Objective. To explore the effects of perinatal cognitive-behavioral therapy on delivery mode, fetal outcome, and postpartum depression and anxiety in women. Methods. The clinical data of 88 perinatal pregnant women who came to our hospital from May 2020 to May 2021 were retrospectively analyzed and grouped into the routine group and the cognitive behavioral intervention group according to different perinatal nursing methods, with 44 cases in the cognitive behavioral intervention group received by cognitive behavioral therapy, and 44 cases in the routine group obtained by routine obstetric care during the perinatal period. The anxiety of pregnant women was evaluated by the Hamilton Anxiety Scale (HAMA). The positive cooperation and negative response of the perinatal pregnant women in two groups were recorded. The trial delivery rate, mode of delivery, amount of intrapartum bleeding, neonatal Apgar score, and visual pain simulation score (VAS) within 48 hours after delivery of the pregnant women in the two groups were also recorded and compared. The incidence of depression of pregnant and lying-in women in the two groups was recorded on the 5th and 42nd day after delivery. Results. After the intervention, the anxiety score of pregnant women in the cognitive behavioral intervention group was significantly lower than that in the routine group (). Following the intervention, the positive cooperation score of pregnant women in the cognitive behavioral intervention group was prominently higher than that in the routine group, and the negative cooperation score was observably lower than that in the routine group (). The rate of spontaneous delivery in the cognitive behavioral intervention group was significantly higher than that in the conventional group (), while the VAS score and blood loss in the cognitive behavioral intervention group were notably lower than those in the routine group (). The proportion of women with EPDS score <9 points, i.e., no postpartum depression both on the 5th and 42nd day after delivery, were significantly higher than those in the routine group (), whereas the proportion of patients with postpartum depression symptoms scored 9–13 points were markedly lower than those of the routine group (). Conclusion. The cognitive behavioral therapy can improve the adverse physiological and psychological reactions of pregnant women with perinatal anxiety disorder, enhance the natural delivery rate and postoperative recovery, reduce the risk of neonatal asphyxia, and ensure the safety of mothers and infants in the perinatal period. Compared with routine nursing, this intervention method is more targeted and scientific, and is worthy of clinical promotion.

中文翻译：

---

围产期认知行为疗法对分娩方式、胎儿结局以及女性产后抑郁和焦虑的影响

客观。探讨围产期认知行为疗法对女性分娩方式、胎儿结局以及产后抑郁和焦虑的影响。方法。回顾性分析2020年5月至2021年5月来我院就诊的88例围产期孕妇的临床资料，按照不同的围产期护理方式分为常规组和认知行为干预组，其中认知行为干预组44例。接受认知行为治疗，常规组44例在围产期接受常规产科护理。采用汉密尔顿焦虑量表（HAMA）评估孕妇的焦虑程度。记录两组围产期孕妇的积极配合和消极反应。试产率、分娩方式、产时出血量、新生儿Apgar评分、记录并比较两组孕妇分娩后48小时内的视觉疼痛模拟评分（VAS）。分别于产后第5天和第42天记录两组孕产妇抑郁症的发生率。结果。干预后，认知行为干预组孕妇焦虑评分显着低于常规组（）。干预后，认知行为干预组孕妇的积极配合得分明显高于常规组，而消极配合得分明显低于常规组。）。认知行为干预组的自然分娩率明显高于常规组（），而认知行为干预组的VAS评分和失血量明显低于常规组（）。EPDS评分<9分，即产后第5天和第42天均无产后抑郁症的女性比例显着高于常规组（），而产后抑郁症状评分9-13分的患者比例明显低于常规组（）。 结论。认知行为疗法可以改善围产期焦虑症孕妇的不良生理和心理反应，提高自然分娩率和术后恢复，降低新生儿窒息风险，保障围产期母婴安全。与常规护理相比，这种干预方法更有针对性和科学性，值得临床推广。