incidence rate of Perineum Laceration during delivery isincreasing among the Advanced-age women, especially among theadvanced-age primepara women. Therefore, they should be vigilant whenthey choose vagina delivery and protect the perineum during labor, to avoid soft birth canal laceration.