北京地区围产期抑郁发病率调查及危险因素OA

Objective:To investigate the incidence of perinatal depression in pregnant women in Beijing,and analyze the independent risk factors of late pregnancy depression and postpartum depression.Methods:The socio—demo-graphic information and clinical data of 4,476 pregnant women were collected for this research.All of the subjects have visited the outpatient clinic of Beijing Obstetric and Gynecology hospital from February to October 2019.The Edinburgh Postnatal Depression Scale(EPDS)was used for screening.Age,education level of husband,adverse mari-tal events,intergenerational relationship,unintended pregnancy,monthly personal income,personal education level,gender of the newborn,menstrual status and other factors were analyzed through the logistic regression analysis as the suspicious risk factors.Results:According to the searching results,the incidence of late pregnancy depression and postpartum depression in pregnant women in Beijing area were separately 20％and 15.30％.Plus,the incidence of late pregnancy depression was higher than that of postpartum depression(P＜0.01).For the late pregnancy depres-sion,its morbidity was correlation with the age,which denoted that the risk of pregnant women between 20 to 35 years old were higher than the pregnant women older than age 35.(P＜0.05).For postpartum depression,the factors like personal monthly income below 10000 RMB(P＜0.05),history of dysmenorrhea(P＜0.05),premenstrual ten-sion(P＜0.01),and leakage symptoms(P＜0.05)were independent risk factors.Conclusion:The results show high in-cidence of perinatal depression women in Beijing area.Furthermore,the incidence of late pregnancy depression is sig-nificantly higher than postpartum depression.It is necessary to pay more attention to the high risk population of de-pression and improve the early recognition and diagnosis of perinatal depression.