对分娩的恐惧会延长孕间隔:基于全国登记的量子逻辑回归分析

IF 1.5 Q3 OBSTETRICS & GYNECOLOGY
Matias Vaajala , Ville M. Mattila , Ilari Kuitunen
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引用次数: 0

摘要

导言:对分娩恐惧(FOC)如何影响孕期间隔(IPI)的研究并不多。因此,我们旨在分析FOC与IPI长度之间的关系。研究方法从芬兰出生医学登记册中收集了所有在研究期间(2004-2018年)第一次和第二次怀孕的妇女。采用逻辑回归模型评估FOC与随后的IPI长度之间的关联。IPI的长度分别评估了第一次怀孕时出现FOC的妇女和第二次怀孕时出现FOC的妇女。长度在下四分位数的 IPI 被视为短 IPI,长度在上四分位数的 IPI 被视为长 IPI。结果 共纳入 52 709 名短 IPI(1.05 岁)妇女、105 604 名正常 IPI 妇女和 52 889 名长 IPI(2.57 岁)妇女。共有 3606 名妇女在第一次怀孕时患有先天性心脏病,共有 11 473 名妇女在第二次怀孕时首次确诊患有先天性心脏病。首次妊娠患有 FOC 的妇女患短 IPI 的几率较低(aOR 0.88,CI 0.81-0.95),而患长 IPI 的几率较高(aOR 1.30,CI 1.21-1.40)。第二次妊娠时首次诊断为 FOC 的妇女患长 IPI 的几率更高(aOR 1.68,CI 1.61-1.75)。如果只包括第一次妊娠时的阴道分娩,第二次妊娠时诊断为 FOC 的妇女患长 IPI 的几率较低(aOR 0.结论本研究的主要发现是,患有 FOC 的女性患长 IPI 的几率明显更高。应更好地认识和预防 FOC 背后的病因和背景因素,FOC 不仅应被视为妊娠和分娩的并发症,也应被视为强烈影响妇女再次怀孕意愿的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fear of childbirth prolongs interpregnancy interval: A nationwide register-based quantile logistic regression analysis

Introduction

It is not well studied how fear of childbirth (FOC) influences the interpregnancy interval (IPI). Thus, we aimed to analyze the association between FOC and the length of the IPI.

Methods

All women having their first and second pregnancies during the study period (2004–2018) were gathered from the Finnish Medical Birth Register. A logistic regression model was used to assess the association between the FOC and subsequent length of the IPI. The length of the IPI was assessed separately for women with FOC in the first pregnancy, and for women who developed the FOC in the second pregnancy. IPIs with a length in the lower quartal were considered short IPIs, and length in the upper quartal as long IPIs. Adjusted odds ratios (aOR) with 95% CIs were compared between the groups.

Results

A total of 52 709 women with short IPI (<1.05 years), 105 604 women with normal IPI, and 52 889 women with long IPI (>2.57 years) were included. A total of 3606 women had FOC in the first pregnancy, and a total of 11 473 had their first FOC diagnosis in the second pregnancy. Women with FOC in the first pregnancy had lower odds for short IPI (aOR 0.88, CI 0.81–0.95) and higher odds for long IPI (aOR 1.30, CI 1.21–1.40). Women with the first FOC diagnosis in the second pregnancy had higher odds for long IPI (aOR 1.68, CI 1.61–1.75), When only vaginal deliveries in the first pregnancy were included, women with FOC in the second pregnancy had lower odds for long IPI (aOR 0.71, CI 0.66–0.75) and higher odds for long IPI (aOR 1.52, CI 1.41–1.62), when only cesarean section was included.

Conclusion

The main finding of this study was that women with FOC had notably higher odds for long IPI. The etiologic and background factors behind FOC should be better recognized and prevented, and FOC should not only be considered as a complicating factor for pregnancy and delivery but also a factor that strongly affects the desire of women to get pregnant again.

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CiteScore
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