孕妇妊娠期体质指数、血压变化与产后抑郁的关系

The relationship between body mass index,blood pressure changes and postpartum depression in pregnant

目的 探讨孕妇妊娠期体质指数、血压变化与产后抑郁的关系。方法 本研究观察对象为2019年1月~2022年12月来我院的100名孕产妇,所有孕产妇均于我院建档并进行规范化的产前检查,产后随访1个月,采用爱丁堡产后抑郁量表(EPDS)进行产后抑郁评价,并设为抑郁组以及非抑郁组。比较两组孕产妇一般资料以及初始体质指数(BMI)、增重情况、血压变化。结果 100名孕产妇检出产后抑郁24例,检出率24.00%;抑郁组、非抑郁组年龄、学历、有无新生儿并发症差异具有统计学意义(P<0.05),两组居住地、产次差异无统计学意义(P>0.05);抑郁组初始BMI、增重情况以及收缩压、舒张压变化与非抑郁组差异具有统计学意义(P<0.05);二元logistic回归分析显示,初始BMI、孕期增重不足、增重超标、收缩压、舒张压变化均是产后抑的影响因素。结论妊娠期初始BMI较高、孕期增重不足或超标以及收缩压、舒张压变化均可能影响产后抑郁的发生。

Objective To investigate the relationship between body mass index and blood pressure changes during pregnancy and postpartum depression in pregnant.Methods A total of 100 pregnant women were observed in this study from January 2019 to December 2022.All mothers were enrolled in our hospital and underwent standardized antenatal checkups,and were followed up for 1 month after delivery.Postpartum depression was assessed using the Edinburgh Postpartum Depression Scale(EPDS),and the groups were divided into depressed and non-depressed groups.The two groups were compared in terms of general maternal data and changes in initial body mass index(BMI),weight gain,and blood pressure.Results Postpartum depression was detected in 24 cases among 100 mothers,with a detection rate of 24.00%.The differences in age,education,and presence of neonatal complications between the depressed and non-depressed groups were statistically significant(P<0.05).The differences in place of residence and number of births between the two groups were not statistically significant(P>0.05).The differences in initial BMI,weight gain,and changes in systolic and diastolic blood pressure in the depressed group were statistically significant compared with the non-depressed group(P<0.05).Binary logistic regression analysis showed that initial BMI,underweight gain during pregnancy,overweight gain,systolic blood pressure,and diastolic blood pressure changes were all influential factors for postpartum depression.Conclusion Higher initial BMI during pregnancy,under-or overweight gain during pregnancy,and changes in systolic and diastolic blood pressure may influence the development of postpartum depression.