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| Correlation between the rumination thinking and the stigma of women with termination of pregnancy caused by the fetal anomaly and their depressive symptoms |
| 1.The Second Hospital of Shijiazhuang, Shijiazhuang, Hebei Province, 050000; 2.The Fourth Hospital of Shijiazhuang, Shijiazhuang; 3.Shijiazhuang People's Hospital, Shijiazhuang |
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Abstract To investigate the correlation between the rumination thinking and the stigma of women with the termination of pregnancy for fetal anomaly (TOPFA) and their depressive symptoms. Methods: 180 women with TOPFA from the second and the fourth hospital of Shijiazhuang and the Shijiazhuang people's hospital from January 2021 to December 2023 were selected as the research objects. The general data of these women were collected. Chinese edinburgh postnatal depression scale (C-EPDS) was used to evaluate the level of the postpartum depression of the women, Chinese event related rumination inventory (C-ERRI) was used to evaluate maternal rumination thinking of the women, and the individual level abortion stigma scale (ILASS) was used to evaluate the maternal stigma. The correlation between the rumination thinking and the stigma of the women and their postpartum depression was analyzed by Pearson correlation analysis. The influencing factors of the postpartum depression of the women with TOPFA were analyzed by multiple linear regression. Results: 171 valid questionnaires were collected, and with the qualified rate of 95.0%. The C-EPDS score of 171 women with TOPFA was 10.84±1.92 points, and the incidence of the postpartum depression of these 171 women was 46.2% (79/171). The total scores of C-ERRI and ILASS of the women were 25.38±3.22 points and 34.30±4.05 points. Univariate analysis showed that the education level, the place of residence, the history of adverse pregnancy and delivery, the gestational age of induction of labor of the women with TOPFA were related to their postpartum depression. Pearson correlation analysis showed that the ruminant thinking and the stigma of the women with TOPFA were positively correlated with their postpartum depression. Multiple linear regression analysis showed that the high level of education, the more gestational weeks at induced labor, the high total score of C-ERRI and the high total score of ILASS of the women with TOPFA were the influence factors of their postpartum depression (all P<0.05). Conclusion: The postpartum depression level of the women with TOPFA is higher, and which is positive correlation with their ruminant thinking and disease stigma, so it should be paid attention to in clinic and the targeted intervention should be implemented to reduce the risk of the postpartum depression of the women.
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