产前抑郁状态与产后泌乳不足的相关性研究

目的了解孕产妇的产前抑郁状态及产后泌乳情况，探讨产前抑郁状态与产后泌乳不足之间的相关性。方法采用Beck抑郁量表及自行编制的一般情况与回访问卷于产前15—30天对877例孕产妇进行调查，并于产后2个半月一3个月时对产妇进行回访，详细了解婴儿的母乳喂养情况。结果泌乳充足、泌乳不足和无泌乳3组被试的产前抑郁水平差异显著（F=47．075，P〈0．001）。且抑郁组和无抑郁组产妇的泌乳水平有显著差异（r=81．983，P〈0．001），抑郁组产妇泌乳不足的比例（67．8％）要显著高于无抑郁组产妇泌乳不足的比例（32．1％）。结论产前抑郁是影响泌乳的一个重要因素，对产前抑郁要及早预防并干预，以提高纯母乳喂养率。

Relationship between Prenatal Depression and Postnatal Lactation

Objective To investigate the statue of prenatal depression and postnatal lactation, and exptore the relationship between prenatal depression and postnatal lactation. Methods A total of 921 pregnant women were surveyed by BDI within 15 to 30 days before delivery and visited to investigate infant feeding from two and a half months to three months after delivery. Results Thdre was signifi- candy difference on prenatal depression among lactation sufficiency group,insufficient lactation and no lactation group （F = 47.075,P 〈 0. 001 ）. The level of lactation was significantly different between depression group and no depression group（x2 = 81. 983 ,P 〈 0. 001 ）. The lactation deficiency ratio of depression group was significantly higher than that of no depression group. Conclusion The prenatal de- pression has important influence on lactation. We can prevent and intervene in the prenatal depression early to raise breast-feeding rate.