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| Analysis of the occurrence and the related factors of postpartum depression of pregnant women in Xi 'an area |
| Tangdu Hospital, The Second Affiliated Hospital of Air Force Military Medical University, Xi'an, Shaanxi Province, 710038 |
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Abstract To investigate the situation of postpartum depression (PPD) of pregnant women in Xi'an area in 2020, and to analyze the related influencing factors of their PPD, so as to guide the clinical prevention and treatment of PPD. Methods: Random sampling was used to select 680 pregnant women who gave birth in Xi'an area from January to June 2020. The clinical features and PPD incidence of these pregnant women were assessed by self-made psychological scale and Edinburgh postnatal depression scale (EPDS). Results: Among the 680 pregnant women, 86 (12.7%) women with PPD were in group A and 594 (87.4%) women without PPD were in group B. There were significant differences in the relation to family, the histories of anxiety and depression during pregnancy, the adverse pregnancy and birth, the parity, the feeding mode, the disease of newborn, and the sleep quality of the women between the two groups (P＜0.05). The history of adverse pregnancy and birth, the parity, the feeding mode for newborns, and the disease of newborn were the risk factors of PPD (all P＜0.05). The history of adverse pregnancy and birth, the primipara, the feeding mode without breast feeding, and the disease of newborns had all increased the relative risks of PPD (OR>1). Conclusion: The incidence of PPD in the 680 pregnant women is relatively low in China. The history of adverse pregnancy and birth, the parity, the feeding mode for newborns, and the disease of newborn are the risk factors of PPD occurrence, and these risk factors should be paid more attention to in clinic, the screening of which should be carried out in the pregnant women with high-risk during the early stages of pregnancy. The psychological and behavioral intervention should be carried out in the pregnant women with high risk of PPD timely, so as to reduce the incidence of PPD and to improve the maternal mental health.
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