产褥期抑郁症240例临床分析

Clinical analysis of 240 postpartum depression cases

目的观察产褥期抑郁症与新生儿性别、分娩方式、产后出血、产妇文化程度的关系。方法240例孕足月单胎健康初产妇,按产科常规分娩而不进行干预,采用结构式问卷调查表和自评抑郁量表(SDS),派专人对240例产妇产前、产时、产后进行随访,以直接询问和观察的方式填表,分析240例产妇的情绪变化,用SDS诊断标准进行评分。结果240例产妇发生抑郁症状81例,发生率33.75%,新生儿性别、分娩方式、产后出血、产妇文化程度与产褥期抑郁症的发生有明显关系,而产妇的职业与产褥期抑郁症的发生无关。结论应该加强孕产妇围产期的精神卫生保健和心理援助。

Objective To observe the connection between postpartum depression and newborn sex, delivery pattern, postpartum hemorrhage and the educational level of puerpera.Methods 240 single pregnant and healthy primipara who term delivered according to obstetrical routine without intervention were selected. They were followed up by special doctors in antepartum, deliver and postpartum period. Self-rating depression scale (SDS) were filled in by inquiry and observation and scored by its diagnosis criteria.Results 81 cases of 240 cases had the depressive symptom. The incidence is 33.75%. Newborn sex, delivery pattern, postpartum hemorrhage and the educational level of puerperal have distinct connections with postpartum depression, while the occupation of puerpera has not any connection with postpartum depression.Conclusions The mental healthy care and psychological aid should be done further for the perinatal women.