摘要
Abstract
Background Postpartum depression can affect the physical and mental health of mothers and the quality of parenting.Most Chinese women perform traditional postpartum practices(commonly known as"doing the month")after giving birth,while the existing findings are inconsistent and inconclusive regarding the potential of traditional Chinese postpartum practices to alleviate or exacerbate postpartum depression.Objective To explore the relationship between traditional Chinese postpartum practices and postpartum depression,so as to provide references for reducing the risk of postpartum depression.Methods A total of 240 consecutive women who gave birth in the obstetrics department of the Mianyang Central Hospital and the Third Hospital of Mianyang from January to May 2024 were selected.Data were collected using Self-designed General Information Questionnaire,Chinese version of the Edinburgh Postnatal Depression Scale(EPDS),the Social Support Rating Scale(SSRS),the Patient Health Questionnaire-15(PHQ-15),the Adherence to Doing-the-Month Practices questionnaire(ADP),and the Self-compiled Questionnaire on the Cognition of Doing-the-Month.The absolute value(A value)of the difference between scores of ADP and Cognition of Doing-the-Month Questionnaire was calculated to evaluate the degree of cognitive behavioral conflict of postpartum women.Pearson correlation analysis was performed to examine the correlations of EPDS score with SSRS score,PHQ-15 score,ADP total and dimensional scores,Cognition of Doing-the-Month Questionnaire total and dimensional scores,and A value.Logistic regression analysis was conducted to identify the protective and risk factors for developing postpartum depression.Results The postpartum depression was detected in 22.50%of women.The postpartum women had a EPDS score of(6.21±5.00),ADP score of(70.05±20.57),SSRS score of(41.96±6.96),PHQ-15 score of(4.63±3.77),and Cognition of Doing-the-Month questionnaire score of(40.30±10.13).The A value was(0.65±0.58).Correlation analysis revealed that EPDS score was negatively correlated with the total ADP score and the four dimensional scores of the restrictions on social activities,diet,housework,and personal hygiene(r=-0.228,-0.146,-0.184,-0.275,-0.168,P<0.05 or 0.01),and positively correlated with the A value(r=0.161,P<0.05).Logistic regression analysis indicated that restriction on housework dimension in ADP was entered into the model(OR=0.930,95%CI:0.885～0.978).Conclusion The restriction on housework dimension in traditional Chinese postpartum practices may be a protective factor against postpartum depression.关键词
中国传统产后实践/坐月子/产后抑郁Key words
Traditional Chinese postpartum practices/Doing the month/Postpartum depression分类
医药卫生
