导乐陪伴分娩与初产妇产后抑郁的相关性研究

A study on the relationship between labour of Doula and postpartum depression

目的:探讨导乐陪伴分娩与初产妇产后抑郁发生的相关性。方法:将符合入选标准的初产妇443例中以参加导乐陪伴分娩者225例为研究组,未参加导乐陪伴分娩者218例为对照组,产后第3d采用抑郁自评量表对两组产妇进行评估。结果:研究组产妇产后抑郁的发生率为5.33%,对照组为14.22%,两组间差异有显著性(P<0.01)。结论:导乐陪伴分娩所提供的服务和环境使初产妇心身处于最佳心理、生理状态,明显降低初产妇分娩过程中紧张、恐惧、疼痛引起的产后抑郁。

Objective ： To explore influence of labour Doula on postpartum depression of prinliparae. Methods ： 443 cases conformed had been divided into observation group （ n = 225 ） and control group （ n = 218 ）. Pfimiparae in the observation group received labour of Doula, while primiparae in the control group received routine labour. The evaluation of primiparae was made with Self - Rating Depression Scale （SDS） three days after delivery. Results ： 5.33% of primiparae suffered from postpartum depression in the observation group, while it was 14.22% in the control group （ P 〈 0. 01 ）. Conclusion： Service and circumstance offered by labour of Doula can have the both of primiparae＇s body and mind in the best condition, and can obviously reduce the postpartum depression caused by tension, fear and pain in the parturition process.