Psychological status and influential factors of postpartum depression in primiparae after cesarean section / 中国基层医药

ABSTRACT

Objective:To investigate the psychological status and the influential factors of postpartum depression in primiparae subjected to cesarean section and provide evidence for the prevention and treatment of postpartum depression in primiparae.Methods:A total of 288 primiparae underwent a psychological status survey in Hangzhou Seventh People's Hospital from January 2016 to January 2020 and were included in this study. We evaluated their psychological status using the Self-rating Depression Scale (SDS) and the Edinburgh Postnatal Depression Scale (EPDS). The factors that affect postpartum depression were analyzed.Results:The incidence of depression post-cesarean section was 25.00% in primiparae. The scores of SDS and EPDS were (61.23 ± 7.83) points and (12.47 ± 3.14) points in primiparae with a depressive status, which were significantly higher than those in primiparae without a depressive status [(41.39 ± 3.21) points, (8.39 ± 1.22) points, t1 = 15.30, P < 0.001; t2 = 15.87, P < 0.001). Univariate analysis results showed there was a significant difference in postpartum depressive psychological status in terms of maternal education level, family relationship, mother-in-law and daughter-in-law relationship, mental health education, depressive status during pregnancy, intrapartum psychological status, and spouse's education level (all P < 0.05). Logistic regression analysis results showed that postpartum depressive status in primiparae was related to family relationships, mother-in-law/daughter-in-law relationships, the depressive status during pregnancy, intrapartum psychological status, and spouse's education level are independent risk factors for postpartum depression in primipara after cesarean section ( P < 0.05). Conclusion:The incidence of postpartum depression is high in primiparae subjected to cesarean section. Family relationships and spouse's education level are the influential factors of depression. Family-oriented early psychological intervention should be strengthened to provide more counseling during pregnancy and promote maternal mental health.