孕产妇产前抑郁与妊娠期体重增加的关系  

Association between prenatal depression and gestational body weight gain

作　　者：吴金华 张友定 姜雯 胡梅青 黄满仙 余运贤[2] 丁哲渊[2] 

机构地区：[1]舟山市妇幼保健院,浙江舟山316000 [2]浙江大学公共卫生学院,浙江杭州310012

出　　处：《疾病监测》2016年第9期781-785,共5页Disease Surveillance

基　　金：浙江省自然科学基金(No.Y2100505);浙江科技计划(No.2012C33045);舟山市科技计划(No.2011C12047);舟山市医药卫生科技计划(No.2013A03)~~

摘　　要：目的分析孕妇产前抑郁状态的发生情况,探讨各孕期抑郁以及整个孕期抑郁的变化与孕妇妊娠期体重增加的关系。方法对2011-2013年期间在浙江省某妇幼保健院进行围产期保健的孕妇,分别在孕8-12周、孕22-26周、孕32周后进行基线和随访调查,收集孕妇社会人口学信息、生殖婚育史和各孕期身体状况、生活行为信息等资料,采用抑郁自评量表（SDS）评估抑郁状态。结果孕早、中、晚期抑郁状态的发生率分别为48.8%、35.0%和34.9%,且各孕期SDS得分均高于中国常模。孕早期SDS与孕早期BMI增加呈负相关（β=-0.01,P=0.0184）。未观察到孕期抑郁与孕期体重改变的相关性。结论孕期妇女抑郁状态发生率较高,应加强妊娠期的精神保健,促进母婴健康。Objective To understand the prevalence rate of prenatal depression,and the influence of depression during each pregnancy trimester on gestational body w eight gain. Methods Pregnant w omen w ho received prenatal care in a w omen and children＇s hospital in Zhejiang province w ere recruited in our study. Well self-constructed questionnaire w as used to collect information about their demographics,reproductive history,health status and life behaviors at 8- 12^th,22- 26^th gestational weeks and after 32^th gestational week. Self-Rating Depression Scale（ SDS） were used to assess degree of depression. Results The incidence of depression during 1^st,2^nd and 3^rd trimesters were 48. 8%,35. 0% and 34. 9% respectively. And all SDS scores in three trimesters w ere higher than those of Chinese norm. SDS scores in 1sttrimester w ere negatively related with BM I（ β =- 0. 01,P = 0. 0184）. No association between prenatal depression and gestational body weight gain was observed.Conclusion he prevalence rate of depression during pregnancy w as high. Gestational mental health interventions should be taken to improve maternal and fetal health.

关 键 词：产前抑郁 妊娠期体重 精神保健 

分 类 号：R749.4[医药卫生—神经病学与精神病学]