摘要
目的调查分析产妇产后抑郁对婴儿喂养方式及婴儿体重的影响,探讨产妇产后情绪干预对策,提升母婴健康。方法选择2017年3月—2019年2月成都市第二人民医院分娩的80例符合纳入条件的孕妇为研究对象,采用爱丁堡产后抑郁量表(edinburgh postpartum depression scale,EPDS)于产后4周对产妇实施EPDS调查,EPDS评分≥13分产妇设为观察组(38例),EPDS评分<13分产妇设为对照组(42例),分别于产后4周、8周、12周、16周跟踪收集两组产妇泌乳情况(泌乳量、母乳喂养次数)、喂养方式、新生儿体重情况并进行比较。结果观察组产妇产后4周、8周、12周、16周泌乳量、母乳喂养次数均低于对照组(P<0.05);观察组产后8周、12周、16周纯母乳喂养率均低于对照组(P<0.05);观察组产后4周、8周、12周、16周婴儿体重增长重量均低于对照组(P<0.05)。结论产妇产后抑郁情绪降低产妇乳汁分泌量、喂养婴儿次数及纯母乳喂养率,降低婴儿体重增长速度,不利于婴儿健康成长,产前应加强孕妇情绪相关健康知识宣教,产后应加强产妇心理干预以降低产后抑郁症发生,提高母婴健康水平。
Objective To investigate and analyze the impact of maternal postpartum depression on infant feeding style and infant body weight so as to explore the strategies for maternal postpartum emotional intervention and improve maternal and infant health.Methods Eighty puerperae who had a delivery in the Second People’s Hospital of Chengdu City from March 2017 to February 2019 and were eligible for inclusion in this survey were selected as the research subjects.The puerperae were surveyed by using Edinburgh Postnatal Depression Scale(EPDS)at 4 weeks after delivery.Puerperae with EPDS score≥13 points served as the observation group(n=38),while ones with EPDS score<13 points as the control group(n=42).4,8,12 and 16 weeks after delivery,the state of maternal lactation(volume of lactation and frequency of breast-feeding),feeding patterns and neonatal body weight were separately followed up and compared between the two groups.Results The volume of lactation and frequency of breast-feeding at 4,8,12 and 16 weeks after childbirth were lower in the observation group than in the control group(both P<0.05).The pure breast-feeding rates at 8,12 and 16 weeks after childbirth were all lower in the observation group than in the control group(all P<0.05).Weight gain at 4,8,12 and 16 weeks after childbirth was lower in the observation group than in the control group(all P<0.05).Conclusions Maternal postpartum depression declines the volume of lactation,frequency of breast-feeding,exclusive breast-feeding rate and the growth rate of infant body weight,and is detrimental to the healthy growth of infants.It is necessary to enhance the publicity and education about maternal emotion-related knowledge before delivery and maternal psychological intervention after childbirth so as to reduce the occurrence of postpartum depression and improve the level of maternal and child health.
作者
赖立
王彩
陈德娟
LAI Li;WANG Cai;CHEN De-juan(The Second People’s Hospital of Chengdu City,Chengdu,Sichuan 610017,China)
出处
《实用预防医学》
CAS
2020年第7期842-845,共4页
Practical Preventive Medicine
关键词
产妇产后抑郁
爱丁堡产后抑郁量表
泌乳量
喂养方式
婴儿体重
maternal postpartum depression
Edinburgh Postpartum Depression Scale
volume of lactation
feeding pattern
infant body weight
