Obstetric factors for maternal depression/anxiety / 中华围产医学杂志
Chinese Journal of Perinatal Medicine
; (12): 180-185, 2019.
Article
em Zh
| WPRIM
| ID: wpr-746000
Biblioteca responsável:
WPRO
ABSTRACT
Objective To investigate the current situation of depression/anxiety in gravidas and to analyze the related obstetric factors.Methods A questionnaire survey was conducted among 6 923 gravidas who registered for their first prenatal examination at Obstetrics and Gynecology Hospital of Fudan University from September 2015 to September 2016.Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS) were completed during the survey and general obstetric conditions and medical history were reviewed.Related obstetric factors were statistically analyzed by Chi-square test and logistic regression.Results In this study,the positive rates of depression and anxiety screening were 23.15% (1 603/6 923) and 9.56% (659/6 893),respectively.Univariate analysis showed that maternal depression was associated with maternal age,gravidity,parity and history of adverse pregnancies (all P<0.05),while anxiety was related to maternal age,gravidity and history of adverse pregnancies (all P<0.05).Multivariate analysis showed that younger gravidas (<25 years old) had higher risks of depression and anxiety than those aged between 25 and 35 (OR=2.945,95%CI2.266-3.829;OR=1.959,95%CI1.381-2.780;both P<0.05).Compared to primiparas with a history of conception,the first-time pregnant women had lower risks of depression and anxiety (OR=0.732,95%CI0.630-0.851;OR=0.630,95%CI0.512-0.775;both P<0.05),and the risk of anxiety in multiparas was also decreased (OR=0.748,95%CI0.561-0.996,P<0.05).In addition,gravidas with previous adverse pregnant outcome showed higher risks of depression and anxiety (OR=1.549,95%CI1.123-2.137;OR=1.712,95%CI1.138-2.577;both P<0.05).Conclusions The positive rates of depression and anxiety are high in gravidas,especially younger or primiparas with a history of conception and those with history of adverse pregnancies.Clinicians should pay attention to any obstetric factors related to maternal depression and anxiety.
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WPRIM
Idioma:
Zh
Revista:
Chinese Journal of Perinatal Medicine
Ano de publicação:
2019
Tipo de documento:
Article