Anxiety of pregnant women : Transition of anxiety during pregnancy and the way of health guidance

妊娠各期における不安の反応と程度およびその変化を明らかにし, 妊娠中の保健指導の受講状況と不安との関連を明らかにすることを目的に, 各期に合わせた保健指導のあり方を検討した.妊婦146名の各期における追跡調査より, 以下のことが見出された.1.一般不安と母性不安は正の相関を示し, 初期が高く, 妊娠の経過と伴に低くなった.2.母性不安は初期に高く, 初産婦に強く見られた.3.一般不安, 母性不安ともに30代後半以上の妊婦に強く見られた.4.初産, 経産に関わらず, ほとんどの妊婦は保健指導を受けていたが, 初期に受けている妊婦はわずかであった.5.妊娠初期の指導を強化するには, 妊娠と診断された時から個人指導を受けることを勧め, また相談窓口の存在を知らせる必要性があった.A prospective study of 146 pregnant women was condected to define the level of maternal anxiety and general anxiety. The way of the health guidance in each trimeser was examined. Hanazawa, s questionnare was used to assess the enxieties. The extent and change of the anxiety at each trimester were investigated. 1) Scores for the general anxiety and the maternal anxiety showed a positive correlation. They were high at first trimester and became low towords the end of pregnancy. 2) Scores for the maternal anxiety were higher in primipara than in multipara. 3) Scores for the maternal and the general anxiety were highest in the pregnant women over thirty five years of age. 4) A limited number of the pregnant women received a health guidance in the first trimester. 5) Pregnant women should be encouraged to receive an individual health guidance at the diagnosis of pregnancy, and should be informed that a consultation office is available