van der Zee-van den Berg A I, Reijneveld S I A, Boere-Boonekamp M M
Universiteit Twente, Technical Medical Centre, afd. Health Technology and Services Research, Enschede.
Contact: A. I. van der Zee-van den Berg (
Ned Tijdschr Geneeskd. 2021 Mar 11;165:D5359.
To describe the care which women with postpartum depression (PPD) in the Netherlands use for their complaints, and the impact of PPD on their general use of care for themselves and for their child, and on their participation in work.
The data came from the control group of a prospective comparative study on the effectiveness of screening for PPD within the setting of Youth Health Care.
We obtained data by means of two online questionnaires. Three weeks postpartum, we examined the background characteristics of the mother. Twelve months postpartum, we inquired about depression since birth, care use for depressive symptoms, general care use since birth for both mother and child, and participation in work up to 12 months postpartum. To test differences, we used chi-square and student t-tests.
Of the 1049 participating women, 99 (9.4%) indicated that they had experienced depression in the year since giving birth. Of the 99 'women with PPD', 71.0% made at least some use of care aimed at their PPD complaints. Of these women with PPD, 31.3% were diagnosed with depression, and 37.7% were actually treated. Mothers with PPD used considerably more care for themselves and their child than mothers without PPD. Absenteeism from work was significantly higher among women with PPD.
The limited number of women with PPDreceiving care by and the social costs entailed by PPD justify investment in routine screening and customized care pathways for these women.
描述荷兰产后抑郁症（PPD）女性针对自身症状所采用的护理方式，以及PPD对她们自身及孩子的常规护理利用情况及其工作参与度的影响。
数据来自青少年保健机构中一项关于PPD筛查有效性的前瞻性对照研究的对照组。
我们通过两份在线问卷获取数据。产后三周，我们调查了母亲的背景特征。产后十二个月，我们询问了自分娩以来的抑郁情况、针对抑郁症状的护理利用情况、自分娩以来母亲和孩子的常规护理利用情况，以及产后12个月内的工作参与情况。为检验差异，我们使用了卡方检验和学生t检验。
在1049名参与研究的女性中，99名（9.4%）表示在分娩后的一年中经历过抑郁。在这99名“患有PPD的女性”中，71.0%至少针对其PPD症状使用过一些护理。在这些患有PPD的女性中，31.3%被诊断为抑郁症，37.7%实际接受了治疗。患有PPD的母亲比没有PPD的母亲对自己和孩子使用的护理要多得多。患有PPD的女性旷工率明显更高。
接受护理的PPD女性数量有限，且PPD带来的社会成本表明，有必要对这些女性进行常规筛查并制定个性化护理路径。
