中国高剖宫产率队列中剖宫产术与产后抑郁症的关系。
Cesarean section and postpartum depression in a cohort of Chinese women with a high cesarean delivery rate.
机构信息
OMNI Research Group, Department of Obstetrics & Gynecology, University of Ottawa, Faculty of Medicine, Ottawa, Canada.
出版信息
J Womens Health (Larchmt). 2011 Dec;20(12):1881-6. doi: 10.1089/jwh.2011.2842. Epub 2011 Aug 30.
BACKGROUND
Whether or not cesarean delivery is associated with increased risk of postpartum depression (PPD) remains unclear.
METHODS
We carried out a prospective cohort study between February and September 2007 in Hunan Maternal and Infant Hospital and the First Affiliated and Third Affiliated Hospitals of the Central South University in Changsha, Hunan, People's Republic of China. The Chinese version of the Edinburgh Postnatal Depression Scale (EPDS) was used at 2 weeks postpartum to assess PPD, with a score of ≥13 as the cutoff for PPD.
RESULTS
A total of 534 women were included in the final analysis, with 415 (77.7%) delivering by cesarean section (the majority of them with no medical indication). The rate of PPD was 21.7% in women who had a cesarean delivery and 10.9% in women who delivered vaginally. The increased risk of PPD in women who had cesarean sections was maintained after we adjusted for potential confounding factors or considered cesarean delivery by social indications.
CONCLUSIONS
Cesarean section is associated with increased risk of PPD in Chinese women with a high cesarean delivery rate.
背景
剖宫产是否与产后抑郁症（PPD）风险增加有关仍不清楚。
方法
我们于 2007 年 2 月至 9 月在中国湖南省妇幼保健院和中南大学湘雅一、三附属医院进行了一项前瞻性队列研究。使用中文版爱丁堡产后抑郁量表（EPDS）在产后 2 周评估 PPD，以得分≥13 为 PPD 的截断值。
结果
共有 534 名妇女纳入最终分析，其中 415 名（77.7%）行剖宫产（其中大多数无医学指征）。剖宫产妇女的 PPD 发生率为 21.7%，阴道分娩妇女的 PPD 发生率为 10.9%。在调整了潜在混杂因素后，或考虑社会指征行剖宫产时，剖宫产妇女发生 PPD 的风险仍然增加。
结论
在中国剖宫产率较高的妇女中，剖宫产与 PPD 风险增加有关。
Zotero 插件