摘要
目的:调查杭州市初产妇产后抑郁(PPD)现状并分析其影响因素。方法:横断面调查。本研究采用整群随机抽样的方法选取2020年6月-2022年6月杭州市第七人民医院和杭州市妇产科医院,整群随机抽样方法选取活产分娩的2997名单胎初产妇为调查对象,均分娩后3d内使用爱丁堡产后抑郁量表(EPDS)调查PPD现状,logistic回归模型分析PPD的独立危险因素。结果:2997例初产妇PPD发生率19.8%。PPD组与非PPD组产妇年龄、产妇文化程度、家庭年收入、产妇及配偶有无工作、体质指数、医疗保险、杭州市户籍、分娩镇痛、新生儿性别、新生儿喂养方式、新生儿低出生体重、新生儿性别符合直系亲属预期、新生儿性别符合产妇预期、不良孕史、非计划妊娠、足月分娩、妊娠合并症、社会支持状况、产前抑郁、孕期宣教、孕产期经历丧失性事件等均有差异(P<0.05)。logistic回归分析显示,产妇年龄<30岁、文化程度高中与初中及以下、新生儿低出生体重、非计划妊娠、低社会支持与中社会支持、无孕期宣教均是初产妇发生PPD的独立危险因素(均P<0.05)。结论:本次调查的初产妇PPD发生率较高,建议对具有危险因素的初产妇及时展开高危管理。
Objective:To investigate the status of postpartum depression(PPD)of primiparas in Hangzhou,and to analyze the influencing factors of PPD.Methods:A cross-sectional survey was conducted,and a total of 2997 singleton primiparas who had delivered live births in Hangzhou from June 2020 to June 2022 were collected as investigation objects by cluster random sampling.Edinburgh Postpartum Depression Scale(EPDS)was used to investigate the status of PPD of these primiparas within 3 days after delivery.Logistic regression model was used to analyze the independent risk factors of PPD.Results:The incidence of PPD among 2997 primipara was 19.8%.The maternal age,maternal education level,family annual income,whether the maternal and spouse in jobs,body mass index,whether had medical insurance,whether registered residence in Hangzhou,,whether labor analgesia,neonatal gender,neonatal feeding method,whether the gender of the newborn met the expectations of the immediate family members,whether the gender of the newborn met the expectations of the primiparas,history of adverse pregnancy,unplanned pregnancy,social support status,and experience of loss events during pregnancy and childbirth,and the incidences of low birth weight of newborn,term delivery,pregnancy complications,prenatal depression,and education accepted during pregnancy of the primiparas with PPD were significantly different from those of the primiparas without PPD(P<0.05).Logistic regression analysis showed that maternal age<30 years old,maternal education level of high school and junior high school or below,low birth weight neonates,unplanned pregnancy,low social support and moderate social support,and no education accepted during pregnancy were the independent risk factors for PPD of the primiparas(P<0.05).Conclusion:The incidence of PPD among the primiparas in this survey is higher,so it is suggested to timely carry out high risk pregnancy management for the primiparas with risk factors.
作者
何茜
孙静
高梦云
HE Qian;SUN Jing;GAO Xiaoyun(Affiliated Brain Hospital of Nanjing Medical University,Jiangsu Province,210024;Hangzhou Seventh People's Hospital;Hangzhou Obstetrics and Gynecology Hospital)
出处
《中国计划生育学杂志》
2022年第12期2683-2687,共5页
Chinese Journal of Family Planning
关键词
初产妇
产后抑郁
影响因素
Primiparas
Postpartum depression
Influencing factors
