The Impact of Family Care on First-Time and Second-Time Pregnant Women in Late Pregnancy
Objective:To understand the current situation and factors affecting prenatal depression among first-time and second-time pregnant women in late pregnancy and to explore the correlation between depressive mood and the degree of family care.Methods:A total of 1,184 pregnant women in late pregnancy(932 with a first child and 252 with a second child)were selected as study subjects from January to December 2021 at the obstetrics clinic of a maternal and child health hospital in a certain city.The General Information Questionnaire,Family APGAR Index,and Edinburgh Postnatal Depression Scale were used for investigation.Results:The prevalence of prenatal depression among pregnant women with one child and two children was 25.5%and 23.0%,respectively,with no statistically significant difference(OR=1.217,95%CI[0.836,1.772]).The prenatal depres-sion scores of pregnant women with either a first or second child were negatively correlated with the total score and various di-mensions of family care.A bachelor's degree and family cooperation were identified as protective factors against depression in pregnant women with a first child,while being employed as a cadre served as a protective factor for those with a second child.Poor living conditions were a risk factor for depression in pregnant women with a first child,and an average relation-ship with in-laws was a risk factor for depression in those with a second child.Conclusion:Prenatal depression in late preg-nancy is prevalent,with differing risk factors affecting depression among first-time and second-time pregnant women.To pro-mote the mental health of pregnant women,healthcare workers should implement targeted preventive measures.
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