Study On Postpartum Depression Status And Its Influencing Factors Among Three Hospitals Childbirth Puerperae In Baotou City

Background:Postpartum depression which is happened in puerperium is a kind of abnormal psychological behavior. It’s clinical manifestations mainly is by the depression, cry, be agitated, irritability, and even suicidal as characteristics. The cause of postpartum depression is complex, genetic, biology, psychology, sociology, etc factors are mainly associated with Postpartum depression. In recent years, Along with the social economy and the rapid development of science and technology, people’s life pressure gradually increase, the incidence of postpartum depression is also rising, not only affects maternal health of body and mind, but also cause damage to the baby’s physical and mental development, spousal relationship, family function and social function. At present, the incidence of postpartum depression and its related factors have been reported, but the conclusions were not consistent, this gives postpartum depression preventive intervention brought great difficulties.Objectives:to investigate the incidence rate of postpartum depression among childbirth puerperae in hospital, and to explore the relationship between postpartum depression and social or psychological factors in Baotou city. By identifying how these factors had influenced postpartum depression, specific prevention programs aiming to the high-risk women would get developed. This study also provided some new evidence which would contribute to women’s mental health adjustment and the development of physical and mental health of newborns.Methods:The study was carried out in three hospitals selected by stratified sampling in Baotou city. Assessments of depression status were conducted according to the Edinburgh Postnatal Depression Scale (EPDS) and the Self-made Psychosocial Factor Questionnaire. During June2012to July2012,246puerperae in hospital were selected by cluster sampling from the three hospitals in Baotou. The research data were analyzed by SPSS for Windows13.0.Results:1. Prevalence of postpartum depression:Among the246puerpera, the incidence rate of postpartum depression in Baotou was37.4%.2. Results of influencing factors:There were no significant differences among puerperae who have different residence, education level, nationality, careers, incomes, sleep quality during pregnancy, mode of delivery or feeding pattern(P>0.05); However, some significant differences existed among puerperae of differnet age, different care-giver, different risk level of pregnancy, and whether the gender of the newborns were consistent with expectation (P<0.05); Result analyzed by logistic regression showed that women who aged over30, had postpartum care from husbands’mother, expected a boy or girl but the newborn did not belong to that gender group.Conclusions:1. The incidence rate of postpartum depression among the246hospital childbirth puerperae was37.4%.2. Discrepancy in residence, education level, nation, career, incomes, sleep quality during pregnancy, mode of delivery, feeding pattern don’t make difference on the prevalence of postpartum depression.3.According to the research, postpartum depression was likely to attack specific groups:including women who were over30years old, women who were taken care husbands’mother, women who had looked forward to having a baby of different gender.