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产后抑郁症:分娩方式是一个风险因素吗?

Postpartum depression: is mode of delivery a risk factor?

作者信息

Goker Asli, Yanikkerem Emre, Demet M Murat, Dikayak Serife, Yildirim Yasemin, Koyuncu Faik M

机构信息

Department of Obstetrics and Gynecology, University of Celal Bayar, 45030 Manisa, Turkey.

出版信息

ISRN Obstet Gynecol. 2012;2012:616759. doi: 10.5402/2012/616759. Epub 2012 Dec 13.

Abstract

There are various factors related to postpartum depression. In this study we have aimed to determine the effect of mode of delivery on the risk of postpartum depression. A total of 318 women who applied for delivery were included in the study. Previously diagnosed fetal anomalies, preterm deliveries, stillbirths, and patients with need of intensive care unit were excluded from the study. Data about the patients were obtained during hospital stay. During the postpartum sixth week visit Edinburgh postnatal depression scale (EPDS) was applied. There was no significant difference between EPDS scores when compared according to age, education, gravidity, wanting the pregnancy, fear about birth, gender, family type, and income level (P > 0.05). Those who had experienced emesis during their pregnancy, had a history of depression, and were housewives had significantly higher EPDS scores (P < 0.05). Delivering by spontaneous vaginal birth, elective Cesarean section, or emergency Cesarean section had no effect on EPDS scores. In conclusion healthcare providers should be aware of postpartum depression risk in nonworking women with a history of emesis and depression and apply the EPDS to them for early detection of postpartum depression.

摘要

有多种与产后抑郁相关的因素。在本研究中,我们旨在确定分娩方式对产后抑郁风险的影响。共有318名申请分娩的女性纳入本研究。先前诊断出胎儿异常、早产、死产以及需要重症监护病房治疗的患者被排除在研究之外。患者的数据是在住院期间收集的。在产后第六周访视时应用爱丁堡产后抑郁量表(EPDS)。根据年龄、教育程度、妊娠次数、是否想要此次妊娠、对分娩的恐惧、胎儿性别、家庭类型和收入水平进行比较时,EPDS评分之间无显著差异(P>0.05)。孕期有呕吐经历、有抑郁病史以及家庭主妇的EPDS评分显著更高(P<0.05)。自然阴道分娩、择期剖宫产或急诊剖宫产对EPDS评分没有影响。总之,医疗保健提供者应意识到有呕吐和抑郁病史的非在职女性存在产后抑郁风险,并对她们应用EPDS以早期发现产后抑郁。

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