产后抑郁的相关因素分析

Analysis on the related factors for postpartum depression

目的探讨相关因素对产后抑郁发生的影响,找出与该病有关危险因素,为预防该病发生的措施提供依据。方法对820例住院分娩产妇采用抑郁自评量表(SDS)以及产妇的一般情况、健康状况、社会支持等条目做问卷调查,通过SDS量表评分将产妇分为病例组和对照组,对两组观察对象的各个相关因素进行比较。结果产后抑郁的发生率为13.8%(113/820);年龄≤24岁及≥35岁者中,产后抑郁的发生率较高;产前并发症、分娩方式、产后并发症、不良分娩结局、夫妻关系、孕期接受宣教、产后周围人的关心等因素在病例组和对照组之间差异有统计学意义意义(P<0.01),且与产后抑郁的发生有关。结论减少围产期并发症的发生率,重视社会支持等,有助于降低产后抑郁的发生。

Objective To study the related factors for postpartum depression. Methods Clinical data of 820 deliveries during March 2004 - March 2007 were analyzed. SDS scales were used in the study. Postpartum depression was defined as the score of SDS ≥ 40. Results The incidence of postpartum depression wasl3. 8% among 820 deliveries. There were 7 factors associated with postpartum depression significantly according to single factor analysis. Conclusion It is necessary to give pregnant women both medical and social psychological supports during the course of pregnancy and even after delivery.