Wan Ellen Y, Moyer Cheryl A, Harlow Siobán D, Fan Zitian, Jie Yan, Yang Huixia
Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Int J Gynaecol Obstet. 2009 Mar;104(3):209-13. doi: 10.1016/j.ijgo.2008.10.016. Epub 2008 Nov 25.
To determine the relationship between the traditional Chinese practice of postpartum care, known as zuoyuezi, and postpartum depression (PPD) in China.
A total of 342 Chinese women were surveyed 6- to 8-weeks post partum using the Edinburgh Postnatal Depression Scale (EPDS) and items assessing sociodemographics, health history, peripartum experiences, zuoyuezi, and social support.
Prevalence of PPD was 15.5% (EPDS cutoff >or=13). PPD was associated with lower income, difficult pregnancy experience, poor infant health status, not attending childbirth classes, and low spousal involvement before and after delivery. Among the 96% of women who practiced zuoyuezi, those for whom the caregiver was her mother-in-law or who perceived zuoyuezi as unhelpful had twice the odds of PPD.
These data highlight the importance of the peripartum experience in assessing PPD risk. Zuoyuezi is still commonly practiced in urban China, and further research is needed to explore its role in the potential prevention of PPD.
确定中国传统的产后护理习俗“坐月子”与产后抑郁症（PPD）之间的关系。
使用爱丁堡产后抑郁量表（EPDS）以及评估社会人口统计学、健康史、围产期经历、坐月子和社会支持的项目，对342名中国女性在产后6至8周进行了调查。
产后抑郁症的患病率为15.5%（EPDS临界值≥13）。产后抑郁症与低收入、怀孕经历困难、婴儿健康状况差、未参加分娩课程以及分娩前后配偶参与度低有关。在96%遵循坐月子习俗的女性中，由婆婆照顾或认为坐月子没有帮助的女性患产后抑郁症的几率是其他人的两倍。
这些数据凸显了围产期经历在评估产后抑郁症风险中的重要性。在中国城市地区，坐月子仍然很普遍，需要进一步研究以探讨其在预防产后抑郁症方面的潜在作用。
