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妊娠期抑郁症的风险因素、后果、治疗及重要性。

The risk factors, consequences, treatment, and importance of gestational depression.

作者信息

Akkaş Yılmaz Elif, Gülümser Çağrı

机构信息

Sami Ulus Women and Children's Diseases Training and Research Hospital, Clinic of Obstetrics and Gynecology, Ankara, Turkey.

Başkent University Faculty of Medicine, Department of Obstetrics and Gynecology, Ankara, Turkey.

出版信息

Turk J Obstet Gynecol. 2015 Jun;12(2):102-113. doi: 10.4274/tjod.42744. Epub 2015 Jun 15.

Abstract

Nowadays, mental problems have become an important health issue, the most frequent of which in pregnancy is depression. Gestational depression is known to increase gestational complications and negatively affect maternal and fetal health. The frequency of gestational depression and depressive symptoms are 10-30%. Risk factors vary according to genetic, psychologic, environmental, social, and biologic factors. Maternal morbidity and mortality rates increase in pregnant women who do not receive treatment, obstetric complications and negative fetal consequences are seen, and the incidence of postpartum depression increases. Due to all these important consequences, healthcare providers who manage pregnant women should be informed about the frequency, symptoms, and screening methods of postpartum depression, the significance of the consequences of undiagnosed and untreated depression on the health of mother and baby, and the importance of early diagnosis. Pregnant women who are at risk should be screened and detected, and directed to related centers. In this review, we briefly review the definition of gestational depression, its frequency, risk factors, complications, screening, treatments, and the procedures that need to be performed the diagnostic process.

摘要

如今,心理问题已成为一个重要的健康问题,其中孕期最常见的是抑郁症。众所周知,妊娠期抑郁症会增加妊娠并发症,并对母婴健康产生负面影响。妊娠期抑郁症及抑郁症状的发生率为10%-30%。风险因素因遗传、心理、环境、社会和生物学因素而异。未接受治疗的孕妇的孕产妇发病率和死亡率会增加,会出现产科并发症和不良胎儿后果,产后抑郁症的发生率也会增加。由于所有这些重要后果,管理孕妇的医疗保健人员应了解产后抑郁症的发生率、症状和筛查方法,未诊断和未治疗的抑郁症对母婴健康造成后果的重要性,以及早期诊断的重要性。应筛查和检测有风险的孕妇,并将其转至相关中心。在本综述中,我们简要回顾妊娠期抑郁症的定义、发生率、风险因素、并发症、筛查、治疗以及诊断过程中需要执行的程序。

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本文引用的文献

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Electroconvulsive therapy during pregnancy: a systematic review of case studies.孕期电休克治疗:病例研究的系统评价
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