医学信息2025，Vol.38Issue(8)：87-91,5.DOI:10.3969/j.issn.1006-1959.2025.08.011
体质量指数、孕期增重及其他相关因素对产后抑郁的影响
Effects of Body Mass Index,Gestational Weight Gain and Other Related Factors on Postpartum Depression
摘要
Abstract
Objective To analyze the effects of pre-pregnancy body mass index(BMI),intrapartum BMI,gestational weight gain(GWG)and other related factors on postpartum depression(PPD).Methods A total of 558 singleton parturients who gave birth in the Affiliated Jiangsu Shengze Hospital of Nanjing Medical University from November 2019 to November 2020 were selected as the study subjects.According to pre-pregnancy BMI,they were divided into pre-pregnancy low weight group(BMI＜18.5 kg/m2),normal weight group(BMI 18.5-24.9 kg/m2)and overweight/obese group(BMI≥25.0 kg/m2).According to the intrapartum BMI,they were divided into normal weight group(BMI 18.5-24.9 kg/m2),overweight group(BMI 25-29.9 kg/m2)and obese group(BMI≥30 kg/m2).According to the recommended value of GWG issued by the American Institute of Medicine(IOM),the subjects were divided into GWG insufficient group,GWG appropriate group and GWG excessive group.The correlation between pre-pregnancy BMI,intrapartum BMI,GWG and other related factors and postpartum Edinburgh Postpartum Depression Scale(EPDS)score was analyzed.Results The postpartum EPDS score of pregnant women in the pre-pregnancy overweight/obesity group was higher than that of pregnant women in the low weight group and normal weight group(P＜0.05).The postpartum EPDS score in the excessive GWG group was higher than that in the insufficient GWG group and the appropriate GWG group(P＜0.05).The postpartum EPDS score of intrapartum obesity group was higher than that of intrapartum normal weight group and intrapartum overweight group(P＜0.05).Multivariate linear regression analysis showed that unwanted pregnancy,parental care,pre-pregnancy overweight/obesity,excessive GWG,mixed feeding were positively correlated with postpartum EPDS score.The parity,good feeding effect and good relationship between husband and wife were negatively correlated with postpartum EPDS score(P＜0.05).Conclusion Women with pre-pregnancy overweight/obesity or excessive GWG are more susceptible to PPD.Interventions targeting pre-pregnancy overweight/obesity and proper weight management during pregnancy may help prevent PPD.In perinatal care,special attention should be given to women with unintended pregnancies,strained marital relationships,or primiparity,with regular assessment of their mental health status.关键词
体质量指数/妊娠/孕期增重/产后抑郁/爱丁堡产后抑郁量表Key words
Body mass index/Pregnancy/Gestational weight gain/Postpartum depression/Edinburgh Postpartum Depression Scale分类
医药卫生引用本文复制引用
沈武娟,沈雪琴,王志坚..体质量指数、孕期增重及其他相关因素对产后抑郁的影响[J].医学信息,2025,38(8):87-91,5.基金项目
苏州市医疗卫生基础研究项目(编号:SYSD2019048) （编号:SYSD2019048）
