| Abstract |
[Abstract] Objective To investigate the prevalence of cesarean section postpartum depression in primipara, and analyze its influencing factors to provide data reference for clinical prevention and treatment. Methods From July 2015 to September 2018, 1238 primiparas of cesarean section in our hospital were selected. All patients were diagnosed with cesarean section depression after 2 to 6 weeks with a self-made general survey and the Edinburgh Postnatal Depression Self-Measurement (EPDS). The prevalence rate was analyzed by single factor and multivariate regression analysis. Results A total of 1238 cesarean primiparas were enrolled in this study. A total of 1238 questionnaires were distributed, 1216 valid questionnaires, and EPDS scores (8.97±2.54), of which 223 cases were ≥13 points, and the prevalence of postpartum cesarean depression was 18.34%. (223/1216), there was no significant difference in the prevalence of postpartum depression between different age groups and education levels (P>0.05); single factor analysis, cesarean section, family economy, newborn Health status, neonatal expected gender, husband-and-wife relationship, family relationship, maternal personality, family structure, whether or not to participate in the encroachment during pregnancy were the influencing factors of postpartum depression (P<0.05); Logistic multivariate regression analysis inconsistent gender expectations, poor health status, family economic conditions, marital relationship and poor family relationship are risk factors for puerperal cesarean section depression, and encirclement is protective factor. Conclusion The incidence of postpartum depression in cesarean section is higher in primipara, and the cause of the disease is the result of interaction of multiple factors. To reduce the prevalence of the disease, it is necessary to implement primary prevention during pregnancy and postpartum level for different influencing factors, prevent the combination of programs, do a good job in mental health, improve the post-natal visit mechanism, and achieve early detection and early intervention.
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