摘要
目的探讨高龄产妇产后抑郁症的危险因素,为临床诊治及制定干预措施提供参考依据。方法选取2017年7月-2018年3月在孝感市妇幼保健院产后复查的高龄产妇210例,均行爱丁堡产后抑郁量表(EPDS)评分,比较高龄产妇产后抑郁症患者与产后未发生抑郁症患者相关情况,并行Logistic多因素分析。结果高龄产妇产后抑郁症患者年龄>40岁、不良孕产史、婚姻不和谐、婆媳关系差、剖宫产、人工喂养、新生儿健康差、抑郁史及新生儿性别为女性所占比例均明显高于未发生产后抑郁症产妇,差异有统计学意义(均P<0.05);经Logistic分析,年龄、不良孕产史、剖宫产、抑郁史及新生儿性别为女性为高龄产妇产后抑郁症发生的危险因素,婚姻和谐、婆媳关系好、母乳喂养、新生儿健康为保护因素。结论不良孕产史、抑郁史、年龄、剖宫产等是高龄产妇产后抑郁症发生的危险因素,应强化高龄产妇孕期健康教育及心理辅导等,减少产后抑郁症的发生。
Objective To explore the risk factors of postpartum depression in elderly pregnant women,provide a reference basis for clinical diagnosis,treatment,and making intervention measures.Methods A total of 210 elderly pregnant women undergoing postpartum examination in Xiaogan Municipal Maternal and Child Health Care Hospital from July 2017 to March 2018 were selected and evaluated by Edinburgh Postnatal Depression Scale(EPDS).The related factors of elderly pregnant women with postpartum depression and without postpartum depression were compared,Logistic multivariate analysis was used to analyze the factors.Results The proportions of elderly pregnant women with age>40 years old,adverse pregnancy history,inharmonious marriage,poor relationship between mother-in-law and daughterin-law,cesarean delivery,artificial feeding,poor neonatal health,depression history,and female neonate in postpartum depression group were statistically significantly higher than those in non-postpartum depression group(P<0.05).Logistic analysis showed that age,adverse pregnancy history,cesarean delivery,depression history,and female neonate were risk factors of postpartum depression in elderly pregnant women,harmonious marriage,good relationship between mother-in-law and daughter-in-law,breastfeeding,and neonatal health were protective factors.Conclusion Adverse pregnancy history,depression history,age,and cesarean section are risk factors of postpartum depression in elderly pregnant women,health education and psychological guidance during pregnancy should be enhanced among elderly pregnant women to reduce the onset of postpartum depression.
作者
毛彬
李丽芳
张莉
王伶俐
MAO Bin;LI Li-Fang;ZHANG Li(Xiaogan Municipal Maternal and Child Health Care Hospital,Xiaogan,Hubei 432000,China)
出处
《中国妇幼保健》
CAS
2020年第2期328-331,共4页
Maternal and Child Health Care of China
关键词
高龄产妇
产后抑郁症
危险因素
干预措施
Elderly pregnant woman
Postpartum depression
Risk factor
Intervention measure
