Youn HyunChul, Lee Suji, Han Sung Won, Kim Log Young, Lee Tae-Seon, Oh Min-Jeong, Jeong Hyun-Ghang, Cho Geum Joon
Department of Psychiatry, Korea University Guro Hospital, Korea University College of Medicine, Seoul, South Korea.
Department of Biomedical Sciences, Korea University Graduate School, Seoul, South Korea.
J Psychosom Res. 2017 Nov;102:15-20. doi: 10.1016/j.jpsychores.2017.09.003. Epub 2017 Sep 4.
Postpartum depression is related to many adverse effects in both mothers and their children; therefore, proper screening and early interventions are needed. This study aims to identify the risk factors of postpartum depression. Our primary focus is on obstetric risk factors.
This study is a cross-sectional study which we extracted the data of women who gave birth between January 1st, 2010 and December 31st, 2012 from the Health Insurance Review and Assessment service (HIRA) database. We analyzed the data using multivariable logistic regression models.
A total of 17,483 (1.4%) women suffered from depression during the postpartum period. Younger (<20years) and advanced maternal age (≥35years), primiparity, previous depression, peripartum hysterectomy, uterine artery embolization, preterm delivery, placental abruption, cesarean delivery, induced labor, and preeclampsia were found to increase the likelihood of having depression after delivery.
Our findings suggest that there are several risk factors that lead women to postpartum depression. Therefore, early detection and well-management of the symptoms and risk factors for postpartum depression along with social support can help both physical and psychological conditions of women after childbirth.
产后抑郁与母亲及其子女的许多不良影响相关；因此，需要进行适当的筛查和早期干预。本研究旨在确定产后抑郁的风险因素。我们主要关注产科风险因素。
本研究为横断面研究，我们从健康保险审查与评估服务（HIRA）数据库中提取了2010年1月1日至2012年12月31日期间分娩的女性的数据。我们使用多变量逻辑回归模型分析数据。
共有17483名（1.4%）女性在产后期间患有抑郁症。发现年龄较小（<20岁）和高龄产妇（≥35岁）、初产、既往有抑郁症、围产期子宫切除术、子宫动脉栓塞、早产、胎盘早剥、剖宫产、引产和先兆子痫会增加产后患抑郁症的可能性。
我们的研究结果表明，有几个风险因素会导致女性产后抑郁。因此，早期发现并妥善管理产后抑郁的症状和风险因素以及社会支持有助于改善女性产后的身体和心理状况。
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