兰州产后抑郁的发生情况及对母乳喂养的影响  

Prevalence of postpartum depression and its effect on breast feeding in Lanzhou

作　　者：禹蕾[1] 张月霞[1] 赵艾 YU Lei;ZHANG Yuexia;ZHAO Ai(Department of Obstetrics,Lanzhou Municipal Materity and Child Health Hospital,Gansu Lanzhou 730030,China;Vanke School of Public Health,Tsinghua University,Beijing 100084,China)

机构地区：[1]兰州市妇幼保健院产科,甘肃兰州730030 [2]清华大学万科公共卫生与健康学院,北京100084

出　　处：《中国妇幼健康研究》2023年第2期49-53,共5页Chinese Journal of Woman and Child Health Research

基　　金：国家重点研发计划课题任务(2017YFD0400602)。

摘　　要：目的探讨兰州地区产后抑郁的发生情况及对母乳喂养意愿、行为的影响。方法选择2020年12月至2021年1月于兰州市妇幼保健院及兰州市二院进行分娩或产后访视的241例产妇为研究对象,使用爱丁堡产后抑郁量表评估产后抑郁情况;采用多因素Logistic回归分析抑郁对喂养方式及喂养意愿的影响;使用基于差别效应的亚组识别方法探索特定人群中产后抑郁影响喂养方式的情况。结果本研究产后抑郁总检出率为42.7%,其中轻度为28.5%,重度为14.2%;产后30天内发生产后抑郁的比例较高,差异有统计学意义(χ^(2)=4.551,P<0.05);多因素Logistic回归分析显示产后抑郁产妇“不希望母乳喂养”的意愿是无产后抑郁产妇的2.63倍(95%CI为1.06~6.52,P<0.05);全人群中未发现产后抑郁与喂养行为的关联性(P>0.05),但在孕期体重增重过多的产妇亚组中,62.5%的产后抑郁者多采用人工或混合喂养的方式。结论产后抑郁已严重影响兰州地区的产妇健康,且抑郁直接影响产妇哺乳意愿,并可能影响母乳喂养行为。Objective To investigate prevalence of postpartum depression and its effects on mothers′attitudes to breast feeding and feeding behaviors.Methods A total of 241 parturients who delivered and received postpartum visit in Lanzhou Municipal Maternity and Child Health Hospital and The Second Lanzhou Municipal People′s Hospital from December 2020 to January 2022 were enrolled as survey subjects.Edinburgh Postnatal Depression Scale(EPDS)was used to assess postpartum depression of the parturients.Multiple factor Logistic regression model was used to analyze associations of postpartum depression with feeding method and feeding wish.Subgroup Identification Based On Differential Effect Search Strategy was used to identify these special parturients whose breastfeeding practices were affected by postpartum depression.Results The prevalence of postpartum depression was 42.7%,including 28,5%of mild postpartum depression and 14.2%of severe postpartum depression.The incidence rate of postpartum depression was significantly higher within 30 days after delivery(χ^(2)=4.551,P<0.05).Multiple factor Logistic regression analysis shown that the proportion of“no hoping to conduct breast feeding”in these parturients with postpartum depression was 2.63 times of that in the parturients without postpartum depression(95%CI:1.06-6.52,P<0.05).No association between postpartum depression and feeding behaviors was found in the whole population(P>0.05).However,62.5%of the parturients with postpartum depression who had an excessive gestational weight gain adopted artificial feeding or mixed feeding methods.Conclusion Postpartum depression already affect maternal health in Lanzhou area seriously,which directly affect the women′s attitude toward breastfeeding,and might affect their feeding behaviors.

关 键 词：产后抑郁 母乳喂养 横断面调查 机器学习 

分 类 号：R173[医药卫生—妇幼卫生保健]