产后心绪不良与产后抑郁症的关系

目的 探讨产后心绪不良与产后抑郁症之间的关系。及其相关的影响因素。方法 采用爱丁堡产后抑郁量表（EPDS）及自拟问卷对211名健康初产妇分别于临产前及产后7天、产后60天进行测评，及相关因素的流行病学调查，对其结果及相关因素进行前瞻自身对照研究。结果 产后心绪不良发生率为10%；产后抑郁症发生率为8%；产后早期心绪不良者有50%发展为产后抑郁，产后抑郁63.5%是由产后早期心绪不良发展而来，产后心绪不良及产后抑郁症间存在非常显著的相关性。亲友及家庭支持，经济情况，分娩并发症，产妇对婴儿的关心程度等和产后抑郁有关，结论 产后早期心绪不良可能是产后抑郁的先奏，因此，对产后一周内发生的心绪不良早期筛查及干预对预防产后抑郁症的发生具有十分重要的意义。

Links between early maternity blues and post-natal depression

Objective To explore the links between early maternity blues and post natal depression, as well as their relevant factors. Method 211 primipara were evaluated by EPDS,self designed demographic and psychological investigation questionnaires at 7 days and 60 days postpartum. Result The incidence of maternity blues and postnatal depression was 10%, 8% respectively. About 50% women with maternity blues suffered postnatal depression. Approximately 63.5% women with postnatal depression had maternity blues. There was a highly significant positive correlation between maternity blues and postnatal depression. Some factors such as social support system? economic status?complications of delivery and care for the new baby were associated with postnatal depression. Conclusion Maternity blues maybe the predictor of postnatal depression. A universal postpartum depression screening and intervene program would be useful for early detection.