Abstract To understand the clinical characteristics of patients with puerperal mental disorders, and to analyze the etiological factors of puerperal mental disorders, so as to provide scientific evidence for the prevention and treatment of puerperal mental disorder. Methods: 1200 puerperal women were selected as the research objects by random sampling method, and were investigated by questionnaire. According to the evaluation results of puerperal mental disorders, these puerperal women were divided into women with puerperal mental disorders and women without puerperal mental disorders, the clinical characteristics of puerperal women were compared between the two groups. And the related etiological factors of puerperal mental disorders were analyzed. Results: 1156 parturients completed the questionnaires, 96 (8.3%) women of them were positive for puerperal mental disorder. The main clinical characteristics of puerperal mental disorders were the high incidence of young women in the first delivery, acute onset and diversification of symptoms, and so on. There were significant different in age, first delivery rate, economic conditions, the relationship with caregivers and mother-in-law, family expectation, husband's care, baby crying, worrying about baby's health, and puerperal guidance of parturients between the two groups (P<0.05). Logistic multivariate analysis showed that husband's care, baby crying, and puerperal guidance were the influencing factors of puerperal mental disorder (P<0.05). Conclusion: Puerperal mental disorder has the clinical characteristics of high incidence of young puerperal, acute onset, and diversification of symptoms. The husband's care, baby crying, and puerperal guidance are the influencing factors of puerperal mental disorder, so clinical and family preventive measures should be taken to reduce or eliminate the occurrence of puerperal mental disorder.
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