新生儿重症监护病房婴儿母亲产后抑郁症：危险因素和管理策略。
Postpartum depression in mothers of infants in neonatal intensive care unit: risk factors and management strategies.
机构信息
Department of Pediatrics, Mercy Hospital and Medical Center, Chicago, Illinois.
Department of Health Systems Science, University of Illinois at Chicago, Chicago, Illinois.
出版信息
Am J Perinatol. 2014 May;31(5):425-34. doi: 10.1055/s-0033-1352482. Epub 2013 Aug 5.
OBJECTIVE
The aim of this study is to assess incidence, risk factors, and management strategies for Postpartum depression (PPD) in mothers of neonatal intensive care unit (NICU) infants.
STUDY DESIGN
A total of 131 mothers completed the study assessment tool (Edinburgh Postnatal Depression Scale with additional questions). Score of 10 or above was considered to indicate risk for PPD (subclinical depression). Risk factors were examined with particular emphasis on length of stay (LOS).
RESULTS
Approximately 19.1% of mothers experienced (subclinical) PPD. Depression during current and previous pregnancy, and problems with current delivery were strong predicting risk factors for PPD. As the LOS increased beyond 2 weeks, the odds of PPD risks initially increased, then leveled off, and then decreased after 31 days.
CONCLUSION
We recommend that the mothers of NICU infants be routinely screened for PPD and aggressively treated.
目的
本研究旨在评估新生儿重症监护病房（NICU）婴儿的母亲产后抑郁症（PPD）的发生率、风险因素和管理策略。
研究设计
共有 131 位母亲完成了研究评估工具（爱丁堡产后抑郁量表，附有额外问题）。评分 10 或以上被认为存在 PPD（亚临床抑郁）风险。特别强调了住院时间（LOS）的风险因素。
结果
约 19.1%的母亲经历了（亚临床）PPD。当前和以前妊娠期间的抑郁以及当前分娩的问题是 PPD 的强烈预测风险因素。随着 LOS 超过 2 周，PPD 风险的几率最初增加，然后趋于平稳，31 天后则下降。
结论
我们建议对 NICU 婴儿的母亲进行常规 PPD 筛查并积极治疗。
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