产后抑郁症相关因素调查研究

目的探讨产后抑郁症的相关因素.方法采用分层整群抽样方法,对长沙市4所医院300例产后6周复查的初产妇进行Edinburgh产后抑郁量表与自编问卷调查.结果产后抑郁症的发生率为17.3%;产妇年龄、婚姻状况、教育程度与产后抑郁症无关(均P＞0.05),分娩疼痛承受力、分娩方式、新生儿性别、母婴同室、母乳喂养为产后抑郁症的影响因素(P＜0.05、P＜0.01),且分娩方式是产后抑郁症的危险因素,分娩疼痛承受力与母婴同室是保护因素.结论产后抑郁症发生率较高,其影响因素应引起产科工作人员的重视.

Study on Related Factors of Postpartum Depression

Objective To explore the related factors of postpartum depression during pregnancy and the perinatal period. Methods The study was carried out in four hospitals selected by using stratified sampling in Changsha city. Three hundred primiparas were investigated by using Edinburgh Postpartum Depression Scale (EPDS) and self-designed questionnaires 6 weeks after delivery.Results The study showed that 17.3% (52/300) of the women developed postpartum depression. No relation was found between the development of postpartum depression and the age, marriage status, educational background (P>0.05 for all). The postpartum depression was significantly related to the tolerance to pain, delivery methods, sexes of newborns, mother and baby staying in one room, breast-feeding (P<0.05,P<0.01). The delivery methods were the risk factor of postpartum depression and tolerance to labor pain and mother and baby staying in one room were protective factors. Conclusion The incidence of postpartum depression is high and medical staff in obstetrical department should pay attention to the condition.