妊娠晚期孕妇抑郁情况及影响因素

Depression state and influencing factors of late trimester pregnant females

目的:探讨妊娠晚期孕妇抑郁的发生情况及影响因素。方法:采用爱丁堡产后抑郁量表、社会支持评定量表和自编的一般情况调查表对222例妊娠晚期孕妇进行调查。结果:222例妊娠晚期孕妇中66例检出有抑郁心境,检出率为29.7%。中等社会支持、不孕史、性别期望高为危险因素,其OR值(95%CI)分别为6.065(1.157～31.802)、3.356(1.005～11.205)、3.582(1.511～8.488);婆媳关系好、上过孕妇学校、家庭月收入高为保护性因素,其OR值(95%CI)分别为0.138(0.059～0.322)、0.149(0.030～0.737)、0.302(0.103～0.884)。结论:妊娠晚期孕妇抑郁比较普遍,要加强对产前抑郁认识,为孕妇提供针对性支持。

Aim：To explore the depression state and influencing factors of late trimester pregnant females.Methods：Edinburgh postnatal depression and social support rating scale and self made ＂general information questionnaire＂ were administered to 222 pregnant women during their third pregnant trimester.Results：The incidence of depression was 29.7%（66/222）.Medium social support,history of infertility,and high gender expect were risk factors,and the OR value（95%CI） was 6.065（1.157~31.802）,3.356（1.005~11.205）,3.582（1.511~8.488）;good mother in-law and daughter-in-law relation,achieving pregnant women school’s course,and high family income were protective factors,and the OR value（95%CI） was 0.138（0.059~0.322）,0.149（0.030~0.737）,0.302（0.103~0.884）.Conclusion：Depression is common in late trimester pregnant women.More attention should be paid to antenatal depression.