首页|超重、肥胖孕妇围产期抑郁状况与新生儿出生体重的相关性分析

超重、肥胖孕妇围产期抑郁状况与新生儿出生体重的相关性分析

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[目的]探讨超重、肥胖孕妇围产期抑郁状况与新生儿出生体重的相关性.[方法]选取2019年10月至2022年1月本地妇幼保健机构收治的600例超重、肥胖孕妇作为本次研究对象,采用爱丁堡产后抑郁量表(edin-burgh postnatal depression scale,EPDS)评分评估孕妇孕后期的抑郁状况,根据评估结果将患者分为对照组(EPDS评分<13分,n=418)和观察组(EPDS评分≥13分,n=182).产妇入院分娩时和产后出院时发放一般情况调查表,收集两组孕妇和新生儿一般资料,分析新生儿出生体重的影响因素及超重、肥胖孕产妇围产期抑郁状况与新生儿出生体重的相关性.[结果]观察组新生儿出生体重大于对照组,孕妇EPDS评分高于对照组,差异有统计学意义(P<0.05),两组新生儿出生身长、头围比较,差异无统计学意义(P>0.05).新生儿出生体重与孕妇年龄、文化程度、家庭月收入、孕妇体重指数(BMI)、孕期增重情况、孕周及新生儿性别有关(P<0.05),喂养方式与新生儿出生体重无关(P>0.05).Pearson相关分析显示:超重、肥胖孕妇围产期抑郁状况和新生儿出生体重呈正相关(r=0.227,P<0.05).[结论]超重、肥胖孕妇围产期发生抑郁对新生儿出生体重有一定影响,其抑郁程度与新生儿出生体重呈正相关.因此,应及时对孕产妇围产期抑郁情况进行早期干预.
Correlation Analysis between Perinatal Depression and Newborn Birth Weight in Overweight and Obese Pregnant Women
[Objective]To explore the correlation between perinatal depression and newborn birth weight in overweight and obese pregnant women.[Methods]A total of 600 overweight and obese pregnant women admitted to Local maternal and child health care facility from October 2019 to January 2022 were selected as the study subjects.The Edinburgh Post-partum Depression Scale(EPDS)score was used to evaluate the depression status of pregnant women in the later stage of pregnancy.Based on the evaluation results,patients were divided into a control group(EPDS score<13 points,n=418)and an observation group(EPDS score≥13 points,n=182).General information questionnaires were distributed to preg-nant women and newborns at the time of admission,delivery,and discharge.General information was collected from both groups of pregnant women and newborns.The influencing factors of newborn birth weight and the correlation between peri-natal depression in overweight and obese pregnant women and newborn birth weight were analyzed.[Results]The birth weight of newborns in the observation group was greater than that in the control group,and the EPDS score of pregnant women was higher than that in the control group,with a statistically significant difference(P<0.05).There was no statis-tically significant difference in birth length and head circumference between the two groups of newborns(P>0.05).The birth weight of newborns was related to the age,educational level,monthly family income,BMI of pregnant women,weight gain during pregnancy,gestational age,and gender of newborns(P<0.05),while feeding methods were not relat-ed to the birth weight of newborns(P>0.05).Pearson correlation analysis showed that there was a positive correlation be-tween perinatal depression in overweight and obese pregnant women and newborn birth weight(r=0.227,P<0.05).[Conclusion]The occurrence of perinatal depression in overweight and obese pregnant women has a certain impact on new-born birth weight,and the degree of depression is positively correlated with newborn birth weight.Therefore,early inter-vention should be carried out for perinatal depression in pregnant and postpartum women in a timely manner.

Peripartum PeriodDepressionObesity,MaternalInfant,NewbornCorrelation of Data

孟宪莲、蒋丽娟

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荥阳市京城社区卫生服务中心,河南 荥阳 450100

围产期 抑郁 妊娠期肥胖 婴儿,新生 数据相关性

2024

医学临床研究
湖南省医学会

医学临床研究

影响因子:0.595
ISSN:1671-7171
年,卷(期):2024.41(6)
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