Gulamani Salima S, Premji Shahirose Sadrudin, Kanji Zeenatkhanu, Azam Syed Iqbal
School of Nursing and Midwifery, Aga Khan University, Karachi, Pakistan.
J Perinat Neonatal Nurs. 2013 Jan-Mar;27(1):52-9; quiz 60-1. doi: 10.1097/JPN.0b013e31827fcf24.
Postpartum depression (PPD) varies worldwide and is considered a serious issue because of its devastating effects on mothers, families, and infants or children. Preterm birth may be a risk factor for PPD. In 2005, the global incidence of preterm birth was estimated to be 9.6%, and of these births, 85% occurred in Africa and Asia. Among Asian countries, Pakistan has a preterm birth rate of 15.7% and the highest prevalence rate of PPD (63.3%). A literature review was therefore undertaken to better understand the potential contribution of preterm birth to PPD and to identify gaps in the scientific literature. Limited studies compare prevalence rates of PPD in mothers of full-term infants and mothers of preterm infants. Furthermore, meta-analyses examining predictors of PPD have not included preterm birth as a variable. The interrelationship between preterm birth and PPD may be explained by early parental stress and mother-infant interaction among mothers of preterm infants. Culture plays an important role in shaping communication between mothers and their infants and defines social support rituals that may or may not mediate PPD. More research is needed to provide evidence for practice.
产后抑郁症(PPD)在全球范围内存在差异,由于其对母亲、家庭以及婴儿或儿童具有毁灭性影响,因此被视为一个严重问题。早产可能是产后抑郁症的一个风险因素。2005年,全球早产发生率估计为9.6%,其中85%的早产发生在非洲和亚洲。在亚洲国家中,巴基斯坦的早产率为15.7%,产后抑郁症患病率最高(63.3%)。因此,进行了一项文献综述,以更好地了解早产对产后抑郁症的潜在影响,并找出科学文献中的空白。有限的研究比较了足月儿母亲和早产儿母亲的产后抑郁症患病率。此外,检验产后抑郁症预测因素的荟萃分析并未将早产作为一个变量纳入。早产与产后抑郁症之间的相互关系可能可以通过早产母亲早期的父母压力和母婴互动来解释。文化在塑造母亲与婴儿之间的沟通方面起着重要作用,并定义了可能会或可能不会调节产后抑郁症的社会支持模式。需要更多研究来为实践提供证据。