产前抑郁症状与产前护理利用率和里程碑之间的关联:一个回顾性队列研究
Minyoung Jang1, Malini Ramaiyer1, Sarah Olson2
1Department of Obstetrics and Gynecology, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, MD, USA.
BMC pregnancy and childbirth
|April 4, 2025
概括
患有早期抑郁症症状的孕妇在社会上是脆弱的,可能会错过关键的第三季度产前护理里程碑. 综合心理健康服务对于弥合怀孕期间治疗差距至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 围产期心理健康问题
- 公共卫生 公共卫生
背景情况:
- 产前抑郁症状越来越被认为是怀孕期间的一个重大问题.
- 了解这些症状对产前护理利用的影响对于改善母亲的结果至关重要.
研究的目的:
- 评估产前抑郁症状与产前护理利用之间的关系.
- 评估孕妇完成产前护理里程碑,包括例行查和疫苗接种,在孕妇中经历抑郁症状.
主要方法:
- 一项追溯的队列研究,对718名怀孕者进行了早期怀孕查,使用爱丁堡产后抑郁症量表 (EPDS).
- 对抑郁症查阳性与阴性的个体之间的基线特征的比较.
- 使用多变量后勤回归来确定完成第三个月的产前护理里程碑的几率.
主要成果:
- 11.8%的个人对抑郁症状进行了查,呈现出更大的社会脆弱性 (年轻,没有伴侣,公共保险,吸毒史或精神病诊断).
- 在总产前护理访问中没有显著差异,但在具有积极抑郁症状的人群中,完成葡萄糖耐受性测试和B组 estreptococcus测试的几率较低.
- 不到一半的受访者在怀孕期间完成了心理健康咨询.
结论:
- 早期抑郁症状查结果呈阳性的孕妇代表了一个易受伤害的群体,面临不完整的第三季度产前护理风险.
- 综合心理健康查和干预措施对于解决治疗差距和改善这一群体的护理完成至关重要.
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