摘要
目的 分析妊娠中晚期孕妇抑郁状态,探讨其影响因素,为早期识别妊娠中晚期抑郁高危人群提供参考依据.方法 选择2022年1月-2023年9月于嘉兴市妇幼保健院产科常规产检的妊娠中晚期孕妇作为研究对象,运用一般资料调查表、爱丁堡抑郁量表(EPDS-10)进行调查分析,并采用logistic回归分析研究妊娠期抑郁状态的影响因素.结果 妊娠中期孕妇抑郁症发生率(14.93％,268/1 795)高于妊娠晚期(9.77％,55/563),差异有统计学意义(P＜0.05),妊娠中期与妊娠晚期比较,轻度抑郁及中重度抑郁构成比差异无统计学意义(P＞0.05);妊娠中期抑郁症孕妇年龄≥35岁、大专学历、有不良孕产史、未婚或离异、计划外妊娠比例高于非抑郁症的孕妇,差异均有统计学意义(P＜0.001),其中大专学历、有不良孕产史、未婚或离异、计划外妊娠均是妊娠中期孕妇抑郁的独立危险因素(P＜0.05),妊娠中期抑郁症与非抑郁症孕妇常住地、分娩史、家庭月收入差异均无统计学意义(P＞0.05);妊娠晚期抑郁症孕妇年龄≥35岁、大专学历、无分娩史、有不良孕产史、未婚或离异、计划外妊娠比例高于非抑郁症的孕妇,差异均有统计学意义(P＜0.05),有不良孕产史、计划外妊娠是妊娠晚期孕妇抑郁的独立危险因素(P＜0.05),妊娠晚期抑郁症与非抑郁症孕妇常住地、家庭月收入差异均无统计学意义(P＞0.05).结论 妊娠中期孕妇抑郁症发生率高于妊娠晚期,大专学历、有不良孕产史、未婚或离异及计划外妊娠会增加妊娠中晚期抑郁症发生风险.
Abstract
Objective To analyze the depressive state of pregnant women in the second and third trimesters of pregnancy and to explore the influencing factors.This will provide a reference for early identification of high-risk groups for depres-sion during these stages of pregnancy.Methods From January 2022 to September 2023,we selected pregnant women in the middle and third trimester of obstetric pregnancy who anderwent routine prenatal care at Jiaxing Maternal and Child Health Hospital as research subjects.We used a general data questionnaire and the Edinburgh depression scale(EPDS-10)to investigate and analyze the factors influencing depressive states during pregnancy using logistic regression.Results The second trimester had a higher incidence of depression(14.93％,268/1 795)compared to the third tri-mester(9.77％,55/563),the difference was statistically significant(P＜0.05).However,there was no statistically significant difference in the proportion of mild depression and moderate to severe depression between the second and third trimesters(P＞0.05).The proportion of pregnant women with depression in the second trimester who were aged 35 or ol-der,had a college education,had an adverse pregnancy history,were unmarried or divorced,or had an unplanned preg-nancy was significantly higher than that of non-depressed pregnant women(P＜0.001).College education,adverse preg-nancy history,unmarried or divorced status and unplanned pregnancy were identified as the independent risk factors for depression in the second trimester of pregnancy(P＜0.05).There was no statistically significant difference in the second trimester of depression between pregnant women with the regular residence,delivery history,and monthly family income and those who were not depressed(P＞0.05).The proportion of pregnant women with depression in the third trimester who were aged ≥ 35 or older had a college education,no history of childbirth,adverse pregnancy history,unmarried or divorced,or had an unplanned pregnancy was higher than that of non-depressed pregnant women,the differences were statistically significant(P＜0.05).In the third trimester,pregnant women with adverse pregnancy history and unplanned pregnancy were found to be at a higher risk of depression(P＜O.05).There was no significant difference in the regular residence and monthly family income of pregnant women with depression in the third trimester and those without depres-sion(P＞0.05).Conclusion Depression is more common in pregnant women during the second trimester than in the third.Risk factors for depression during the second trimester include having a college education,a history of adverse pregnancy,being unmarried or divorced,and having an unplanned pregnancy.
维普
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