Mental Disease
Psychological status and influential factors of postpartum depression in primiparae after cesarean section
Zhang Lihua, Liu Jing
Published 2022-02-15
Cite as Chin J Prim Med Pharm, 2022, 29(2): 189-193. DOI: 10.3760/cma.issn1008-6706.2022.02.007
Abstract
ObjectiveTo 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.
MethodsA 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.
ResultsThe 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).
ConclusionThe 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.
Key words:
Postpartum depression; Cesarean section; Psychological condition; Cultural level; Family relationship; Influence factor; Prevention
Contributor Information
Zhang Lihua
Department of Neuropsychiatry, Hangzhou Seventh People's Hospital, Hangzhou 310013, Zhejiang Province, China
Liu Jing
Department of Obstetrics and Gynecology, Hangzhou Xixi Hospital, Hangzhou 310023, Zhejiang Province, China
