Burger J, Horwitz S M, Forsyth B W, Leventhal J M, Leaf P J
Department of Pediatrics, Yale University School of Medicine, New Haven, CT.
Pediatrics. 1993 Mar;91(3):566-71.
To determine whether mothers with complicated pregnancies are at increased risk of postpartum depression and whether their children are at increased risk of being perceived as vulnerable, the investigators conducted an interview survey of mothers of 1095 children aged 4 to 8 in a community-based sample of primary care pediatric practices. The offspring were viewed as vulnerable by 17% of the women with severe pregnancy complications and 9% of the women without pregnancy complications (relative risk = 1.88; 95% confidence interval = 1.11, 2.63). Women with a severe complication of pregnancy were significantly more likely to report postpartum depression than those without a complication (27% vs 11%; relative risk = 2.45; 95% confidence interval = 1.55, 3.01). These relationships persisted after adjustment for prematurity, neonatal hospitalization, and demographic factors. It is concluded that pregnancy complications may place a woman at increased risk of postpartum depression and may have important effects on a mother's long-term perceptions of her child's vulnerability to illness.
为了确定患有复杂妊娠的母亲产后抑郁风险是否增加，以及她们的孩子被视为易患病的风险是否增加，研究人员在一个以社区为基础的初级保健儿科诊所样本中，对1095名4至8岁儿童的母亲进行了访谈调查。17%患有严重妊娠并发症的女性和9%没有妊娠并发症的女性认为自己的孩子易患病（相对风险=1.88；95%置信区间=1.11，2.63）。患有严重妊娠并发症的女性比没有并发症的女性更有可能报告产后抑郁（27%对11%；相对风险=2.45；95%置信区间=1.55，3.01）。在对早产、新生儿住院和人口统计学因素进行调整后，这些关系依然存在。研究得出结论，妊娠并发症可能会增加女性产后抑郁的风险，并且可能对母亲对孩子易患病的长期认知产生重要影响。
