摘要
目的 探究抑郁情绪对孕妇妊娠并发症、围生结局及产后抑郁的影响,以期为临床决策提供参考。方法 选取2021年1—12月在天津市北辰区15家社区卫生服务中心建档且分娩的孕妇1 050人作为研究对象。采用抑郁自评量表(PHQ-9)、爱丁堡产后抑郁自评量表(EPDS)于孕期及产后评估研究对象的抑郁情况。并根据PHQ-9的评估结果,将研究对象分为抑郁组和无抑郁组,观察并比较2组孕妇妊娠并发症、产后抑郁发生情况及围生结局。结果 2组研究对象妊娠并发症发生情况比较:抑郁组研究对象高血压、糖尿病发生率均高于无抑郁组,且差异均有统计学意义(P<0.05)。2组研究对象围生结局比较:抑郁组研究对象早产、低体质量儿、流产的发生率及剖宫产率均高于无抑郁组,顺产率则低于无抑郁组,差异均有统计学意义(P<0.05)。此外,抑郁组研究对象的产后抑郁发生率高于无抑郁组,差异亦有统计学意义(P<0.05)。结论 孕期抑郁情绪可影响孕妇妊娠并发症、产后抑郁的发生及围生结局。医疗机构应建立孕妇抑郁情绪筛查系统,对于孕妇的抑郁情绪应及时发现并及早干预,从而促进自然分娩,提高母婴心身健康水平。
Objective This paper aims to investigate the effect of depression on pregnancy complications,perinatal outcomes and postpartum depression in pregnant women to provide support for clinical decision-making.Methods A total of 1050 pregnant women who were archived and delivered in 15 community health service centers in the Beichen district of Tianjin from January to December 2021 were selected as the study participants.The Patient Health Questionnaire(PHQ-9)and Edinburgh Postnatal Depression Scale(EPDS)were used to evaluate the depression of the participants during pregnancy and postpartum.According to the evaluation results of PHQ-9,the participants were divided into the depression group and the non-depression group.The pregnancy complications,postpartum depression,and perinatal outcomes of the two groups were observed and compared.Results The incidence of pregnancy complications such as gestational hypertension and gestational diabetes were significantly higher in the depression group than in the non-depression group(P<0.05).Comparison of perinatal outcomes between the 2 groups is as follows:the incidence of premature delivery,low birth weight infants,and abortion,as well as cesarean section rate,were higher and the spontaneous delivery rate was lower in the depression group than in the non-depression group,and the differences were statistically significant(P<0.05).In addition,the incidence of postpartum depression in the depression group was significantly higher than that in the non-depression group(P<0.05).Conclusion Depression during pregnancy can affect pregnancy complications,postpartum depression,and perinatal outcomes.Medical institutions should establish a screening system for depression in pregnant women.For pregnant women with depression,timely detection and early intervention should be performed,so as to promote natural delivery and raise the mental and physical health levels of mothers and infants.
作者
李建娟
秦峰
Li Jianjuan;Qin Feng(Perinatal Health Center,Beichen Service Center for Maternal and Child Health and Family Planning,Tianjin 300400,China;General Research Group,National Physical and Mental Health of pregnant and parturient Women Clinic,Beijing 100142,China)
出处
《保健医学研究与实践》
2023年第3期43-45,共3页
Health Medicine Research and Practice
基金
中国健康促进基金会身心健康专项基金(CHSX20190601)。
关键词
孕产妇
抑郁情绪
妊娠期并发症
不良妊娠结局
产后抑郁
Pregnant and parturient women
Depression
Pregnancy complications
Adverse pregnancy outcomes
Postpartum depression
