McCoy Sarah J Breese, Beal J Martin, Shipman Stacia B Miller, Payton Mark E, Watson Gary H
Department of Obstetrics and Gynecology, Oklahoma State University College of Osteopathic Medicine, Tulsa 74107-1898, USA.
J Am Osteopath Assoc. 2006 Apr;106(4):193-8.
To describe possible correlations between incidence of postpartum depression and the following patient characteristics: age, breastfeeding status, tobacco use, marital status, history of depression, and method of delivery.
Data gathered at routine 4-week postnatal visits were obtained from the patient records of 209 women who gave birth between June 1, 2001, and June 1, 2003, at three university medical clinics in Tulsa, Okla. Inclusion criteria required that the records of potential study subjects contain data on the characteristics noted as well as patient-completed Edinburgh Postnatal Depression Scale forms.
Formula feeding in place of breastfeeding, a history of depression, and cigarette smoking were all significant risk factors for an Edinburgh Postnatal Depression Scale score of 13 or higher, indicating probable postpartum depression.
The authors' findings corroborate the results of previous investigators. To facilitate prophylactic patient education and intervention strategies, a larger study is recommended to determine risk factors for postpartum depression.
描述产后抑郁症发病率与以下患者特征之间可能存在的相关性：年龄、母乳喂养状况、吸烟情况、婚姻状况、抑郁病史及分娩方式。
收集了2001年6月1日至2003年6月1日在俄克拉何马州塔尔萨市的三家大学医学诊所分娩的209名女性患者记录中的产后4周常规访视数据。纳入标准要求潜在研究对象的记录包含上述特征数据以及患者填写的爱丁堡产后抑郁量表表格。
用配方奶喂养代替母乳喂养、有抑郁病史以及吸烟都是爱丁堡产后抑郁量表得分达到或高于13分（表明可能患有产后抑郁症）的显著危险因素。
作者的研究结果证实了先前研究者的结果。为了促进预防性患者教育和干预策略，建议开展更大规模的研究以确定产后抑郁症的危险因素。
