Study On Postpartum Depression And Its Related Factors In Jinan Tertiary Maternal And Child Care Hospital

BackgroundIn recent years,the cases of maternal and child injuries caused by postpartum depression were reported from time to time,so the postpartum depression were get more concerns and attentions.Jinan Maternity And Child Care Hospital,as the only one three-level maternal and child health specialist hospitals in Jinan,its annual delivery occupies one third of the whole city,therefore,it becomes particularly urgent from the hospital point of view to give early intervention and prevention based on identifying postpartum depression as early as possible.ObjectivesThe study aimed to understand the postpartum depression and relative influencing factors among women in Jinan tertiary Maternal and Child Care Hospital and provide a reasonable basis for making further effective intervention measures to reduce the occurrence of postpartum depression.MethodsThe research subjects were pregnant women,who gave birth in Jinan Maternal and Child Care Hospital between July 2015 and August 2015,and were eligible for the study and agreed to participate.Face-to-face questionnaire was conducted in 3 to 5 days postpartum later.The questionnaire consists of two parts,one was self-designed to get a general situation information,which was used to obtain maternal social demographic characteristics,perinatal conditions,neonatal situation,family relations and etc.The second part is the scale,including Rosenberg's Self-Confidence Scale(RSES),Shaw's Social Support Rating Scale(SSRS),and the Edinburgh Postpartum Depression Scale(EPDS).The statistics were established on Epidata software and made the double entry.The data were analyzed by software of SPSS20.0.Descriptive analysis,t test,Chi-square test and logistic regression were used for statistical analysis.Results1.The prevalence of postpartum depression:the survey questionnaires response rate was 91.6%with 500 questionnaires issued and 458 effective questionnaires collected.Among the 458 mothers,with 133 postpartum depression patients,325 non-depressive patients,the postpartum depression was 29.0%in the scores of the Edinburgh Postpartum Depression Scale(EPDS)score of?13.2.Single factor analysis of the influential factors of postpartum depression:after statistical analysis of t test and Chi-square test,the results did not differ significantly between postpartum depression and non-depression group with respect to education level,vocation,family income,living style,whether the only child,whether conduct pregnant complication,whether there is a bad history of pregnancy,whether there is a pregnancy complication,whether going to the maternity school,whether made the midwife outpatient consultation,the number of pregnancies,the number of births,neonatal weight,neonatal gender,newborn sex and maternal preferences,whether breast feeding,whether hiring confinement caring women and other aspects(P>0.05).The age,work pressure,character,communicate ability,the relationship with her husband,the relationship with her parents in-laws,the degree to get help and care from her family,the number of people who could take care of the children,whether the newborn was premature,whether the newborn lived in NICU(neonatal intensive care unit),the health satisfaction degree for the baby,self-esteem,social support had the significant statistics difference(P<0.05).3.Multivariate analysis of influencing factors in postpartum depression:By multi-factor unconditional logistic regression analysis,the risk factors for postpartum depression were finally determined to be newborn into NICU,poor relationship with their parents in-laws,poor compatibility with their husband,low birth age,low self-esteem level,and premature birth.Among all these factors,the preterm women are 4.268 times more likely to suffer from postpartum depression than that of full-term(OR=4.628,95%CI:1.717?12.470).The risk of the women,with their newborns in NICU,is 2.118 times higher than that of normal women to suffer from postpartum depression(OR=2.118,95%CI:1.200-3.741).Compared with women over age 35,the risk with postpartum depression is separately 4.271 times(OR=4.271,95%CI:1.180?15.459)and 1.955 times(OR=1.955,95%CI:1.036?3.692)higher for the women age under 24 and among 25?29.The women who live well with their husbands or have better relations are 0.183 times(OR=0.183,95%CI:0.073?0.461)and 0.238 times(OR=0.238,95%CI:0.097?0.585),compared with those who have general or worse relationship with their husbands.The risk for women with self-normal and self-confidence is separately 11.641 times(OR=11.641,95%CI:2.111?64.199)and 4.999 times(OR=4.999,95%CI:1.110?22.521)higher than those of super self-confidence.Conclusions1.The prevalence of maternal postpartum depression in Jinan tertiary Maternal and Child Care Hospital was higher than the national average level.Health care workers should pay more attention to the postpartum mental health status of maternal and strengthen maternal care.2.The risk factors for postpartum depression were low maternal age,low level of self-esteem,poor relationship with the husband and parents in law,premature birth and neonatal into the NICU.