中国广州高龄产妇产后抑郁的发生率及相关风险因素。
Incidence and risk factors associated with postpartum depression among women of advanced maternal age from Guangzhou, China.
机构信息
Department of Rehabilitation, Nanhai Hospital, Southern Medical University, Foshan, China.
出版信息
Perspect Psychiatr Care. 2020 Apr;56(2):316-320. doi: 10.1111/ppc.12430. Epub 2019 Jul 31.
PURPOSE
To investigate whether advanced maternal age (AMA) increases the risk of postpartum depression (PPD) at 6 weeks after birth and to explore the risk factors.
DESIGN AND METHODS
A cross-sectional study was conducted at 6 weeks postpartum. The Edinburgh Postnatal Depression Scale and a self-designed questionnaire were administered to participants. Multivariate logistic regression was used to determine risk factors.
FINDINGS
The prevalence of PPD in women of AMA was 18.0%. Poor relationships with mothers-in-law, female fetus, inconsistency between expected sex and actual sex and primiparae were identified as risk factors.
PRACTICE IMPLICATIONS
Mothers of AMA require specialized care and support to alleviate their concerns.
目的
探讨高龄产妇（AMA）是否会增加产后 6 周产后抑郁症（PPD）的风险，并探讨其危险因素。
方法
本研究采用横断面研究方法，在产后 6 周时对参与者进行爱丁堡产后抑郁量表（Edinburgh Postnatal Depression Scale）和自行设计的问卷评估。采用多因素 logistic 回归分析确定危险因素。
结果
AMA 产妇的 PPD 患病率为 18.0%。与婆婆关系差、胎儿为女性、期望性别与实际性别不一致以及初产妇被确定为危险因素。
实践意义
AMA 产妇需要专门的护理和支持，以减轻她们的担忧。
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