Kim Hae Won, Jung Yeon Yi
Department of Nursing, College of Medicine, Kwandong University, Gangreung, Korea.
J Korean Acad Nurs. 2012 Aug;42(4):477-85. doi: 10.4040/jkan.2012.42.4.477.
This study was done to evaluate the effects of antenatal depression on birth outcomes.
The participants were 255 pregnant women who were followed in a prospective study. Of these, 197 cases were examined included birth weight, Apgar scores at 5 minute, premature contraction, complication of labor, delivery types and laboratory data. Descriptive statistics, ANOVA, Chi square test of linear by linear association, Kruskal Wallis test, Relative Risk, univariate and adjusted multiple logistic regression were used for data analysis with SPSS/Win.
Level of antenatal depression was associated with low birth weight (χ²=7.69, p=.010). High risk pregnancy was a predictor of low birth weight (OR=6.98 [1.21-40.30]) and baby's weight (OR=2.12, [1.05-4.28]). Prepregnancy body mass index (BMI) was a predictor of complications in labor (OR=3.59, [1.03-12.48]). But there were no significant effects of antenatal depression on other birth outcomes.
The results of this study indicate that women with antenatal depression, high risk pregnancy, prepregnancy BMI≥23 kg/M² should be monitored and managed to ensure favorable birth outcomes.
本研究旨在评估产前抑郁对分娩结局的影响。
研究对象为255名参与前瞻性研究的孕妇。其中197例接受了检查，包括出生体重、5分钟阿氏评分、宫缩、分娩并发症、分娩方式及实验室数据。采用描述性统计、方差分析、线性关联的卡方检验、Kruskal Wallis检验、相对危险度、单因素及校正多因素逻辑回归，使用SPSS/Win软件进行数据分析。
产前抑郁程度与低出生体重相关（χ² = = 7.69，p = 0.010）。高危妊娠是低出生体重（比值比= 6.98 [1.21 - 40.30]）和婴儿体重（比值比= 2.12，[1.05 - 4.28]）的一个预测因素。孕前体重指数（BMI）是分娩并发症的一个预测因素（比值比= 3.59，[1.03 - 12.48]）。但产前抑郁对其他分娩结局无显著影响。
本研究结果表明，应对产前抑郁、高危妊娠、孕前BMI≥23 kg/M²的女性进行监测和管理，以确保良好的分娩结局。
