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| Prevalence and influencing factors of postpartum depression symptoms among elderly multipara |
| LIN Feiyun, ZHOU Mincong, CHEN Xiaowen
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| Hangzhou Obstetrics and Gynecology Hospital, Hangzhou, Zhejiang 310008, China |
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Abstract Objective To analyze the current status and influencing factors of postpartum depression symptoms among elderly multipara, so as to provide a basis for health management among elderly pregnant women. Methods Multipara aged ≥35 years who underwent 42-day postpartum check-ups in Hangzhou Gynecology and Gynecology Hospital from October 2023 to October 2024 were selected as survey subjects using convenience sampling method. Demographic information, sleep quality and feeding methods data were collected using questionnaires. The postpartum depressive symptoms, parenting stress, and social support levels were assessed using the Chinese version of the Simplified Edinburgh Postnatal Depression Scale, Parenting Stress Inventory-Short Form, and Perceived Social Support Scale, respectively. Factors affecting postpartum depression symptoms among elderly multipara were analyzed through multivariable logistic regression model. Results A total of 355 elderly multipara were surveyed. The average age was (38.19±2.10) years. There were 228 cesarean deliveries (64.23%) in this pregnancy. There were 21 cases (5.92%) of unplanned pregnancy and 21 cases (5.92%) of preterm birth. The parenting stress score was (72.56±11.08) points, and the social support score was (60.42±8.50) points. Postpartum depression symptoms was detected in 106 elderly multipara, with a detection rate of 29.86%. Multivariable logistic regression analysis showed that monthly household income per capita (≥5 000 yuan, OR=0.470, 95%CI: 0.281-0.785), unplanned pregnancy (yes, OR=2.619, 95%CI: 1.427-4.809), preterm delivery (yes,OR=4.105, 95%CI: 1.848-9.113), poor sleep quality (yes, OR=3.556, 95%CI: 1.659-7.595), feeding methods (mixed feeding, OR=1.483, 95%CI: 1.030-2.135; artificial feeding, OR=4.510, 95%CI: 2.018-10.070), parenting stress (OR=1.206, 95%CI: 1.162-1.441), and social support (OR=0.255, 95%CI: 0.111-0.420) were factors affecting postpartum depression symptoms among elderly multipara. Conclusion The detection rate of postpartum depression symptoms among elderly multiparas is relatively high, is associated with family economic status, pregnancy planning status, preterm delivery, sleep quality, feeding methods, parenting stress, and social support levels.
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Received: 07 February 2025
Revised: 30 June 2025
Published: 23 July 2025
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[1] 严程娟,胡希文,傅菊萍,等.爱丁堡产后抑郁量表评分在经产妇产后抑郁症状评估中的应用及产后抑郁的影响因素分析[J].中国妇幼保健,2024,39(20):4005-4008.
YAN C J,HU X W,FU J P,et al.Edinburgh Postnatal Depression Scale score for postpartum depressive symptoms in multiparas application of the assessment and analysis of the influencing factors of postpartum depression[J].Matern Child Health Care China,2024,39(20):4005-4008.(in Chinese)
[2] 夏修,黄睿,邓春燕,等.基于随机森林算法的云南女性产后抑郁风险预测模型构建[J].现代预防医学,2024,51(16):2929-2934.
XIA X,HUANG R,DENG C Y,et al.Development of a postpartum depression risk prediction model for Yunnan women based on the random forest algorithm[J].Mod Prev Med,2024,51(16):2929-2934.(in Chinese)
[3] 闫盼盼,徐继红.2014—2019年国内产后抑郁研究现状[J].中国妇幼保健,2021,36(18):4381-4384.
YAN P P,XU J H.The current status of postpartum depression research in China from 2014 to 2019[J].Matern Child Health Care China,2021,36(18):4381-4384.(in Chinese)
[4] 李龙,安雪梅,张杰,等.中国高龄产妇产后抑郁检出率的Meta分析[J].中国全科医学,2024,27(11):1363-1369.
LI L,AN X M,ZHANG J,et al.The detection rate of postpartum depression in advanced maternal age in China:a meta-analysis[J].Chin Gen Pract,2024,27(11):1363-1369.(in Chinese)
[5] 王瑞凤,王英.围产期抑郁对妊娠结局及子代发育的影响[J].中国妇幼保健,2024,39(22):4578-4581.
