Study On The Factors Of Pregnant Women In Prenatal Anxiety And Life Satisfaction Status And Influence

ObjectiveTo explore antepartum anxiety and life satisfaction status among pregnant women up to 38 weeks of gestation; to analyze potential influence factors of antepartum anxiety and life satisfaction separately; further more, to explore relationships between antepartum anxiety and life satisfaction among the subjects. The aims of the study are to provide scientific evidences to make effectively preventive measures to reduce incidence of antepartum anxiety and to improve their life satisfaction among pregnant women. More, we also want to provide scientific basis for prenatal care and enacting corresponding strategy.MethodsA cross-sectional survey was performed in the study. Pregnant women who were up to 38 weeks of gestation and hospitalized in Changchun Gynecology and Obstetrics Hospital from January 1st to March 31 st were selected to participant in the study. Questionnaires including general information, self-Rating Anxiety scale(SAS) and Life Satisfaction Scale(SWLS) were used to collect information of pregnant women who met inclusion criterion. ?2 test or t test was performed to compare differences of characteristics between anxiety subjects and non-anxiety subjects, and between subjects satisfied with life and those who were not satisfied with life. Spearman correlation analysis was used to find correlated relationships between scores of anxiety and scores of life satisfactory. ?2 test was performed in the univariate analysis to find potential influence factors of antepartum anxiety and life satisfaction among pregnant women. Variables with P<0.20 in the univariate analysis were selected to included in multivariate analysis. Forward stepwise regression method was used. P value less than 0.05 was used as significant cut-off point.Results1. Of 467 participants, the average score of SAS was 42.05±8.13 and the prevalence of antepartum anxiety was 20.6%(96/467). There were 86 participants(18.4%) diagnosed as slight anxiety, 10 participants(2.1%) were diagnosed as moderate anxiety, no participant was diagnosed as anxiety. Results of multivariate analysis showed that the risk of antepartum anxiety among pregnant women whose educational level were senior high school or junior high school and below were 1.49 times(OR=1.49, 95%CI: 0.83~2.67) and 3.21 times(OR=3.21, 95%CI: 1.51~6.84) as those whose educational level were university, separately. Risk of antepartum anxiety among participants who expected natural delivery were 2.26 times(OR=2.26, 95%CI: 1.34~3.80) as those who expected cesarean delivery. Risk of antepartum anxiety among participants with anemia during pregnancy was 2.23 times(OR=2.23, 95%CI: 1.10~4.51) as those who were not. Risk of antepartum anxiety among participants with pregnancy hypertension syndrome was 6.61 times(OR=6.61, 95%CI: 2.64~16.53) as whose who were not. Risk of antepartum anxiety among participants who were not satisfied with their lives was 7.63 times(OR=7.63, 95%CI: 4.20~13.88) as whose who were not.2. Among all participants, the average score of SWLS was 27.56±6.41. Sixty-nine participants(14.8%) were not satisfied with their lives. Participants who had good relationships with their family members were 0.19 times to be not satisfied with their lives as those who had general relationship with their family members(OR=0.19, 95%CI:0.10~0.34). Antepartum anxiety might be one of the risk factors of life satisfaction among pregnant women. Participants with anxiety were 5.09 times to be not satisfied with their lives as those who were not(OR=5.09, 95%CI: 2.83~ 9.16).ConclusionOf 467 participants, the average score of SAS was 42.05±8.13 and the prevalence of antepartum anxiety was 20.6%. Some pregnant women(14.8%) were not satisfied with lives. Pregnancy-induced hypertension syndrome, anemia during pregnancy, lower degree of education, expected natural delivery and participants who were not satisfied with their lives might be the main risk factors of antepartum anxiety among pregnancy women. Pregnant women has a good relationship with their family may improve the life satisfaction, and anxiety symptoms may is one of the risk factors of being not satisfied with lives. Antepartum anxiety might be related with life satisfaction among pregnant women.