The Study Of Prevalence And Social Influence Factors Of Postpartum Depression In Puerperae

Objective1、 To investigate the incidence rate of postpartum depression in puerperae and analyze thesocial influence factors on postpartum depression.2、 To give some advices on preventing and diagnosing postpartum depression of puerperae.Methods1、 Eligible study subjects were pregnant women who gave birth in the children’s hospital ofShanxi Province between1March2013and1August2013. A total of400pregnant womenwere eligible for the study and agreed to participate. The situation of social support wasmeasured by Social Support Rating Seale, and the Edinburg Postnatal Depression Seale wasused to assess the psychological states in a week after delivery. The puerpera of postpartumdepression was defined as the score of EPDS≥13.2、 The database was established on Epidata software. In univariate analyses, chi-square testswere used for categorical data and Student’s t-tests were used for continuous variables.Odds ratios (OR) and95%confidence interval (CI) were estimated using unconditionallogistical regression to investigate the influence factors of postpartum depression.Results1、 A total of389questionnaires were retrieved and94.34%were valid (367/389). In367puerperae,116puerperae had been defined as postpartum depression (31.61%).2、 In univariate analyses, age (p=0.040), habitat (p<0.001), educational degree of puerperae(p=0.001), educational degree of husband (p=0.001), single-child (p=0.011), conjugalrelationship during pregnancy (p=0.004), unplanned pregnancy (p=0.036), the aware ofhealth knowledge during pregnancy (p=0.042), depression during pregnancy (p=0.004), thetime of maternity leave (p<0.001), the impact on job (p=0.025), expectation for boy ofhusband (p=0.023), gender satisfaction of neonate of mother (p=0.012) and father (p=0.001)were significantly associated with postpartum depression.3、 After adjusting for important covariates, educational degree of puerperae (OR=0.740,95%CI:0.581~0.941),depression during pregnancy (OR=2.171,95%CI:1.144~4.120), thetime of maternity leave (OR=0.849,95%CI:0.728~0.991), the impact on job (OR=1.580,95%CI:1.062~2.353) and gender satisfaction of neonate of father (OR=0.375,95%CI:0.202~0.696) were significantly associated with postpartum depression. 4、 The score of social support and objective support of puerperae in postpartum depressiongroup were both lower than those in normal group (P<0.05).Conclusions1、 The incidence rate of postpartum depression was higher in the first week after delivery.2、 The risk factors of postpartum depression were depression during pregnancy and theimpact on job. The protective factors were high educational degree of puerperae, enoughtime of maternity leave and gender satisfaction of neonate of father.3、 The situation of objective support of puerperae in postpartum depression group was worsethan those in normal group. Lower social support was a risk factor of postpartum depression.Objective support is a significantly predictive index of postpartum depression.4、 It is critical to take active measures in high risk puerperae to reduce the rate of postpartumdepression.