产后抑郁症:分娩方式是一个危险因素吗?

ISRN obstetrics and gynecology Pub Date : 2012-01-01 Epub Date: 2012-12-13 DOI:10.5402/2012/616759
Asli Goker, Emre Yanikkerem, M Murat Demet, Serife Dikayak, Yasemin Yildirim, Faik M Koyuncu
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引用次数: 100

摘要

与产后抑郁有关的因素有很多。在这项研究中,我们旨在确定分娩方式对产后抑郁症风险的影响。共有318名申请分娩的妇女参与了这项研究。先前诊断的胎儿异常、早产、死产和需要重症监护病房的患者被排除在研究之外。患者住院期间的资料。产后6周随访时采用爱丁堡产后抑郁量表(EPDS)。年龄、文化程度、妊娠程度、是否想孕、怕生、性别、家庭类型、收入水平等因素比较EPDS评分差异无统计学意义(P > 0.05)。妊娠期有呕吐史、有抑郁史、家庭主妇的EPDS评分显著高于孕妇(P < 0.05)。自然阴道分娩、选择性剖宫产或紧急剖宫产对EPDS评分没有影响。综上所述,医疗保健提供者应意识到有呕吐和抑郁史的非工作妇女产后抑郁的风险,并对其应用EPDS进行产后抑郁的早期发现。
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Postpartum depression: is mode of delivery a risk factor?

There are various factors related to postpartum depression. In this study we have aimed to determine the effect of mode of delivery on the risk of postpartum depression. A total of 318 women who applied for delivery were included in the study. Previously diagnosed fetal anomalies, preterm deliveries, stillbirths, and patients with need of intensive care unit were excluded from the study. Data about the patients were obtained during hospital stay. During the postpartum sixth week visit Edinburgh postnatal depression scale (EPDS) was applied. There was no significant difference between EPDS scores when compared according to age, education, gravidity, wanting the pregnancy, fear about birth, gender, family type, and income level (P > 0.05). Those who had experienced emesis during their pregnancy, had a history of depression, and were housewives had significantly higher EPDS scores (P < 0.05). Delivering by spontaneous vaginal birth, elective Cesarean section, or emergency Cesarean section had no effect on EPDS scores. In conclusion healthcare providers should be aware of postpartum depression risk in nonworking women with a history of emesis and depression and apply the EPDS to them for early detection of postpartum depression.

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