产后抑郁症人口学及产科因素的调查分析

目的探讨与产后抑郁症相关的人口学因素及产科因素。方法采用分层整群抽样方法,对长沙市4所医院320例初产妇进行Ed inburgh产后抑郁量表及自编问卷调查。结果⑴产后抑郁症相关的人口学危险因素有干部、知识分子职业(P=0.011,OR=0.886);⑵产后抑郁症相关的产科危险因素有使用辅助生殖技术(P=0.005,OR=4.585)、第一产程时间长(P=0.024,OR=2.269)、阴道助产(P=0.000,OR=49.767)新生儿畸形(P=0.000,OR=28.386);保护性因素有顺产(P=0.003,OR=0.151)。结论产后抑郁症的发生是多因素影响的结果。针对其影响因素,采取相应的干预措施,有助于预防发生。

Study on demographic and obstetrical factors of postpartum depression

Objective To investigate the related demographic and obstetrical factors of postpartum depressive symptoms.Methods The study was carried out in four hospitals selected by stratified sampling in Changsha city.The 320 nullipara women who met the designed including criteria at 6 weeks postpartum were recruited by cluster sampling from the four hospital.Three hundred and twenty nullipara women were assessed by using Edinburgh Postpartum Depression Scale(EPDS),self-designed demographic and obstetrical factors questionnaires.Results The study showed that the careers like cadre and clerisy were demographic risk factors(P=0.011,OR=0.886).There were four obstetrical risk factors,including assisted reproductive technology(ART)(P=0.005,OR=4.585),the time of the first stage of labor(P=0.024,OR=2.269),instrumental delivery(P=0.000,OR=49.767),and birth defect(P=0.000,OR=28.386).The normal delivery was a protective factor(P=0.003,OR=0.151).Conclusion Multiple factors are involved in the incidence of postpartum depression.Preventive intervention should be taken actively to prevent against postpartum depression.