妊娠期抑郁症与分娩方式及产后抑郁症的关系

The relationship between depression during pregnancy and postpartum depression and patfern of delivery

目的探讨妊娠期抑郁症与分娩方式、产后抑郁症发病的关系。方法对2006年1月至2007年7月在中国医科大学附属盛京医院产科定期进行产前检查并分娩的1005例孕妇进行抑郁自评量表(SDS)的评定。抑郁症筛查阳性者此后每周进行1次SDS评定,直至分娩前。于产后6周时对所有研究对象进行爱丁堡产后抑郁量表(EPDS)评定,并调查分娩方式,后进行统计学分析。结果妊娠期抑郁症筛查阳性率为26.4%,抑郁症筛查阳性者采取剖宫产终止妊娠者是筛查阴性者的3.407倍,其产后抑郁症发生率为抑郁症筛查阴性者的4.460倍。结论妊娠期抑郁症发病率较高,并可能导致剖宫产率增加及产后抑郁症等不良后果。

Objective To understand the relationship between depression during pregnancy and postpartum depression and patfern of delivery. Methods Assess the mode condition of pregnant women who took prenatal examination in the clinic of Shengjing Hospital of China Medical University by SDS from January 2006 to July 2007. Pregnant women who were positive would do the test once a week until delivery. All of the women would do EPDS in 6 weeks postpartum. Resuits The positive rate of SDS screening was 26.4% ;positive for screening of depression during pregnancy had definite relationship with pattern of delivery, and it might increase the incidence of postpartum depression. Conclusions Incidence of depression during pregnancy is high in our country, and may lead to postpartum depression and increased number of cesarean section.