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产后抑郁症的原因分析及预防对策

         

摘要

Objective To analyze the relative factors of maternal post-natal depression, to investigate the preventive measures. Methods Edinburgh Postnatal Depression Scale (EPDS) were used in 200 cases of pregnant women after postpartum 6 weeks.According to whether the depression were divided into the healthy group and the risk of depression, respectively, statistical health group and the depression group, family relationships, childbearing attitudes, knowledge labor, mode of delivery, neonatal Apgar scores and other indicators were analyzed. Results Compared with the depression group , the relationship between husband and wife, childbearing attitudes, knowledge labor, mode of delivery and neonatal Apgar score in the healthy group of puerpera χ2 value was 52.11,20.34,38.95,21.19 and 5.51, differences were statistically significant (all P<0.01), lactation and depression occurred no significant relationship was no significant difference (P>0.05). Conclusion Postpartum depression deserves attention, Ease family relations, to establish the correct concept of reproductive,Pregnancy and childbirth knowledge of the mission to strengthen prenatal and timely psychological counseling, timely intervention to reduce postpartum depression has a vital role.%  目的分析产妇在产后发生抑郁症的相关因素,探讨其预防对策.方法采用爱丁堡产后抑郁量表(EPDS)对就诊的200例孕妇进行产后6周的抑郁状况测评分析,根据有无抑郁症分别分为健康组和抑郁症,并分别统计健康组和抑郁组的家庭关系、生育观念、分娩知识、分娩方式、新生儿Apgar评分等指标情况,进行对比分析.结果健康组的产妇在夫妻关系、生育观念、分娩知识、分娩方式和新生儿Apgar评分等方面与抑郁组相比,χ2值分别为52.11、20.34、38.95、21.19和5.51,差异均有统计学意义(均P<0.01),产后泌乳情况与抑郁发生无明显关系,差异无统计学意义,P>0.05.结论产后抑郁值得重视,缓和家庭关系,树立正确的生育观念,加强产前的妊娠分娩知识的宣教和及时心理疏导,及时地干预对降低产后抑郁症的发生有着至关重要的作用.

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