分娩方式与产后抑郁症之间的关联:沙特阿拉伯的一项跨部门研究
Yousra Alturki1, Samia Badea1, Orjwan Kasmi1
1College of Medicine, Umm Al-Qura University, Makkah, SAU.
Cureus
|November 15, 2023
概括
紧急剖腹产与更高的产后抑郁症 (PPD) 评分有关,尽管整体分娩方式没有显著的PPD相关性. 慢性疾病也会增加女性的PPD风险.
科学领域:
- 产科和妇科 产科和妇科
- 围产期心理健康 围产期心理健康
- 流行病学 流行病学
背景情况:
- 产后抑郁症 (PPD) 是影响母亲福祉的一个重大问题.
- 了解与PPD相关的因素,包括传递方式,对于及时干预至关重要.
- 之前的研究已经在交付方法和PPD之间的联系产生了各种各样的发现.
研究的目的:
- 调查分娩方式与女性产后抑郁症 (PPD) 之间的关联.
- 探索PPD的其他潜在风险因素,如慢性疾病和产后结合.
主要方法:
- 这是一项涉及沙特阿拉伯西部173名妇女的横截面研究 (2022年4月至9月).
- 使用爱丁堡产后抑郁量表 (EPDS) 评估产后抑郁症 (PPD).
- 统计分析包括描述性统计和5%的显著程度的假设测试.
主要成果:
- 59.5%的受访者报告说,抑郁症的患病率很高.
- 与选择性剖腹产或自然分娩相比,紧急剖腹产与明显更高的EPDS分数相关 (p = 0.036).
- 较高的抑郁症得分与所有产后结合问卷 (PBQ) 分量表呈正相关,慢性疾病与较高的PPD患病率有关 (p = 0.016).
结论:
- 虽然没有发现分娩方式和PPD之间的总体相关性,但紧急剖腹产可能会导致PPD.
- 慢性疾病和教育水平被确定为影响PPD风险的重要因素.
- 调查结果强调,需要为经历紧急剖腹产的妇女和患有慢性健康状况的妇女提供有针对性的支持.
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