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约旦女性分娩期经历与产后抑郁风险之间的关系:一项横断面研究。

The Relationship between the Intrapartum Experience and the Risk of Postpartum Depression among Jordanian Women: A Cross-Sectional Study.

作者信息

Fraihat Ayah, Abdelfattah Lina, Hajeer Leen, Noaman Deema, Alfaleh Aya, Thekrallah Fida

机构信息

School of Medicine, The University of Jordan, Amman 11942, Jordan.

Department of Obstetrics and Gynecology, School of Medicine, The University of Jordan, Amman 11942, Jordan.

出版信息

J Mother Child. 2024 Dec 15;28(1):102-112. doi: 10.34763/jmotherandchild.20242801.d-24-00036. eCollection 2024 Feb 1.

Abstract

BACKGROUND

This study seeks to investigate the relationship between birth experience and risk of developing postpartum depression among Jordanian women. Furthermore, it aims to explore the prevalence and risk factors of postpartum depression and raise awareness of it among Jordanians.

MATERIAL AND METHODS

This study was carried out on 214 postpartum Jordanian women at Jordan University Hospital (JUH). A questionnaire was handed to participants which touched on demographics, intrapartum experience, along with the Edinburgh Postnatal Depression Scale (EPDS), and the psychosocial factors affecting them.

RESULTS

Among the 214 respondents, 184 women (86%) had postpartum depression according to EPDS, those with high scores and statistically significant p-values include individuals diagnosed with depression (15.89, p = 0.163), those who had previous consultations with a mental health specialist (16.61, p = 0.037), individuals under 18 (18.75, p = 0.028), those who underwent vaginal delivery (15.12, p = 0.008), underwent episiotomy (15.92, p = 0.023), lacked support from the medical team (13.21, p < 0.001), expressed dissatisfaction with childbirth care (17.03, p < 0.001), experienced body image issues during pregnancy (15.74, p = 0.008) and after birth (16.11, p = 0.001), felt anxiety about motherhood (15.88, p < 0.001), reported insufficient emotional support during pregnancy (17.49, p < 0.001), and after childbirth (17.00, p < 0.001).

CONCLUSION

A significant proportion of Jordanian women are at an increased risk of developing postpartum depression. A maternal age under 18, normal vaginal delivery including episiotomy, and lack of support among others were identified as risk factors for postpartum depression (PPD).

摘要

背景

本研究旨在调查约旦女性的分娩经历与产后抑郁症发病风险之间的关系。此外,其目的还在于探究产后抑郁症的患病率及风险因素,并提高约旦人对该疾病的认识。

材料与方法

本研究在约旦大学医院对214名约旦产后女性开展。向参与者发放了一份问卷,内容涉及人口统计学信息、分娩期经历,以及爱丁堡产后抑郁量表(EPDS),还有影响她们的心理社会因素。

结果

在214名受访者中,根据EPDS,有184名女性(86%)患有产后抑郁症,得分较高且具有统计学显著p值的人群包括被诊断为抑郁症的个体(15.89,p = 0.163)、曾咨询过心理健康专家的人(16.61,p = 0.037)、18岁以下的个体(18.75,p = 0.028)、经阴道分娩的人(15.12,p = 0.008)、接受会阴切开术的人(15.92,p = 0.023)、缺乏医疗团队支持的人(13.21,p < 0.001)、对分娩护理表示不满的人(17.03,p < 0.001)、孕期(15.74,p = 0.008)和产后(16.11,p = 0.001)出现身体形象问题的人、对为人母感到焦虑的人(15.88,p < 0.001)、报告孕期(17.49,p < 0.001)和产后(17.00,p < 0.001)情感支持不足的人。

结论

很大一部分约旦女性患产后抑郁症的风险增加。18岁以下的产妇年龄、包括会阴切开术在内的正常阴道分娩以及缺乏支持等因素被确定为产后抑郁症(PPD)的风险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fdd/11658576/198a8707f580/j_jmotherandchild.20242801.d-24-00036_fig_001.jpg

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