年轻怀孕和产后忧郁发生率

Yuliasti Eka Purnamaningrum, Yuni Kusmiyati, Herlina Tri Nugraheni, Waryana
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引用次数: 9

摘要

印度尼西亚产后忧郁的发病率在50-70%之间。年轻怀孕成为母亲和孩子经历产后忧郁造成的生理和心理影响的主要风险触发因素。本研究的目的是阐述产后忧郁与年轻怀孕之间的关系。本研究采用横断面设计,研究对象为90名产后抑郁6-14天的受访者。此外,本研究使用爱丁堡产后抑郁量表(EPDS)和产后抑郁预测量表(PDPI)中的标准社会支持问卷的数据。数据分析使用逻辑回归。结果:早孕与产后忧郁发生率相关,p值为0.042 (PR: 4.0, 95% CI: 1,0-15,2);相关外部变量引产与产后忧郁发生率相关,p值为0.004 (PR: 5.1;95% CI: 1,6-15,7),劳动类型p = 0,003 (PR: 5,1;(95%可信区间为1.7- 15,3)。需要对怀孕年龄较小的孕妇采取干预措施,并增加卫生工作者,特别是助产士在提供产后和婴儿护理咨询方面的参与。通过这些干预措施,预计产后忧郁可以尽早发现并得到妥善管理。
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Young age pregnancy and postpartum blues incidences
The rate of postpartum blues incidence in Indonesia is between 50-70%. Young age pregnancy becomes a major risk trigger for mothers and children to experience physical and psychological impact resulting from postpartum blues. The aim of this research is to elaborate the correlation between postpartum blues and young age pregnancy.  This research uses cross-sectional design, and the subjects are  90 respondents who experience 6-14 days postpartum blues. In addition, this research use data with Edinburgh Postnatal Depression Scale (EPDS), and standard social support questionnaire from the Postpartum Depression Predictors Inventory (PDPI). Data analysis uses logistic regression. Result: young age pregnancy is associated with postpartum blues incidences with p-value 0.042 (PR: 4.0, 95% CI: 1,0-15,2) and the related external variable is labor induction with p-value 0.004 (PR: 5.1; 95% CI: 1,6-15,7) and type of labor p 0,003 (PR: 5,1; 95% CI 1.7-15, 3). Interventions are needed for pregnant mothers with young age pregnancy andincreasing the participation of health workers, especially midwives in providing postpartum counseling on postpartum and infant care. With these intervention, it is expected that postpartum blues can be detected as early as possible and well-managed.
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