Effects of prenatal targeted psychological interventions combined with yoga on maternal anxiety, depression and maternal and infant outcomes / 中华行为医学与脑科学杂志

ABSTRACT

Objective:To explore the effects of prenatal targeted psychological interventions combined with yoga on maternal anxiety, depression and maternal and infant outcomes.Methods:A total of 100 pregnant and puerperal women who were enrolled in Jining maternal and child health family planning service center from January 2021 to December 2022 and received regular prenatal care as required were selected as study subjects. According to the random number method, the subjects were divided into experimental and control groups, with 50 cases in each group. The experimental group was given targeted psychological interventions combined with yoga training, while the control group was given only traditional nursing. Then the differences of the self-rating anxiety scale (SAS) score, the self-rating depression scale (SDS) score, the general self-efficacy scale (GSES) score, the maternal and infant outcomes, body mass index (BMI) and the satisfaction of postpartum women were compared between the two groups. SPSS 26.0 software was used for analysis. The χ2 test, independent sample t-test, paired sample t-test were used for statistical analysis. Results:After the intervention, the scores of SAS and SDS of the experimental group were lower than those of the control group (SAS: (36.86±6.89), (44.12±11.04); SDS: (38.92±7.62), (48.20±10.44)), and the difference was statistically significant ( tSAS=-3.946, tSDS=-5.077, both P<0.05). Following the intervention, the GSES score of the experimental group was higher than that of the control group ((2.92±0.49), (2.57±0.58)), and the difference was statistically significant ( t=3.246, P<0.05). After the intervention, the cesarean section rate and the birth rate of macrosomia in the experimental group were lower than those in the control group(10.0%, 26.0%; 4.0%, 16.0%), and the rate of breastfeeding was higher than that of the control group(86.0%, 68.0%), and the differences were statistically significant ( χcesarean2=4.336, χmacrosomia2=4.000, χbreastfeeding2=4.574, all P<0.05). However, no significant difference was found in the postpartum hemorrhage rate between the experimental group and the control group ( P>0.05). Following the intervention, BMI of the experimental group was lower than that of the control group((26.11±2.18)kg/m 2, (28.02±1.97)kg/m 2, ( t=-4.609, P<0.05). In addition, postpartum women in the experimental group were significantly more satisfied than those in the control group (96.0%, 82.0%; χ2=5.005, P<0.05). Conclusion:The combination of prenatal targeted psychological interventions and yoga can reduce maternal anxiety and depression during pregnancy, get body back in shape after having a baby, and improve self-efficacy, satisfaction and the maternal and infant outcomes.