摘要
目的:探讨产前抑郁的危险因素及其妊娠结局。方法:回顾性分析2015年6月—2017年6月本院行产检后的孕妇临床资料349例,根据产前抑郁情况分为产前抑郁组(140例)和非抑郁组(209例)。比较两组临床资料及妊娠结局,使用logistics回归分析产前抑郁发生的危险因素。结果:抑郁组妊娠阶段、孕妇文化程度、家庭月收入、夫妻关系、婆媳关系、妊娠准备、产检次数和妊娠期疾病患病率与非抑郁组比较有差异(P<0.05);回归分析,妊娠阶段、文化程度、职业、夫妻关系、产检次数和妊娠期疾病均是影响产前抑郁的独立危险因素(P<0.05);抑郁组较非抑郁组剖宫产率高、第一产程时间长、产后出血量多、阿普加评分及出生体质量低(均P<0.05);两组早产率对比未见差异(P>0.05)。结论:产前抑郁受社会、生理及心理多因素影响,且对孕妇妊娠结局及新生儿结局均可能产生负面影响。
Objective:To explore the influence of prenatal depression on pregnancy outcomes and to study its risk factors.Methods:The clinical data of 349 pregnant women between June 2015 and June 2017 were retrospectively analyzed.According to their prenatal depression,140 women with prenatal depression were in group A,and 209women without prenatal depression was in group B.The general data and pregnancy outcomes of women were compared between the two groups,and logistic regression analysis was used to analyze risk factors for prenatal depression.Results:There were statistically significant differences in pregnancy stage,education level of pregnant women,family monthly income,relationship of husband and wife,relationship of women and their mother in law,situation of pregnancy preparation,number of prenatal examination,and prevalence of gestational diseased between the two groups (P < 0.05).The logistic regression analysis showed that pregnancy stage,education level,occupation,relationship of husband and wife,number of prenatal examination,and prevalence of gestational disease were all independent risk factors for prenatal depression (P <0.05).Compared to those of women in group B,the cesarean section rate of women in group A was significant higher,time of the first stage of labor was significant longer,the rate of postpartum hemorrhage was significant higher,the rate of Apgar score and neonatal birth weight was significant lower (P <0.05).There was no significant difference in the rate of premature birth between the two groups (P >0.05).Conclusion:Prenatal depression is affected by social,physical and psychological factors,which can negatively impact on the pregnancy outcomes.
作者
杨洋
YANG Yang(Anning Hospital of Hainan Province,Hainan Province,570100)
出处
《中国计划生育学杂志》
2019年第4期504-507,共4页
Chinese Journal of Family Planning
关键词
产前抑郁
危险因素
妊娠结局
Perinatal depression
Risk factors
Pregnancy outcomes
