The Study Of Postpartum Depression In Shanghai

Objective To investigate the incidence of postpartum depression and its related obstetrical and psychosocial factors; to explore the maternal need of mental health-Methods The sampling methods were cluster sampling and simple sampling. From March 1,2009, the first 20 postpartum women visited by every 38 community health service center in 19 districts of Shanghai were summoned. The expected sample size was 760. The postpartum women enrolled were investigated by the maternal questionnaire (self-designed),the knowledge of postpartum depression test table (self-designed) and Edinburgh Postpartum Depression Scale (EPDS). The maternal questionnaire collected the basic information of postpartum women and related factors of postpartum depression. The knowledge of postpartum depression test table was made for the measurement of knowledge of postpartum depression. The EPDS is a 10-item self-report scale. Postpartum depression was defined as the score of EPDS≥13. The database was established using VFP6.0. All statistical analyses were done using the SPSS 11.5, including descriptive analyses,chi-square tes,T test,multiple factor logistic regression analyses.Results 1 A total of 760 questionnaires were issued. And at last 697 copies were returned with the response rate of 91.7%, and the valid copies were 673 with the availability of 96.6%. The 673 postpartum women were consist of 442 native women, accounting for 65.7%, and 231 migration women, accounting for 34.3%. The gravidity,parity,frequency of induced abortion of immigrating women were significantly higher than that of native women, and the age,degree of education,average family monthly income,frequency of antenatal care,cesarean rate of the native were significantly higher than that of the immigrating.2 If the sore of EPDS was continuous variable, the average score of 673 postpartum women was 7.54. And the average score of the migration was significantly higher than that of the native (T=-3.547, P=0.002). If the whole population was divided into postpartum depression group and non-postpartum depression group, the rate of postpartum depression was 10.9%. And the migration's rate of postpartum depression was 17.7%, which was significantly higher than that of the native (x2=16.087, P=0.000).3 There are 14 factors associated with postpartum depression significantly according to single-factor analysis. The factors are degree of education number of the family,average family monthly income,parity,number of health education,wanted pregnancy,personality tendency,worry about family economic,partner relationship and so on. And according to the multi-factor logistic analysis, the independent risk factors of postpartum depression were different between the native and the migration. For the native postpartum women, the independent risk factors of postpartum depression were unwanted pregnancy,introvert personality,bad partner relationship,lack of puerperal-sitter. For the migration postpartum women, the independent risk factors of postpartum depression were low family income,poor sleep,poor diet,worry about family economic.4 The knowledge of postpartum depression was poor in Shanghai postpartum population. And the awareness of native women was significantly higher than that of the migration. And the postpartum women's source of postpartum depression knowledge was mainly the general media, but they really hoped from medical staff to obtain the knowledge of postpartum depression.Conclusions The rate of postpartum depression was high in Shanghai, especially in the migration women. And the knowledge of postpartum depression was poor.