Frequency And Associated Social And Psychological Factors For Postpartum Depression Symptomatology In Mongolian Women

Objective: Evaluate postpartum depression related risk factors in Mongolian women to offer theory support for early intervention of partu- rients, reduce the onset of postpartum depression and provide valuable reference frame for follow-up study of nationality and region related to postpartum depression in future.Methods: Mongolian pregnant women in hospital was selected strictly accordance with the standard screening of inclusion and exclusion from March 2008 to December 2008. Carried out general questionnaire survey and HAMD-17 to primipara who match conditions. Conduct HAMD-17 by professionals 1 week prenatal and performed DSM-IV clinical examination to the patients who's HAMD-17≥7 by alienists trained DSM–IV 1 week prenatal. On the premise of excluding serious physical disease, brain organic disease, substance depilatory, drug allergy and mental disorder, give diagnosis of postpartum depression to whom show depressive mani- festtation, then we get 1100 pregnant who meet the requirements. Conduct EPQ and EPDS-10 by professionals 2~3 weeks post partum.And EPDS-10 point out depression and meet the DSM–IV diagnostic criteria. Selected 58 parturients at random from postpartum depression group and 62 parturients from non-postpartum depression group. Carry out control study of postpartum depression related risk factors to physical data questionnaire, EPQ and the condition of gynecology and obstetrics.Results: The physical data, age of menarche, standard of culture, occupation, menstrual cycle, health status when gestation and tocolysis or not this time had no difference between postpartum depression group and non-postpartum depression group(p>0.05); Four EPQ personality factors N (neuroticism), E (both inside and outside the dump) and P (psychoticism) and L (to cover up sexual) are different in scores between the postpartum depression group and non-postpartum depression group. And the difference is statistically significant(p<0.05). Comparing with non-postpartum depre- ssion, the postpartum depression has the personality characteristics with a high score in the N and P factors, but a low score in the E and L factors. The social status, economic status, housing conditions, relationship between mother and daughter-in-law and conjugal relation had no difference between two groups(p> 0.05); Relationship with parents, sleep deprivation and history of depression were statistically significant between two groups(p<0.05); The score of EPQ and the score of N factor, E factor, P factor, L factor were statistically significant between two groups(p< 0.05); The results of multifactor Logistic regression analysis influenced depression showed that relationship with parents and history of depression were the main society and natural factors affect depression of Mongolian primipara.Conclusion: The incidence of Mongolian women postpartum depre- ssion is 8%. Relationship with parents, sleep deprivation and history of depression are influencing factor of postpartum depression, Primipara who have bad relationship with parents or have a history of depression are facility to depression. The individual character of primipara have signify- cant impact in the onset of postpartum depression.