Study of Postpartum Depression in High-Risk Pregnant Women and Intervention Countermeasures
Objective To investigate postpartum depression in high-risk pregnant women and the effectiveness of psy-chological interventions. Methods A total of 200 high-risk pregnant women aged 21-40 years were enrolled from January 2023 to January 2024 in the Obstetrics Department of the Fourth People's Hospital and the Ninth People's Hospital of Nanhai District in Foshan,and divided into an experimental group (100 cases) and a control group (100 cases) according to the random-ized numerical table method. Patients in the control group were treated with routine obstetric examination and follow-up,while those in the experimental group were treated with psychological interventions in addition to the basic program of the control group. The Edinburgh Postnatal Depression Scale (EPDS) was used to assess maternal depression in both groups in early and mid-preg-nancy,late pregnancy,3 days,and 42 days postpartum. Results A total of 200 qualified women were included in the study,and no significant differences were observed between the experimental (n=100) and control groups (n=100) for basic clinical data such as mean age,gestational weeks,weight,height,and rate of first births (P>0.05). The rate of spontaneous delivery was significantly higher in the experimental group than in the control group (P<0.05),and the total duration of labor and postpartum hemorrhage were significantly lower (P<0.05),whereas the average fetal weight and the rate of perineal circumcision were not significant-ly different between the two groups (P>0.05). There was no significant difference in EPDS scores in early and late pregnancy (P>0.05);however,at 3 and 42 days postpartum,the EPDS scores and adverse event rates of the experimental group were sig-nificantly lower than those of the control group (P<0.05). Conclusion Psychological interventions are effective for postpartum depression in high-risk pregnant women and are worth clinical promotion.
万方数据
维普
