| ObjectiveThe purpose of this study is to understand the psychological stress level and TCM constitution distribution of early pregnant women,and to compare the differences of psychological stress types between women with embryo termination and normal pregnant women,to explore the correlation between embryo termination and pregnancy pressure and TCM constitution,and to find out the influencing factors of embryo termination,so as to provide reference basis for early prevention of embryo termination.MethodsUsing the method of Chao’s case-control study,pregnant women who were treated in the gynecology clinic and inpatient department of Shanxi Hospital of traditional Chinese Medicine from January 2022 to January 2023 were selected for 6-12 weeks of gestation.fill in the general condition questionnaire,pregnancy stress scale and TCM body mass scale,and follow up the early pregnancy outcome at 12 weeks of pregnancy,according to the follow-up results,according to the principle of mismatch.The follow-up results of 12 weeks of pregnancy showed that the patients with embryo termination were the case group and the normal pregnant patients were the control group.The data were recorded by Excel software and statistically analyzed by SPSS software.Results1.According to the early pregnancy outcome of 12 weeks of pregnancy,170 subjects were included in this study,including 70 in the case group and 100 in the control group.there was no significant difference in age,gestational week,occupation distribution,education level and monthly income between the two groups(P > 0.05).2.There were significant differences in pregnancy-related characteristics such as pregnancy,parturition,induced abortion and drug abortion between the two groups(P <0.05).3.There were significant differences in job nature,occupational stress,husband-wife relationship,parent relationship and parent-in-law relationship between the two groups(P< 0.05),but there was no significant difference in work and rest time(P > 0.05).4.The average score of pregnancy pressure in the case group was 59.16 ± 19.56,while that in the control group was 40.64 ± 15.62.There was significant difference between the two groups(P < 0.05).There were 68 cases of mild,moderate and severe pregnancy pressure in the case group,accounting for 97% of the case group,and 60 cases in the control group,accounting for 60% of the control group.The positive constituent ratio of pregnancy pressure in the case group was significantly higher than that in the control group(P < 0.05).The difference was statistically significant(P < 0.05).5.The top 5 stress types in the case group were worried about the safe delivery of the baby,the safety of their own delivery,the abnormality of the baby,the fear of being forced to give up their jobs after having a child,and the possibility of abnormal delivery or cesarean section.6.Worry about whether the baby can be delivered safely(OR:14.36,95%CI:5.966～34.576)this pregnancy stress is a risk factor for embryo termination.Most of the patients in the case group were yang deficiency,accounting for32.9%,followed by qi depression in 20 cases(28.60%),and the control group in 40 cases,accounting for 40%.7.There were significant differences in yang deficiency,qi depression and peace between the case group and the control group(P < 0.05).8.The results of Logistic regression showed that the main physique types of embryo termination were yang deficiency(OR:2.09,95%CI:1.03～4.23),qi depression(OR:4.00,95%CI:1.71～9.55)and peace(OR:0.16,95%CI:0.07～0.38).Conclusion1.The pregnancy pressure of women with embryo termination is at a mild to moderate level.2.Compared with normal pregnant women,the type of pregnancy pressure of women with embryo termination is different,and the pregnancy pressure of women with embryo termination mainly comes from worrying about whether the baby can be delivered safely.3.The susceptible constitution of women with aborted embryos is yang deficiency and qi depression. |
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