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目的:调查孕产妇不同阶段的抑郁水平及相关因素。方法:采用连续整群抽样法抽取在嘉兴市妇幼保健院定期进行产科检查及分娩的妇女300例,使用一般调查问卷、爱丁堡产后抑郁量表(EPDS)分别在孕24周、孕37周、产后第3～7天、产后第42天及产后3月进行筛查,并选取产前、产后两个点行多因素非条件Logistic回归分析,对比抑郁的相关影响因素。结果:5个监测时间点抑郁发生率分别为:10.44%、17.51%、22.56%、18.52%、10.10%,抑郁相关因素随时间变化而改变。结论:不同阶段孕产妇的抑郁水平呈动态变化,影响产前和产后抑郁水平的相关因素有所不同。
Objective: To investigate the levels of depression and related factors in different stages of pregnant women. Methods: A continuous cluster sampling method was used to extract 300 women who had regular obstetric examination and childbirth in Jiaxing MCH. The questionnaires were used. The Edinburgh Postnatal Depression Scale (EPDS) were measured at 24 weeks of gestation, 37 weeks of gestation, The third to seventh days, 42 days postpartum and postpartum March screening, and select the prenatal and postnatal two points multi-factor non-conditional Logistic regression analysis to compare the relevant factors of depression. Results: The prevalence rates of depression at the five monitoring time points were 10.44%, 17.51%, 22.56%, 18.52% and 10.10%, respectively. Depression-related factors changed with time. Conclusion: The levels of depression in pregnant women in different stages showed dynamic changes, and the factors that influenced the levels of depression in prenatal and postnatal periods were different.