The Influencing Factors Of Postpartum Depression In A Hospital In Tianjin

Objective:The incidence of depression in women is higher than that of men,women who need to produce are more likely to suffer from depression。The postpartum depression mainly manifested in sadness、always inexplicable weeping、irritable、anxious、guilty feeling、sleep disorder、weariness and helplessness、feeling hopeless、inability to support。The attention of postpartum family is more in the newborns,most women emotional changes are not often found,that cause the emergence of many tragedies。There are many factors effecting the occurrence of postpartum depression,most of the mainstream analysis is due to the social psychological factors of puerperal period and the significant changes in postpartum hormone levels。The present study analysis the various status of prenatal and postpartum women,explore the main factors affecting the occurrence of postpartum depression at the present stage。In order to intervene the puerpera with high risk as early as possible,preventing and reducing the occurrence of the postpartum depression。 Methods:From January 2015 to October 2016,pregnant and parturient women produced in a class two grade hospital were the object of the study,random sampling the pregnant and parturient women conforming to research standard,A total of 550 women participating in the study。The survey of antenatal survey was made for pregnant women。They will take postnatal survey scale and Edinburgh postnatal depression scale1 month after postpartum。Results were statistically analyzed by spss22.0 software.Mainly using the descriptive analysis,Chi –square test,non-conditional Logistic regression analysis of multiple factors 。 Results:(1)A total of 550 questionnaires were issued,and 525 valid questionnaires were obtained.The effective rate of the questionnaires was 95%。(2)At the end of the study,there were 77 cases of Edinburgh depression scale with a score greater than or equal to 13,The incidence of postpartum depression is14.7%。In the depression group,the highest score is 19 points,the lowest score is13 points,the average score is 15.64±3.16.The highest score of the non depression group is 12 points,the lowest score is 8.23±0.32。(3)Through single factor analysiss,among the prenatal factors listed in this study,the level of maternal and maternal culture,personal monthly income,Anxiety,depression,primiparas,gestational diabetes,past history of fetal arrest or abortion have effects on the occurrence of postpartum depression.(P<0.05)。(4)Through single factor analysiss,among the postpartum factors listed in this study,Whether the sex of the newborns conform to the expectations,the degree of satisfaction in postpartum spouses participate in the newborn,the main caregivers of postpartum women and the way of childbirth have effects on the occurrence of postpartum depression(P<0.05)。(5)Results of multiple factor logisitic regression analysis is Advanced maternal age,pregnancy is accompanied by anxiety and depression,gestational diabetes,gender of newborns are not consistent with expectations,postpartum spouses are involved in poor neonatal satisfaction are more prone to postpartum depression。High monthly income in parturients,Primipara and normal childbirth is less than that of high incidence of postpartum depression。Conclusion:(1)The incidence of postmiddle-class depression in this study was 14.7%,,postpartum depression is influenced by various external factors.。(2)Pregnancy with anxiety and depression、postpartum spouses are involved in the poor care of newborns have significant impact on postpartum depression。(3)Cesarean section,advanced age,non primiparas,gestational diabetes and low personal income are risk factors of postpartum depression.。(4)The sex of the newborn is not consistent with the expectation.is a risk factor of postpartum depression.。(5)Postpartum depression has adverse effects on mothers,newborns and families.It needs attention from medical staff and the public。...