Prevalence And Influential Factors Of Depression Symptoms Among Pregnant Women In Luan

Objectives:To describe the prevalence of depression symptoms among Chinese pregnant women during pregnancy, and predicting factors associated with depressive symptoms during pregnancy. And to Provide the theoretieal basis of Psychological interventions.Method:A total of 1010 pregnant women for antenatal care at a maternal and child health hospital's antenatal clinic, Jin'an District, Lu'an were recruited and surveyed by questionnaires. Edinburgh postnatal depressions scale (EPDS), State-Trait Anxiety Inventory (STAI)?Pregnancy-specific Anxiety Questionnaire (PAQ) and Pittsburgh Sleep Quality Index (PSQI) were applied to investigate the depressive symptoms, state anxiety, trait anxiety, pregnancy-specific anxiety and sleep quality among pregnant women. The Pearson chi-square tests and Logistic regression analyses were used to analyze the possible factors affecting depressive symptoms.Results:The prevalence of depression symptoms among pregnant women during pregnancy was 51.%. A regression analysis revealed that maternal age, maternal education, alcohol consumption, sleep quality, pregnancy-specific anxiety, state anxiety and trait anxiety were associated with depression symptoms during pregnancy. The significant protective predictors were?25 years old and>29 years old for maternal age (OR=0.70,95% CI:0.50-0.60 and OR=0.58,95% CI:0.36-0.94, respectively). Significant risk factors were maternal education (medium level, OR=1.42; 95% CI 1.09-1.94), alcohol consumption(OR=1.69; 95% CI 1.02-2.79), sleep quality (PSQI scores>7, OR=2.05; 95% CI 1.53-2.74), sleep apnea or dyspnea (OR=1.70; 95% CI 1.21-2.38), pregnancy-specific anxiety (OR=2.24; 95% CI 1.61-3.11), state anxiety (OR=4.49; 95% CI2.47-7.17) and trait anxiety (OR=6.57; 95% CI2.95-14.60).Conclusion:Depressive symptoms are common during pregnancy. Factors related to sleep quality and psychological health are among the most important co-determinants. We should take effective strategy for reducing the prevalence and impact of depression in pregnancy.