产妇产后3天内抑郁发生现状调查及影响因素分析  

Status and influence factors of postpartum depression of puerperae in 3 days after delivery

作　　者：王佳 马力凤[2] 吴奎 潘秀红 WANG Jia;MA Lifeng;WU Kui;PAN Xiuhong(Shanghai Pudong Hospital,Shanghai,201399;Shanghai Seventh People's Hospital)

机构地区：[1]上海市浦东医院,201399 [2]上海市第七人民医院

出　　处：《中国计划生育学杂志》2023年第3期500-504,共5页Chinese Journal of Family Planning

基　　金：复旦大学-复星护理科研基金(FNF202144)。

摘　　要：目的:调查产妇产后抑郁(PPD)发生现状并分析影响因素。方法:选取2019年1月-2021年1月在上海市浦东医院和上海市第七人民医院分娩后3d内1998名产妇,用爱丁堡产后抑郁量表(EPDS)调查PPD现状,并运用logistic回归模型分析PPD的独立危险因素。结果:1998名产妇中,PPD组362例(18.1%),非PPD1636例(81.9%)。PPD组与非PPD组工作状态、分娩镇痛、产次、新生儿喂养方式、新生儿性别是否符合家人预期、非计划妊娠、陪伴分娩、妊娠合并症、分娩后2d时雌二醇、分娩后2d时孕酮、母亲角色适应调查表(MRAQ)评分、社会支持、孕产期负性生活事件、有无参加孕期学习方面存在差异(P<0.05)。logistic回归分析,未分娩镇痛、新生儿喂养方式为人工喂养与混合喂养、新生儿性别不符合家人预期、非计划妊娠、有妊娠合并症、低社会支持与中社会支持、有孕产期负性生活事件、未参加孕期学习均是孕妇发生PPD的独立危险因素(P<0.05)。结论:本次调查的产妇有一定PPD发生率,其PPD发生多种因素综合影响,应引起社会关注。Objective:To investigate the tatus and influence factors of postpartum depression(PPD)of puerperae.Methods:A total of 1998 puerperae form Shanghai Pudong Hospital and Shanghai Seventh Peoples Hospital within 3 days after delivery form January 2019 to January 2021 were selected.The status of PPD of the puerperae were investi-gated by the Edinburgh postpartum depression scale(EPDS),and logistic regression model was used to analyze the in-dependent risk factors of PPD of the puerperae.Results:There were significant differences in the working status,the labor analgesia,the parity,the feeding pattern for the newborn,whether newborn gender conforming to the expectations of the family,the unplanned pregnancy,the accompanied delivery,the pregnancy complications,the levels of estradiol and progesterone in 2d after delivery,the maternal role adjustment questionnaire(MRAQ)score,the social support level,the negative life events during pregnancy and perinatal period,and whether learning during pregnancy of the puerperae between the two groups(P<0.05).Logistic regression analysis showed that the puerperae without labor analgesia,the artificial feeding and mixed feeding for the newborn,the newborn gender sex unconforming to the expectations of the family,the unplanned pregnancy,the pregnancy complications,the low or middle levels of social support,the negative life events during pregnancy and perinatal period,and no learning during pregnancy of the puerperae were all the independent risk factors for their PPD(P<0.05).Conclusion:The puerperae after delivery in this survey have a certain incidence of PPD,and the occurrence of their PPD is influenced by various comprehensive factors,which should be attention by society.

关 键 词：产妇 分娩后3天 产后抑郁 影响因素 

分 类 号：R714.6[医药卫生—妇产科学] R749.4[医药卫生—临床医学]