Mancini Felicia, Carlson Cristina, Albers Leah
University Midwifery Associates, Department of Obstetrics and Gynecology, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
J Midwifery Womens Health. 2007 Sep-Oct;52(5):429-34. doi: 10.1016/j.jmwh.2007.03.007.
Postpartum depression is a clinical depressive episode that occurs in 13% to 20% of women after birth or miscarriage. This illness has potentially devastating consequences for both mother and infant, and is thought to be highly underreported and under-diagnosed. Our study examined the use of the Postpartum Depression Screening Scale (PDSS) in a high-volume collaborative obstetric and midwifery practice. The prevalence of women with a positive screen for major postpartum depression in our study was 16%, which is consistent with other studies. An additional 20% of the participants had symptoms that indicated a potential postpartum depression. Obstetric clinicians were willing to use the PDSS, and 15 of 20 clinicians actively participated in the study. Women who had a positive screen at 6 weeks after birth were more likely to have not completed a high school education, be unpartnered, be exclusively bottle feeding, and have a history of depression. Two variables were statistically significant predictors of screening positively with the PDSS following logistic regression: history of depression (risk ratio, 4.8; 95% confidence interval, 4.4-5.2) and exclusive bottle feeding (risk ratio, 2.0; 95% confidence interval, 1.6-2.4).
产后抑郁症是一种临床抑郁发作，在产后或流产后的女性中发生率为13%至20%。这种疾病对母亲和婴儿都可能产生毁灭性后果，并且据认为其报告率和诊断率都极低。我们的研究在一个大规模的产科和助产协作实践中，对产后抑郁筛查量表（PDSS）的使用情况进行了调查。在我们的研究中，产后重度抑郁症筛查呈阳性的女性患病率为16%，这与其他研究结果一致。另外20%的参与者有表明可能患有产后抑郁症的症状。产科临床医生愿意使用PDSS，20名临床医生中有15名积极参与了研究。产后6周筛查呈阳性的女性更有可能未完成高中学业、没有伴侣、完全采用奶瓶喂养以及有抑郁症病史。经过逻辑回归分析，有两个变量是PDSS筛查呈阳性的统计学显著预测因素：抑郁症病史（风险比，4.8；95%置信区间，4.4 - 5.2）和完全奶瓶喂养（风险比，2.0；95%置信区间，1.6 - 2.4）。
