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| Effect of five elements of music combined with cognitive psychological counseling on the efficacy of foetus preservation in late threatened abortion of depressed pregnant women |
| ZHENG Lijuan LI Hui SU Minyi HUANG Biqiong JIANG Xuewei HU Pinjia HU Zurong |
| Department of Obstetrics and Gynecology, Guangdong Provincial Maternal and Child Health Hospital, Guangdong Province, Guangzhou 510010, China |
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Abstract Objective To observe the effect of five elements of music combined with cognitive psychological counseling on depression threatened abortion in the third trimester, and to explore its effect on maternal sleep quality, serum progesterone and progesterone induced blocking factor (PIBF). Methods A total of 120 pregnant women with advanced threatened abortion admitted to the Department of Obstetrics of Guangdong Provincial Maternal and Child Health Hospital from March 2017 to March 2019 were selected and divided into the conventional treatment group (control group, 60 cases) and the five-element music combined cognitive psychological intervention group (observation group, 60 cases) according to the random number table method. After two weeks of treatment, the time of disappearance of contractions, the length of gestation weeks and the effective rate of treatment were compared. Pittsburgh sleep quality index (PSQI) score, depression self-rating depression scale (SDS), serum progesterone level and PIBF concentration before and after treatment were compared. Results There was no significant difference in age, gestational age, gestational duration, birth duration and SDS score between the two groups (P ＞ 0.05). Compared with the control group, contractions disappeared earlier in the observation group, gestation was prolonged longer, and treatment efficiency was higher (P ＜ 0.05). After treatment, the PSQI score and SDS score of the two groups were lower than that of the control group, and the differences were statistically significant (P ＜ 0.05). After 2 weeks of treatment, SDS score and proportion of moderately depressed pregnant women in both groups were significantly lower than before treatment, while proportion of non-depressed pregnant women was higher (P ＜ 0.05). The distribution of PSQI score and degree in the control group was not significantly different from that before treatment (P ＞ 0.05). The PSQI score in the observation group after treatment was lower than that before treatment, and the proportion of pregnant women with good sleep was higher (P ＜ 0.05). There was no significant difference in serum progesterone and PIBF between the two groups before treatment (P ＞ 0.05). After 2 weeks of treatment, the levels of progesterone and PIBF in the two groups of pregnant women were significantly higher than those before treatment, and the levels of progesterone and PIBF in the observation group were higher than those in the control group (P ＜ 0.05). Conclusion Five elements of music combined with cognitive psychological intervention therapy can improve the depression mood of pregnant women with late-stage threatened abortion with depression, improve the quality of sleep, thus increase the release of progesterone, reduce the immune rejection reaction, improve the treatment efficiency.
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