Banasiewicz Jolanta, Zaręba Kornelia, Bińkowska Małgorzata, Rozenek Hanna, Wójtowicz Stanisław, Jakiel Grzegorz
Department of Medical Psychology and Medical Communication, Medical University of Warsaw, 00-575 Warsaw, Poland.
Department of Obstetrics and Gynecology, Center of Postgraduate Medical Education, 01-004 Warsaw, Poland.
J Clin Med. 2020 Sep 12;9(9):2952. doi: 10.3390/jcm9092952.
Postpartum mood disorders occur in a considerable number of women with the most common postpartum disorder being baby blues. The study aimed at the identification of the risk factors present before delivery, which may be comprised in prophylactic programs concerning postpartum mood disorders. The research material includes data retrieved from the medical record of patients delivering in Warsaw in the years 2010-2017 who routinely completed Edinburgh Postnatal Depression Scale (EPDS) after delivery. Data of 604 patients were analyzed. The study group included 75 women who obtained at least 12 points in EPDS, which constituted 12.4% of the whole group (mean = 14.92, SD = 3.05). The control group was made up of 75 women who obtained no more than 5 points in EPDS. A significant correlation was reported between the parity and their order vs. the risk of developing postpartum mood disorders. Women with an increased risk delivered at about 37 gestational weeks, while women in whom the risk of such disorders was low delivered at about 39 gestational weeks. No increased risk was noted in women with premature rupture of membranes. Primigravidas and women who delivered prematurely were the most predisposed to developing postpartum depression and should undergo screening tests in the perinatal period.
相当多的女性会出现产后情绪障碍,其中最常见的产后疾病是产后情绪低落。该研究旨在确定分娩前存在的风险因素,这些因素可能包含在产后情绪障碍的预防计划中。研究材料包括从2010年至2017年在华沙分娩的患者病历中检索到的数据,这些患者在产后常规完成爱丁堡产后抑郁量表(EPDS)。对604名患者的数据进行了分析。研究组包括75名在EPDS中至少获得12分的女性,占整个组的12.4%(平均值 = 14.92,标准差 = 3.05)。对照组由75名在EPDS中得分不超过5分的女性组成。研究报告称,产次及其顺序与产后情绪障碍的发生风险之间存在显著相关性。风险增加的女性在约37孕周分娩,而此类疾病风险较低的女性在约39孕周分娩。胎膜早破的女性未发现风险增加。初产妇和早产女性最易患产后抑郁症,应在围产期接受筛查测试。