|
|
|
| Influence of the subjective social adaptation and objective social support of pregnant women during the second trimester of pregnancy on their perinatal depression |
| Jiaxing Maternal and Child Health Care Hospital, Zhejiang Province, 314000 |
|
|
|
|
Abstract To evaluate the influence of the social adaptability and the social support level evaluated by COX proportional hazard regression model of pregnant women during the second trimester of pregnancy on their perinatal depression. Methods: A total of 266 pregnant women who underwent prenatal examination in the hospital during the second trimester of pregnancy from March to June 2023 were selected in this study. The demographic characteristics, the maternal status, the emotional state, the social adaptability and the social support level of the women were collected as the independent variables. These pregnant women were followed up to 12 weeks after delivery, and these women were divided into group A (41 cases with perinatal depression) and group B (225 cases without perinatal depression) according to whether the perinatal depression of the women occurred or not during the follow-up period. Kaplan-Meier survival analysis was used to evaluate the effects of the social adaptation or the social support level of the women during the second trimester of pregnancy on their perinatal depression under the single factor conditions. The COX proportional risk regression model was used to evaluate the influencing factors of the perinatal depression of the women. Results: There were significant differences in the planned pregnancy, the Edinburgh postnatal depression scale (EPDS) score, the 7-item generalized anxiety disorder scale (GAD-7) score, the social disability screening scale (SDSS) score and the social support rating scale (SSRS) score of the women between the two groups (all P<0.05). Kaplan-Meier survival analysis showed that the remained "perinatal non-depression" time (33.72±0.70 gestational weeks) of the pregnant women with low social adaptation ability during the follow-up period was significantly shorter than that (36.30±0.36 gestational weeks) of the pregnant women with high social adaptation ability. The remained "perinatal non-depression" time (37.00±0.33 gestational weeks) of the pregnant women with the high social support level during the follow-up period was significantly longer than that (34.57±0.57 gestational weeks) of the pregnant women with the low social support level. COX proportional hazards regression analysis showed that the scores of SDSS and SSRS of the women had impacts on their perinatal depression under multivariate conditions, with the RR of 1.393 (95%CI 1.111-1.745) and 0.840 (95%CI 0.777-0.907). Conclusion: The subjective social adaptability and the objective social support level of the pregnant women during the second trimester of pregnancy have impacts on their perinatal depression, and which suggest that the early identification and intervention should be targeted to the focus pregnant women.
|
|
|
|
|
|
|
|
|
