The Investigation Of Antenatal Depression Status And Social Support Status Of Pregnant Women Undergoing Prenatal Diagnosis Procedures

During pregnancy,due to various physiological,pathological factors and social role changes,pregnant women are prone to interpersonal sensitivity,anxiety and depression,which lead to psychological problems.At present,major studies on antenatal depression are mostly focused on pregnant women who received general prenatal examination,and there are few studies on depression status and social support status of high-risk pregnant women undergoing prenatal diagnosis procedures.Objective:To investigate the antenatal depression and social support status of pregnant women undergoing invasive prenatal diagnosis procedures.Methods:High-risk pregnant women（high-risk group）undergoing invasive prenatal diagnosis in Nanfang hospital and normal pregnant women（normal group）receiving prenatal examination were included.Informed consent was signed.The researcher got the basic information of pregnant women before surgery,and the preoperative depression status of the high risk pregnant women was evaluated by Edinburgh postpartum depression scale（EPDS）and assessed again after surgery.Their social support status was assessed by social support scale（SSRS）.We used questionnaires to get the normal group women’ general information,depression status and social support status.SPSS22.0 was used for statistical analysis.We analyzed basic conditions by descriptive statistics.Comparison of preoperative and postoperative EPDS scores for depression involved paired t-test and Wilcoxon test.Single-factor analysis involved χ2 test,multi-factor analysis involved binary logistic regression,and correlation factor analysis involved stepwise regression analysis.Results:1)From October 2016 to May 2017,a total of 280 pregnant women who underwent invasive prenatal diagnosis were included,and the incidence of preoperative antenatal depression was about 22.9%.The incidence of postoperative antenatal depression was 15.0%.Preoperative and postoperative depression rate were statistically different.Further Logistic regression analysis indicated that there was a correlation between family income and depression,which was statistically significant.2)A total of 297 high-risk pregnant women were included from February 2018 to October 2018,among which the incidence of antenatal depression was about 26.3%.The incidence of antenatal depression in general pregnant women was 16.0%.The depression status of high-risk pregnant women and normal pregnant women were statistically different.There were statistical differences in total social support scores,subjective support scores and utilization of support between the two groups,while there were no statistical differences in objective support scores.Both in high-risk pregnant women group and normal pregnant women group,social support status was positively correlated with age and economic income,while negatively correlated with depression status.Among pregnant women undergoing prenatal diagnosis procedures,social support status was also correlated with education level,whether the first fetus,smoking and drinking history.Among the normal pregnant women,the social support status was related to whether they expected the sex of the fetus,whether they were the only child,previous disease history,family disease history,whether the first fetus,and unplanned pregnancy.Conclusion:The depression status of high-risk pregnant women was more serious than normal pregnant women,and the incidence of depression of pregnant women undergoing prenatal diagnosis procedures before surgery was higher than that after surgery.There was a difference in social support status between the two group,and the social support status of pregnant women undergoing prenatal diagnosis procedures was lower than that of normal pregnant women.The better the social support,the less likely the pregnant women were to be depressed.