| Prenatal depression is a common type of mental disorder during puerperium,which is often seen in the late trimester of primipara.It is mainly manifested as persistent low mood and a series of symptoms during puerperium,such as reduced motivation,insomnia,pessimism,etc.,which can harm the health of pregnant women,fetuses and even the whole family.The incidence of prenatal depression is as high as 10% 38%[1].Its pathogenesis is not yet fully understood.How to predict and diagnose antenatal depression early,and then reduce the occurrence of maternal and infant adverse outcomes through early intervention,has been the focus of obstetricians.If effective PPD related indicators can be screened out,high-risk groups with PPD can be identified in advance without increasing the economic burden of pregnancy and delivery examination,and early effective intervention can be carried out.Rational allocation of medical resources is of great value in reducing adverse pregnancy outcomes caused by PPD.Furthermore,it provides ideas for studying the mechanism of PPD.MethodsThe study subjects were on regular maternity examination and admitted to the Affiliated Maternal and Child Health Hospital of Anhui Medical University from March1,2019 to September 30,2019,And they were screened according to the selection criteria and exclusion criteria,After informing them of the purpose and significance of the study,the EPDS scale of data collection and self-test of the general situation questionnaire is signed（the general situation questionnaire is designed and prepared by the research team staff themselves,And according to adjust and perfect the pre-experiment results,Including age,education level,working status,marriage status,smoking and drinking alcohol,income status,pregnancy,birth status,etc.）.The EPDS scale was evaluated by the research team after the instructor,and recorded with Epidata software together with the general questionnaire.Cases were collected for summary analysis after collection.The influencing factors with significant association with EPDS score were selected by one-way chi-square test,and the multivariate logistics regression model was included as independent risk factors and protective factors.Results1.Comparison results of general dataIn this study,850 questionnaires were issued,and 850 questionnaires were recovered,including 828 valid questionnaires and 22 invalid and damaged questionnaires,and the effective response rate was 97.41%.In the present study,98 of the 828 third-trimester pregnant women had prenatal depression,with an incidence of 11.83%.The minimum maternal age was 19 years,48 years,and a mean age of 28.10 ± 3.69 years2.Univariate analysis1)Analysis of the social factors of prenatal depression in pregnant womenThrough a chi-square test of social correlation factors in the non-depressed group,the results showed a statistical difference in work status and personal income（P <0.05）,but no differences in education,only child,participation in maternal school and planned pregnancy（P> 0.05）.2)Analysis of the psychological factors of prenatal depression in pregnant womenThrough chi-square test of psychological related factors in the depressed and non-depressed groups,the results showed that the distribution of fetal sex expectation,major events during pregnancy and abortion（P <0.05）in the history of pregnancy preservation（P> 0.05）.3)Analysis of the physiological factors of prenatal depression in pregnant womenA chi-square test of physiological related factors in the non-depressed group showed a statistical difference in assisted reproductive distribution,multivitamin administration and BMI values（P <0.05）,and no significant difference in pregnancy vomiting,smoking,alcohol consumption and age（P> 0.05）.3.Multivariate Logistic regression analysisUnivariate analysis of fetal sex expectations,major events during pregnancy,take multivitamin,BMI too high or too low,continue to work,abortions 1 test P value are less than 0.05,a significant level,its indicators into the multivariate logistics regression model,fetal sex expectations,major events during pregnancy,abortion history,BMI OR are more than 1,and multivitamin and working status OR value less than 1.ConclusionsThis study included 828 cases of pregnant women in late pregnancy,98 prenatal depression,the incidence of 11.83%,the statistical analysis concluded that fetal sex expectations,major events during pregnancy,abortion 1,BMI or low are independent risk factors for prenatal depression,taking multivitamins and continue to work as protective factors.Medical staff should strengthen pre-pregnancy and pregnancy education,reduce fetal sex expectations,reasonable weight control,appropriate work and exercise,appropriately take multivitamins,strengthen prenatal depression screening,actively carry out psychological counseling and health education,and reduce the occurrence of prenatal depression. |
PDF Full Text Request