孕期抑郁症与产后抑郁症的关系及其相关因素的分析

The relationship between depression during pregnancy and postpartum depression and analysis of its relevant analysis

目的探讨孕期抑郁症与产后抑郁症发病情况的关系及其相关因素。方法对2009年1月至2010年6月在我院妇产科定期进行产前检查并分娩的578例孕妇进行自评量表(SDS)的评定。抑郁症筛查阳性者此后每周进行1次SDS的评定,直至分娩前。然后总结及归纳抑郁症筛查阳性者的相关因素。并于产后6周时对所有研究对象进行爱丁堡产后抑郁量表(EPDS)评定,后进行统计学分析。结果孕期抑郁症筛查的阳性率为19.9%,其产后抑郁症发生率为抑郁症筛查的阴性者的4.460倍,产后抑郁症发病的相关因素多方面。结论孕期抑郁症发病率较高,同时可导致产后抑郁症的发生,应及时纠正及重视其发生的相关因素。

Objective To understand the relationship between depression during pregnancy and post- partum depression and analysis of its relevant factor. Methods Assess the mode condition of pregnant women who took prenatal examination in my hospital by SDS from January 2009 to June 2010. Prgnant women who were positive would do the test once a week until delivery. All of the women would do EPDS in 6 weeks postpartum. Results The positive rate of SDS screening was 19. 9%, depression during pregnancy might increase the inci- dence of postpartum drpression. Conclusion Incidence of depression during pression during pregnancy is high in our country, and may lead to postpartum depression and increased mumber of cesarean section.