WANG R F,WANG Y.The effect of perinatal depression on pregnancy outcome and offspring development[J].Matern Child Health Care China,2024,39(22):4578-4581.(in Chinese)
[6] QIAN G Y,LI B B,XU L,et al.Parenting style and young children's executive function mediate the relationship between parenting stress and parenting quality in two-child families[J/OL].Sci Rep,2024,14(1)[2025-06-30].https://doi.org/10.1038/s41598-024-59225-x.
[7] 肖菊兰,文艺,罗伟香,等.中文版简版爱丁堡产后抑郁量表在孕妇人群中的信效度检验[J].现代预防医学,2022,49(18):3320-3325.
XIAO J L,WEN Y,LUO W X,et al.Reliability and validity of the Chinese version of the Simplified Edinburgh Postpartum Depression Scale in pregnant women[J].Mod Prev Med,2022,49(18):3320-3325.(in Chinese)
[8] 丁梅梅,周轶鹏,王晓宇,等.肾病综合征患儿母亲亲职压力现状及相关研究[J].护士进修杂志,2024,39(4):390-394,420.
DING M M,ZHOU Y P,WANG X Y,et al.Current situation and related research on parental pressure in mothers of children with nephrotic syndrome[J].J Nurs Train,2024,39(4):390-394,420.(in Chinese)
[9] 姜乾金. 领悟社会支持量表[J].中国行为医学科学,2001,10(10):41-43.
JIANG Q J.Understanding the Social Support Scale[J].Chin J Behav Med Brain Sci,2001,10(10):41-43.(in Chinese)
[10] 曾兆兰,杨玉萍,汪晓月,等.二次生育经产妇及初产妇产后抑郁现状及其影响因素[J].解放军护理杂志,2020,37(6):11-15.
ZENG Z L,YANG Y P,WANG X Y,et al.A comparative study of postpartum depression status and its influencing factors between the second birth and the first birth women[J].Military Nursing,2020,37(6):11-15.(in Chinese)
[11] 陈熠明,陈桂儿.高龄经产妇产后抑郁状况及影响因素分析[J].中国计划生育学杂志,2024,32(8):1767-1771.
CHEN Y M,CHEN G E.Analysis of the status and its influence factors of the postpartum depression of advanced multiparas[J].Chin J Fam Plan,2024,32(8):1767-1771.(in Chinese)
[12] 蔡锋成,徐萌艳,吴映瑛,等.孕妇睡眠障碍的影响因素研究[J].预防医学,2024,36(5):440-443.
CAI F C,XU M Y,WU Y Y,et al.Factors affecting sleep disorders among pregnant women[J].China Prev Med J,2024,36(5):440-443.(in Chinese)
[13] 李亚男,张媛媛,刘慧,等.我国女性产前抑郁检出率的Meta分析[J].预防医学,2024,36(5):444-450.
LI Y N,ZHANG Y Y,LIU H,et al.The detection rate of prenatal depression in Chinese women:a meta-analysis[J].China Prev Med J,2024,36(5):444-450.(in Chinese)
[14] ALHAMAD M,KUMAR A,CHAABAN H,et al.Platelets and immature neutrophils in preterm infants with feeding intolerance[J].Am J Perinatol,2021,38(11):1150-1157.
[15] 马明月,周临,孙增萍,等.二胎产妇产后抑郁状况及影响因素分析[J].中国妇幼健康研究,2021,32(3):333-337.
MA M Y,ZHOU L,SUN Z P,et al.Analysis of postpartum depression and its influencing factors in parturient with a second child[J].Chin J Woman Child Health Res,2021,32(3):333-337.(in Chinese)
[16] HUANG H M,HE W,GAO X Y,et al.Depression in children with nephrotic syndrome related to parents' stress,quality of life,and depression[J].World J Pediatr,2023,19(2):194-199.
[17] ROSKAM I,MIKOLAJCZAK M.The slippery slope of parental exhaustion:a process model of parental burnout[J/OL].J Appl Dev Psychol,2021,77[2025-06-30].https://doi.org/10.1016/j.appdev.2021.101354.
[18] 张许林. 基于结构方程模型下人际信任在领悟社会支持对大学生抑郁影响的中介效应研究[D].吉首:吉首大学,2023.
ZHANG X L.A study on the mediating effect of interpersonal trust in perceived social support on depression among college students based on structural equation model[D].Jishou:Jishou University,2023.(in Chinese) |
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