高危妊娠孕产妇抑郁情况及相关因素分析

摘要

目的：分析影响高危妊娠孕产妇抑郁情况及相关社会心理因素。方法选择200例孕32～36周孕产妇为研究对象。100名诊断为高危妊娠，为高危妊娠组，100名妊娠期无异常，为对照组。分别在入组时、产前1周、产后1周，产后42d采用抑郁自评量表评价孕产妇抑郁症状发生率，在产后1周和产后42d采用爱丁堡产后抑郁量表评价产妇产后抑郁发生率，并分析高危产妇产后抑郁的相关因素。结果产前1周高危妊娠组存在抑郁情绪发生率显著高于对照组（P＜0.01）。高危妊娠组产前1周SDS评分与产后42d的EPDS具有相关性，对照组产前1周SDS评分与产后1周EPDS评分具有相关性（P＜0.05）。待产准备、担心分娩安全为影响高危妊娠孕产妇抑郁的相关因素（P＜0.05）。结论产前1周高危妊娠组存在抑郁情绪发生率较高，待产准备、担心分娩安全为影响高危妊娠孕产妇抑郁的相关因素。%Objective To analyze high-risk pregnancy maternal depression and related factors. Methods 200 cases with 32 to 36 weeks gestational maternal were selected for studying. 100 cases were diagnosed high-risk pregnancy as high-risk pregnancy group, and 100 cases without exception as the control group. The incidences of maternal depressive symptoms were evaluated using the self-rating depression scale at enrolled in study, the prenatal one week, one week postpartum, and postpartum 42 days. The incidences of postpartum depression were evaluated using the Edinburgh Postnatal Depression Scale in one week postpartum and postnatal 42 days, and related factors of high-risk pregnancy maternal depression were analyzed. Results Depression of high-risk pregnancy group incidence at prenatal one week was significantly higher than control group(P<0.01). High-risk pregnancy group prenatal one week SDS scores were correlated with postpartum 42 days of EPDS, and control group prenatal one week SDS scores were correlated with one week postpartum of EPDS(P<0.05). Ready to be produced, fearing childbirth safety were related factors of maternal depression in high-risk pregnancy (P<0.05). Conclusion High risk pregnancy shows a the incidence of depression at prenatal one week, and ready to be produced, fearing childbirth safety were related factors.