| Objective:By understanding the psychological stress level of early pregnant women,the relationship between early psychological stress and abortion was analyzed.The to explore the correlation between the lifestyle of women in pregnancy and the abortion.Therefore,it was necessary to find the relevant factors that influence the abortion and provide reference for early prevention of the abortion.Method:A case-control retrospective study was used to select early pregnant women in Qingdao municipal hospital from January 2016 to October 2017.Object inclusion criteria:(1)Ultrasound showed that the embryo stopped developing and stayed in the uterine cavity,and the size of embryo or gestational sac was monitored by B-mode ultrasound.According to the formula,Pregnancy(day)=embryo length(mm)+42(from 7weeks to 12 weeks);Pregnancy(day)=mean internal diameter of pregnancy capsule(mm)+30(within 7 weeks)To calculate the actual gestational weeks of the embryo,8 weeks of pregnancy<12 weeks;(2)Clinical exclusion of both parents chromosomal abnormalities,genital organic lesions;(3)Exclude TORCH infection,mycoplasma,chlamydia infection;past and present mental disorders,disorders of consciousness and communication;past history of chronic diseases(hypertension,diabetes,heart disease,sexually transmitted diseases,severeinfectiousdiseases,abnormalreproductivetract),Immune diseases,etc.(4)No endocrine abnormalities(5)Non-immune system disease(6)Natural conception or assisted reproductive technology.Diagnosis of embryonic stop the diagnosis of pregnancy failure of the American Society of Radiologists in 2012:mean diameter of gestational sac>25mm no yolk sac or germ or embryo?7mm without fetal heart.120 cases of women whose embryos stopped developing were selected as the experimental group and 100 cases of normal pregnant women who requested termination of pregnancy were used as the control group.After admission to hospital,the patients were investigated with the pregnancy stress scaledevelopedbyChenPenghuiandthe self-madepregnancylifestyle questionnaire.The communicate with the pregnant woman in a unified way,the pregnant woman completes the questionnaire independently,and avoids the interfering factors that affect the result of the questionnaire as much as possible..Then the statistical results of the questionnaire were collected by using Excel software,and then the data of SPSS20.0 was used to form the database.By using single factor X~2test and t test,the single factor Logistic regression analysis method and multifactor non-conditional Logistic regression analysis method were used to analyze the data.By understanding the experimental group and control group in early pregnancy women overall stress status,two groups of different kinds of pressure,the early stages of pregnancy or living environment,so as to explore the early pregnancy stress level and type of the experimental group and control group and the correlation of missed abortion.P<0.05 has statistical significance for differences,the correlation intensity OR value and 95%CI was calculated by Logistic regression analysis method.Result:1.Correlation between psychological stress and missed abortion in pregnant women(1)The mean score of overall stress in the two groups was 22.04±6.59,and the psychological stress level was the same as that in China.In the normal pressure level,the two groups were at the mild to moderate level,slightly different.The proportion of moderate pressure and severe pressure in the experimental group was significantly higher than that in the control group.The total incidence of psychological stress(81.43)was significantly higher than that of the control group(55.71%),and the score of stress in the experimental group was 57.31±25.03,which was significantly higher than that in the control group.The stress score of the two groups was 47.64±12.45.The stress level in the experimental group was higher than that in the control group(P<0.05),and the pressure percentage of the two groups was ranked.(2)It was found that 36 cases of the early pregnancy women in the experimental group were in the moderate pressure level,which accounted for 30%of the pressure level of the early pregnancy women in the experimental group and the severe pressure level,accounting for the experimental group.The pressure level of women in the early pregnancy was 32.5%.In the control group,22 cases in the early pregnancy were in the moderate pressure level,which accounted for 22%of the pressure level of the early pregnant women in the experimental group and 3 cases in the severe pressure level,which accounted for 3%of the pressure level of the early pregnancy women in the control group,from the statistical data above.It was found that the moderate and severe pressure constituent ratios of pregnant women in the experimental group were significantly higher than those of the control group.(3)In the experimental group,there were 115 cases of mild,moderate and severe psychological pressure in the early pregnancy.The positive rate of psychological pressure in the early pregnancy women was 95.83%.In the control group,the psychological pressure level of the women in the pregnancy period was mild,moderate and severe in 55cases.The positive rate of psychological pressure in the early pregnancy women was 55%.Statistical data showed that the positive rate of psychological stress in the experimental group was significantly higher than that in the control group.Multi factor Logistics regression analysis was used to analyze the relationship between the different stress levels in the experimental group and the control group and the missed abortion.The occurrence of psychological pressure during pregnancy could affect the ending development of pregnancy.The OR values of mild psychological pressure,moderate psychological pressure and severe psychological pressure were 4.54,7.85,12.63,respectively.From the OR value,it can be seen that the greater the psychological pressure of the early pregnancy women has on the embryo withdrawal,the greater the effect of the stress on the induced abortion,the greater the OR value of the mild,moderate and severe stress in the delayed abortion is 12.63,which has the greatest impact on the embryonic development.(4)Logistic regression analysis was used to analyze the four risk factors.The main source of risk for pregnant women with missed abortion during pregnancy was worried about the health of their offspring(OR3.03,95%CI(2.184~4.225),P<0.05),worried about abnormal delivery(OR1.24,95%CI(1.040~1.494),P<0.05),Worried that important people wouldn't accept children(OR0.445,95%CI(0.199~0.997),P<0.05)that was an independent risk factor for the development of embryos.2.Correlation analysis between some environmental risk factors and missed abortion in early pregnancy.(1)By means of two groups of early pregnant women lifestyle events according to the percentage of sorting,found that the experimental group of pregnant women within two years of housing decoration proportion(76%),within 3 months of pregnancy proportion of daily use cosmetics normal pregnant women(58%)were higher than control group.(2)Logistic regression analysis method is used to the lifestyle or the living environment in pregnancy women and the relationship between risk factors and the missed abortion analysis found that early pregnant women within two years of housing decoration is associated with the occurrence of embryonic development stops(OR2.035,95%CI?(1.395,2.968),P<0.05).3.Analysis of the independent correlation between early pregnancy psychological stress factors and some environmental risk factors in early pregnancy.Based on the multivariate analysis of the risk factors of early pregnant women's life style and psychological stress,it is concluded that the fear of the children's health(OR1.78,95%CI(1.052~2.972),P<0.05)?being worried about abnormal delivery(OR1.82,95%CI(1.092~3.057),P<0.05)and Renovation of pregnant women's housing within two years(OR?2.860,95%CI?(1.099,7.444),P<0.05)were an independent risk factor for the occurrence of the miscarriage.Conclusion:1.Subjects the overall psychological stress of pregnant women during pregnancy was at normal level,and the degree of psychological stress of women who missed abortion was higher than that of normal pregnant women.2.The independent risk psychological pressure of pregnant women with missed abortion came from worrying about the health of their offspring and abnormal delivery.Pregnant women with missed abortion have their houses decorated in two years compared with those of normal pregnant women,and two items of cosmetics are used every day for3 months.The incidence of factors is high.3.Therefore,we should pay attention to the psychological changes of pregnant women,early intervention,at the same time,encourage the creation of a good living environment for pregnant women,to prevent the occurrence of embryo development,. |
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