高龄孕妇妊娠期抑郁症对其体质量和妊娠结局的影响  

The effect of depression during pregnancy on the growth of body mass and pregnancy outcome in elderly pregnant women

作　　者：马晓 MA Xiao(Recovery Unit,Henan Provincial Hospital,Zhengzhou 45000,China)

机构地区：[1]河南省省立医院康复科,郑州45000

出　　处：《国际精神病学杂志》2020年第3期553-556,共4页Journal Of International Psychiatry

摘　　要：目的探讨高龄孕妇妊娠期抑郁症对体质量增长和妊娠结局的影响。方法选取2018年5月~2019年6月我院高龄孕妇207例,其中合并妊娠期抑郁症者30例为研究组,未合并妊娠期抑郁者177例为对照组。比较两组抑郁自评量表(SDS)评分、孕期体质量增长、妊娠结局(分娩方式、产妇并发症、新生儿结局)。结果研究组SDS评分(59.83±4.06)分高于对照组(42.36±4.28)分(P<0.05);研究组孕期体质量增长(8.69±1.82)kg低于对照组(11.98±2.04)kg(P<0.05);两组胎盘早剥、新生儿感染、低体质量新生儿、产钳助产、吸引产发生率对比无明显差异(P>0.05);研究组产后出血16.67%、胎膜早破13.33%、血压升高10.00%、新生儿窒息13.33%、新生儿低血糖23.33%、早产儿16.67%、剖宫产发生率16.67%,均高于对照组,自然分娩发生率66.67%则低于对照组(P<0.05)。结论高龄孕妇妊娠期抑郁症会减少孕期体质量增长,增加不良妊娠结局发生风险,应及时采取相应干预措施,以确保母婴健康。Objective To investigate the effect of pregnancy depression on the growth of body mass and pregnancy outcome in elderly pregnant women.Methods From May 2018 to June 2019,207 elderly pregnant women in our hospital were selected,of which 30 patients with pregnancy depression were included as the study group,and 177 patients without pregnancy depression were used as the control group.The scores of self-rating depression scale(SDS),weight gain during pregnancy,and pregnancy outcomes(birth style,maternal complications,and neonatal outcomes)were compared between the two groups.Results The SDS score of the study group(59.83±4.06)was higher than that of the control group(42.36±4.28)(P<0.05).The weight gain during pregnancy(8.69±1.82)kg in the study group was lower than that in the control group(11.98±2.04)kg(P<0.05).There was no statistically significant difference in the incidence of placental abruption,neonatal infection,low body weight neonates,forceps assisted labor,and attraction labor between the two groups(P>0.05).In the study group,16.67%of postpartum hemorrhage,13.33%of premature rupture of membranes,the blood pressure increased by 10.00%,13.33%of neonatal asphyxia,23.33%of neonatal hypoglycemia,16.67%of preterm infants,and 16.67%of cesarean sections were higher than that of the control group,the incidence of spontaneous labor was 66.67%lower than that of the control group(P<0.05).Conclusion Depression during pregnancy in elderly women can reduce the growth of body mass during pregnancy and increase the risk of adverse pregnancy outcome,therefore,clinical interventions should be taken in time to ensure the health of mothers and infants.

关 键 词：高龄孕妇 妊娠期抑郁症 体质量增长 妊娠结局 

分 类 号：R749.4[医药卫生—神经病学与精神病学]