The Research About The Relationship Of Threatened Abortion And Life Events And Psychological Characteristics

Objective:Threatened abortion is a common disease affecting women’s reproductive health. The morbidity is as high as 30~40%. Although the threatened abortion patients can spuc through the method of traditional Chinese and western medicine treatment, the long spuc process brings great pressure for pregnant women and their families both in their lives and psychology. If spuc fails, it will bring irreparable loss to the family such as leaving horrible pregnancy memory and negative emotions to pregnant women, which in turn will cause psychological burden for them to conceive again. Looking for the preventable causes of threatened abortion to prevent threatened abortion is an important subject of modern women’s prenatal care.This study is to observe and compare threatened abortion patients with normal pregnant women in life habits, behavior characteristics and psychological differences, analyzing the relationship of threatened abortion and life habits and psychological pressure, studying the preventable causes of threatened abortion from the Angle of epidemiology, behavioral science and psychology, such to provide reasonable guides for antenatal care.Methods:1 Descriptive research:Investigating the pregnant women under 35 in 6 hospitals of Shijiazhuang about the knowledge of threatened abortion and pregnancy care. The inclusion criteria of the research are: ①The maternal care manual is established; ②The pregnant women of 28 ~ 40 weeks; ③Cultural degree is junior high school or above; ④Singletons; ⑤Unipara; ⑥People who is informed and agrees. The exclusion criteria of the research: ①Patients who have mental illness or mental illness history, disturbance of consciousness and communication disorders; ②Patients who have history of chronic(high blood pressure, diabetes, heart disease, sexually transmitted diseases, severe infectious diseases.etc); ③Patients who have twins or multiple births. The survey is carried out from January to October in 2014 in the 6 hospitals mentioned above. Social demographic information is collected by using “Pregnancy health and cognitive behavioral questionnaire” which is created by the author. The cross-sectional questionnaire scale investigation method is carried out by using “Pregnant women life event scale” created by Yan Gao and “The pregnancy stress scale” created by Zhanghui Chen. The total number of the investigated women is 650 and 580 questionnaires are valid which is to say the efficient is 89.2%. Among the valid investigated women, 180 people have a history of threatened abortion. The database is created and descriptively analyzed by using Excel and SPSS 17.0.2 Case-control study:Choose the 180 threatened abortion patients as object and eliminate the predisposing factors such as chromosomal abnormalities, abnormal immune and reproductive organs deformity. Select 180 healthy pregnant female who have the same reproductive health and age difference is less than 2 as the control group. Analyze the influence factors of threatened abortion by using t test and x2 test on the independent samples. Analyze the influence of different cultural degree, occupation, medical behavior, life event and pregnant pressure on threatened abortion by using single factor Logistic regression. At the same time use the binary regression analyze the influence of different life events and the pregnancy stress on threatened abortion and use multiple regression analyze the effects of abortion history, life events, and the pregnancy stress on threatened abortion.Results:1 Descriptive study shows that there are 180 threatened abortion patients out of the valid total 580 pregnant women. The incidence of threatened abortion is 31% which is a relatively high level. Related research has indicated that pregnant women for prenatal care knowledge awareness is 90%, but self-care of childbirth and the puerperium and newborn health knowledge is not ideal, awareness is only 50~70%.2 Case-control study shows that the cultural level of the pregnant women, abortion history, life events and psychological stress is associated with threatened abortion. Life events during pregnancy such as heavy work, quarrels for life trivial and anxiety about the gender of the child promote the risk of threatened abortion(OR:16.408、4.662、2.385、2.537). Reasonable adjustment about the pregnant women’s work content, work time and work place can protect women form threatened abortion(OR:0.078). The pressures during pregnancy come from the anxiety about the unhealthy baby and whether other families can accept the new born.(OR:1.768、1.827)Artificial abortion and seeking treatment after a small amount of bleeding in a hurry are major risk factors which has statistical significance(P<0.05).Conclusion: Threatened abortion is a common clinical reproductive health problems. Take a series of preventive measures by the social, family and individual can prevent the occurrence of threatened abortion.1 To improve the level of reproductive health, the education activity of threatened abortion should begin with the mature female youth and reduce the rate of artificial abortion2 The government should do a good job in the health promotion of pregnancy, formulate the relevant policies for the health of the pregnant women, and protect the working environment and the conditions of the inspection for the pregnant.3 Family members of the moderate care for pregnant women, to maintain a good mental state of the pregnant woman is conducive to the healthy growth of the fetus.4 Pregnant women should avoid unfavorable to fetal growth and development in the early stages of pregnancy of life events, such as moving, fight, go to a doctor in a hurry, etc, to prevent fatigue and anxiety.5 Husband and wife should to do a good job of family planning, reduce anxiety caused by accidental pregnancy or termination.