孕期产前抑郁患病率及危险因素分析

doi:10.3969/j.issn.1006-5253.2019.02.005

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (841 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the prevalence and risk factors of prenatal depression among pregnant women in different stages of pregnancy.MethodsA total of 1,280 pregnant women who came to our obstetrics outpatient clinic during June 2016 to August 2017 was enrolled in this study. The general data of pregnant women were collected and the prenatal depression was analyzed by the Edinburgh Depression Scale (EPDS). The prevalence of depression in early pregnancy, second trimester and third trimester was analyzed, and the risk factors of prenatal depression in pregnant women were explored. Results Among 1 280 pregnant women, there were 417 cases (32.58%) with prenatal depression. There was no significant difference in the prevalence of prenatal depression between first trimester, second trimester and third trimester (P>0.05). Multivariate logistic regression analysis showed no work (OR=3.842,95% CI: 2.097～7.040), disharmonious spouse relationship (OR=4.242, 95% CI 1.561～11.526), abortion history(OR=3.629，95%CI：1.094～12.043). prenatal depression history (OR=6.573, 95% CI: 2.819～15.329), and gender role expectation (OR=2.171, 95% CI:1.080～4.361) were independent risk factors for prenatal depression in pregnant women (all P<0.05).Conclusion Pregnancy women have similar possibility of prenatal depression in different pregnancy stages. No work, disharmonious spouse relationship, abortion history, history of maternity depression, and expectation of fetus gender are all risk factors of prenatal depression in pregnant women, which should be taken precaution.

Key words： pregnancy prenatal depression incidence risk factor

Received: 03 January 2019

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Xu Lulu
	Li Yayan
	Zhao Xiaoling

Cite this article:

Xu Lulu,Li Yayan,Zhao Xiaoling. Prevalence and risk factors of prenatal depression among pregnant women in different stages of pregnancy[J]. journal1, 2019, 26(2): 95-97.

URL:

http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2019.02.005 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2019/V26/I2/95

［1］WOLFORD E, LAHTI M, TUOVINEN S, et al. Maternal depressive symptoms during and after pregnancy are associated with attentiondeficit/hyperactivity disorder symptoms in their 3-to 6-year-old children［J］. Plos One, 2017, 12(12):e0190248.

［2］MASELKO J, BATES L, BHALOTRA S, et al. Socioeconomic status indicators and common mental disorders: Evidence from a study of prenatal depression in Pakistan:［J］. SSM-Population Health, 2018（4）:1-9.

［3］刘方华,曹小彪,赵友聪.中、晚孕妇女产前抑郁影响因素的比较［J］.解放军预防医学杂志, 2014, 32(3):245-246.

［4］CHAGARLAMUDI H, KIM J, NEWTON E. Associations of Prepregnancy Morbid Obesity and Prenatal Depression with Gestational Weight Gain［J］. Southern Medical Journal, 2018，111(1):23-29.

［5］马晓燕,陈莹,游琴,等.孕晚期妇女抑郁状况调查及其影响因素［J］.昆明医科大学学报, 2016, 37(3):35-38.

［6］ERTEL KA, HUANG T, RIFAS-SHIMAN SL, et al. Perinatal weight and risk of prenatal and postpartum depressive symptoms［J］. Annals of Epidemiology, 2017, 27(11):695-700.

［7］ZHOU C, IBANEZ G, MIRAMONT V, et al. Prenatal maternal depression related to allergic rhinoconjunctivitis in the first 5 years of life in children of the EDEN mother-child cohort study:［J］. Allergy & Rhinology, 2017, 8(3):e132-e138.

［8］陈春蓉，吴艳乔，王玉琼．孕妇产前抑郁影响因素研究［J］．中国妇幼保健，2009（24）：3553-3554．

［9］JOHNSON KM, PALEY FM, MODEST AM, et al. An assessment of depression, psychosocial factors, and resilience among women seeking prenatal care at an urban community health center［J］. International Journal of Gynecology & Obstetrics, 2017, 47(4):621-634.

［10］LIU W, WANG H, XUE X , et al. OGTrelated mitochondrial motility is associated with sex differences and exercise effects in depression induced by prenatal exposure to glucocorticoids［J］. Journal of Affective Disorders, 2017, 226(7):203.

［11］张利卷,尹航,陈志红,等.孕妇产前抑郁社会心理因素及护理干预的研究进展［J］.解放军护理杂志, 2016, 33(19):30-34.

［12］LU Y, ZHANG J, ZHANG L, et al. Hippocampal Acetylation may Improve PrenatalStressInduced DepressionLike Behavior of Male Offspring Rats Through Regulating AMPARs Expression［J］. Neurochemical Research, 2017(5):1-9.

［13］陈HOWELL KH, MILLERGRAFF LE, SCHAEFER LM, et al. Relational resilience as a potential mediator between adverse childhood experiences and prenatal depression［J］. J Health Psychol, 2017(5):135910531772345.

［14］陈张柳,李玉红,步仰高,等.女性围产期抑郁动态观察及相关因素研究［J］.中国妇幼保健, 2015, 30(15):2393-2397.