Prenatal diagnosis of critical congenital heart disease associated with lower postpartum depressive symptoms: a case-control study.

IF 2.8 4区医学 Q1 PEDIATRICS Jornal de pediatria Pub Date : 2024-08-09 DOI:10.1016/j.jped.2024.06.011

Daniela R Vieira, Patrícia P Ruschel, Márcia M Schmidt, Paulo Zielinsky

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Abstract

Objective: When the expectant mother is faced with an unforeseen event during pregnancy, she may experience emotional fragility and depression. This study was carried out to test the association between the time of diagnosis of critical congenital heart disease (CCHD) and depressive symptoms in puerperal women.

Method: A case-control study. All mothers answered a semi-structured questionnaire and the Edinburgh Postnatal Depression Scale (EPDS). Pearson's correlation and multiple linear regression analysis were used to determine factors associated with depression.

Results: 50 puerperal women, 23 cases and 27 controls. The proportion of puerperal depressive symptoms was 26.1 % among mothers of infants prenatally diagnosed with CCHD and 77.8 % among mothers of infants postnatally diagnosed (p = 0.001 [OR] 9.917; 95 % CI 2.703-36.379). Multiple linear regression analysis showed that the use of psychotropic drugs and time of diagnosis were significantly associated with puerperal depressive symptoms.

Conclusion: Prenatal diagnosis of CCHD was associated with significantly lower levels of depressive symptoms.

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危重先天性心脏病产前诊断与产后抑郁症状降低相关：一项病例对照研究。

目的当准妈妈在怀孕期间遇到意外事件时，可能会出现情绪脆弱和抑郁。本研究旨在检验产褥期妇女确诊危重先天性心脏病（CCHD）的时间与抑郁症状之间的关联：方法：病例对照研究。所有产妇都回答了半结构化问卷和爱丁堡产后抑郁量表（EPDS）。采用皮尔逊相关分析和多元线性回归分析来确定与抑郁相关的因素：50名产褥期妇女，23名病例，27名对照。产前诊断为慢性阻塞性肺病的婴儿的母亲中，出现产褥期抑郁症状的比例为 26.1%；产后诊断为慢性阻塞性肺病的婴儿的母亲中，出现产褥期抑郁症状的比例为 77.8%（P = 0.001 [OR] 9.917；95 % CI 2.703-36.379）。多元线性回归分析表明，精神药物的使用和诊断时间与产褥期抑郁症状明显相关：结论：产前诊断为慢性阻塞性肺疾病与抑郁症状水平明显降低有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Jornal de pediatria 医学-小儿科

CiteScore

5.60

自引率

3.00%

发文量

审稿时长

43 days

期刊介绍： Jornal de Pediatria is a bimonthly publication of the Brazilian Society of Pediatrics (Sociedade Brasileira de Pediatria, SBP). It has been published without interruption since 1934. Jornal de Pediatria publishes original articles and review articles covering various areas in the field of pediatrics. By publishing relevant scientific contributions, Jornal de Pediatria aims at improving the standards of pediatrics and of the healthcare provided for children and adolescents in general, as well to foster debate about health.