title: [Association of psychological factors with post-partum hemorrhage and labor duration].
abstract: OBJECTIVE
  To investigate the impact of psychological factors on post-partum hemorrhage and labor duration.
  
  
  METHODS
  A questionnaire-based investigation was conducted in 180 healthy single-fetus spontaneous delivery primigravida to understand their psychological status and related factors, and the duration of labor and postpartum hemorrhage were recorded.
  
  
  RESULTS
  Anxiety and depression were common in pregnant women and positively related to age, profession, education and social support. The scores of SAS and SDS of postpartum hemorrhage-free group were significantly lower than those in postpartum hemorrhage group, and the duration of first and the second stage was significantly longer in women with high SAS and SDS score than in those with lower scores.
  
  
  CONCLUSIONS
  The mental health status of pregnant women may vary significantly depending on the social community they belong to. Anxiety and depression may increase the risk of postpartum hemorrhage and prolonged labor, so that psychological counseling can be of importance to improve the care in the department of obstetrics.
authors.affiliation: Department of Obstetrics and Gynecology, Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510630, China.
authors.forename: Zhi-xiong
authors.initials: ZX
authors.lastname: Mei
authors.forename: Min
authors.initials: M
authors.lastname: Huang
mesh_terms: D000328:Adult; D001007:Anxiety / Q000523:psychology*; D002681:China; D036861:Delivery, Obstetric / Q000523:psychology; D003863:Depression / Q000523:psychology*; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000523:psychology; D006473:Postpartum Hemorrhage / Q000523:psychology*; D011247:Pregnancy; D011263:Pregnancy Trimester, Third / Q000523:psychology*; D012307:Risk Factors; D011795:Surveys and Questionnaires