摘要
目的:探讨正常和超重孕妇妊娠期体重增加与产后抑郁症(PPD)之间的关系。方法:纳入2018年3月~2018年10月在我院妇产科就诊的孕妇98例,记录基本信息,包括年龄、受教育程度、职业、分娩类型(顺产/剖腹产)、新生儿性别、配偶受教育程度和配偶职业,孕早、孕中和孕晚期孕妇体重。所有产妇在产后第6周测定爱丁堡产后抑郁量表(EPDS),总分≤12分为非PPD组,>12分为PPD组,Logistic回归分析评估PPD的危险因素。结果:根据EPDS得分,非PPD组72例(73.47%),PPD组26例(26.53%),初始身体质量指数(BMI)正常的孕妇有21.28%出现PPD检测结果阳性,初始BMI超重的孕妇有31.82%出现PPD检测结果阳性。两组产妇的人口统计学变量比较,差异均无统计学意义(均P>0.05),初始BMI、体重增加级别及妊娠中期体重增加与PPD无显著相关性(均P>0.05),妊娠晚期体重增加与PPD的发生显著相关(P<0.05)。结论:妊娠晚期体重增加可能是PPD的独立危险因素。
Objective:To investigate the relationship between weight gain during pregnancy and postpartum depression(PPD)in normal and overweight pregnant women.Methods:There were 98 cases of pregnant women who were admitted to the department of gynaecology and obstetrics in our hospital from March 2018 to October 2018 enrolled in this study.The basic information was recorded,including age,education,occupation,type of delivery(natural labour or caesarean section),neonatal gender,education and occupation of the spouse.Moreover,the weight in pregnant women during early pregnancy,pregnancy and late pregnancy were also analyzed.The Edinburgh Postpartum Depression Scale(EPDS)was measured at 6 weeks postpartum.All cases were divided into the non-PPD group with the total score≤12,and the PPD group with the total score >12.Logistic regression analysis was conducted to evaluate risk factors for PPD.Results:According to the EPDS score,there were 72 cases(73.47%)in the non-PPD group and 26 cases(26.53%)in the PPD group.Among them,PPD were positive in 21.28% pregnant women with normal initial body mass index(BMI)and 31.82% pregnant women overweight.There were no statistically significant differences in demographic variables between the two groups(All P>0.05).The PPD has no significant correlation with the initial BMI,weight gain grade and weight gain in the second trimester(All P>0.05).However,there was an obvious correlation between PPD and weight gain in the third trimester(P <0.05).Conclusion:Weight gain in the third trimester may be an independent risk factor for PPD.
作者
万凤知
杨静
Wan Fengzhi;Yang Jing(Department of Gynaecology and Obstetrics, Yichang Central People's Hospital, The First College of Clinical Medical Science, China Three Gorges University, Yichang 443003, China)
出处
《巴楚医学》
2019年第3期27-30,共4页
Bachu Medical Journal
关键词
产后抑郁症
孕妇
妊娠期肥胖
postpartum depression
pregnant women
gestational obesity
