与产后抑郁症相关的妊娠和分娩体验的相关因素。
Selected Factors of Experiencing Pregnancy and Birth in Association with Postpartum Depression.
机构信息
Department of Midwifery, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, 03601 Martin, Slovakia.
出版信息
Int J Environ Res Public Health. 2023 Feb 1;20(3):2624. doi: 10.3390/ijerph20032624.
BACKGROUND
The aim of the study is to analyse the risk of postpartum depression using dimensions of perceived support (information, emotional, and physical), antenatal education (satisfaction and attitude), and attitude toward pregnancy (wanted or unwanted).
METHODS
A cross-sectional study was carried out among 584 postpartum women in two university birth centres in Slovakia. The Edinburgh Postnatal Depression Scale (EPDS) score was used. Descriptive statistics and analysis of variance, as well as logistic regression, were employed in the study. Found associations were adjusted for education level, type of birth, psychiatric history, and age.
RESULTS
As many as 95.1% of women reported their pregnancy as being wanted. Antenatal education, particularly satisfaction with it, showed a negative association with the EPDS score level. No significant differences in depression levels were found considering attitude toward pregnancy and perceived support.
CONCLUSIONS
The study pointed out the significance of antenatal education to lower the risk of the postpartum depression. One of the important criteria of effective education is a woman's subjective satisfaction with it.
背景
本研究旨在通过感知支持（信息、情感和身体）、产前教育（满意度和态度）和对怀孕的态度（期望或不期望）的维度来分析产后抑郁的风险。
方法
在斯洛伐克的两个大学生育中心，对 584 名产后妇女进行了横断面研究。使用爱丁堡产后抑郁量表（EPDS）评分。本研究采用描述性统计和方差分析，以及逻辑回归。发现的关联在调整教育水平、分娩类型、精神病史和年龄后进行了调整。
结果
多达 95.1%的女性表示她们期望怀孕。产前教育，特别是对其的满意度，与 EPDS 评分呈负相关。考虑到对怀孕的态度和感知支持，抑郁水平没有显著差异。
结论
该研究指出了产前教育对降低产后抑郁风险的重要性。教育的一个重要标准是女性对其的主观满意度。
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