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产后抑郁的危险因素:一项回顾性调查

Risk factors for postpartum depression: a retrospective investigation.

作者信息

McCoy Sarah J Breese, Beal J Martin, Saunders Barbara, Hill Erin N, Payton Mark E, Watson Gary H

机构信息

Department of Obstetrics and Gynecology, Oklahoma State University Center for Health Sciences and College of Osteopathic Medicine and Surgery, Tulsa 74107-1898, USA.

出版信息

J Reprod Med. 2008 Mar;53(3):166-70.

Abstract

OBJECTIVE

To search for a possible correlation between incidence of postpartum depression (PPD) and any of the following factors recorded in patient charts at the routine, 4-week postnatal visit: age, breast-feeding status, smoker/nonsmoker, marital status, preexisting depression and type of delivery.

STUDY DESIGN

Data were obtained from 588 obstetric charts for women who gave birth between June 1, 2003, and June 1, 2004, at 3 university clinics in Tulsa, Oklahoma.

RESULTS

Prior history of depression and smoking cigarettes were significant risk factors for an Edinburgh Postnatal Depression Scale score of 13 or higher, indicating probable PPD.

CONCLUSION

Our data and previous findings warrant continued investigation in a larger study to clearly delineate these and other possible risk factors for PPD and to facilitate prophylactic patient education and intervention strategies.

摘要

目的

探寻产后抑郁症(PPD)发病率与患者病历中在产后4周常规访视时记录的以下任何因素之间的可能关联:年龄、母乳喂养状况、吸烟者/非吸烟者、婚姻状况、既往抑郁症史及分娩方式。

研究设计

数据取自2003年6月1日至2004年6月1日期间在俄克拉荷马州塔尔萨市3家大学诊所分娩的588名女性的产科病历。

结果

既往抑郁症史和吸烟是爱丁堡产后抑郁量表评分达到或高于13分(表明可能患有PPD)的显著风险因素。

结论

我们的数据和先前的研究结果值得在一项更大规模的研究中继续进行调查,以明确界定这些及其他可能的PPD风险因素,并促进预防性患者教育和干预策略。

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