孕产妇情绪评估调查与产后抑郁症预防

Investigation on emotion assessment of pregnant women and prevention of postpartum depression

目的:探讨产后抑郁症的发生率及其相关危险因素,为产后抑郁症的预防提供科学依据。方法:对住院分娩的268例产妇进行产前及产后基本情况调查,应用医院焦虑抑郁量表(HAD)评估孕妇孕期情绪状况,应用爱丁堡产后抑郁量表(EPDS)对产妇进行随访调查至产后3～7天。结果:产后抑郁症的发生率为17.91%,分析显示夫妻双方的文化程度、家庭收入、孕产妇是否在职、围产期夫妻关系及家庭关系、新生儿的健康状况、婴儿的照顾方式等10个因素与产后抑郁症发生相关(P<0.05)。结论:产后抑郁症发病率高,早期筛查其危险因素及时采取积极的干预措施十分重要,应受到广大医务工作者的足够重视。

Objective：To explore the incidence of postpartum depression and related risk factors, provide a scientific basis for prevention of postpartum depression.Methods：The prenatal and postpartum situations of 268 pregnant women were investigated, the emotion status of pregnant women during pregnancy was evaluated by Hospital Anxiety and Depression Scale （HAD）, Edinburgh Postnatal Depression Scale （EPDS） was used in the study to follow up pregnant women till 3～7 days after delivery.Results：The incidence of postpartum depression was 17.91%, 10 factors including educational levels of couples, family income, working or not, perinatal conjugal relation and family relation, health condition of neonates and rearing modes of infants etc. were related to occurrence of postpartum depression （P0.05）.Conclusion：The incidence of postpartum depression is high.Early screening of risk factors and active intervention measures are important, which should be paid more attention to.