| 唐恬,郑晓娇,梁雪梅.母亲产后抑郁对喂养方式及子代体重增加量影响的队列研究[J].四川精神卫生杂志,2019,32(3):238-241.,Effects of maternal postpartum depression on the infants of feeding mode and weight-gain:a cohort study[J].SICHUAN MENTAL HEALTH,2019,32(3):238-241 |
| 母亲产后抑郁对喂养方式及子代体重增加量影响的队列研究 |
| Effects of maternal postpartum depression on the infants of feeding mode and weight-gain:a cohort study |
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| DOI：10.11886/j.issn.1007-3256.2019.03.009 |
| 中文关键词: 产后抑郁 喂养方式 体重增加 队列研究 |
| 英文关键词:Postpartum depression Feeding mode Weight - gain Cohort study |
| 基金项目:泸州市人民政府-西南医科大学科技战略合作项目(2017LZXNYD-Z02) |
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| 【摘要】 目的 比较产后抑郁母亲与正常对照组对子代喂养方式的差异,明确产后抑郁是否对子代的体重增加有所影响?方法 分别在西南医科大学附属医院?泸州市中医院?泸州市江阳区妇幼保健院和泸州市妇女儿童医院对住院待产的产妇进行筛查,对符合入组标准的48例产妇在产后第 4?8?12周,使用爱丁堡产后抑郁量表(EPDS)和婴幼儿喂养方式及体重增加量调查表进行评定,将在首次评定时EPDS评分≥13分的被试归入产后抑郁组(n=14),将 EPDS评分 <13分者归入对照组(n=34),比较两组人口学资料?EPDS评分?喂养方式及其婴儿体重增加量等方面的差异?结果 产后第 12周,产后抑郁组婴儿体重增加量高于对照组(Z=-2.612,P=0.009)?各随访时间点,产后抑郁组平均每日非母乳喂养的比例均高于对照组(Z4周 =-2.652,Z8周 =-3.591,Z12周 =-2.822,P均 <0.05)?产后抑郁组平均每日非母乳喂养的次数(Z4周 =-2.403,Z8周 =-3.666,Z12周 =-2.834,P均 <0.05)和非母乳喂养量(Z4周 =-2.289,Z8周 =-3.347,Z12周 =-2.609)均高于对照组?产后抑郁组当月用于婴儿食品等消耗品的支出均高于对照组(Z4周 =-3.404,Z8周 =-4.130,Z12周 =-3.859,P均 <0.05)?结论 截止产后第 12周,产后抑郁母亲的子代较少接受母乳喂养,但喂养方式的差异并未影响子代体重的增加? |
| 英文摘要: |
| Objective To compare the differences between postpartum depression mothers and the normal controls in the feeding patterns, and to clarify the influence of postpartum depression on the weight gain of their infants. Methods 48 women who met the criteria in The Affliliated Hospital of Southwest Medical University, Luzhou Hospital of Traditional Chinese Medicine, Maternal and Child Health Hospital of Jiangyang District, Luzhou Women and Children's Hospital were chose. Edinburgh Postnatal Depression Scale( EPDS) and the questionnaire on infant feeding and nutrition status were used at the 4 th, 8 th and 12 th week after delivered. In the first assessment, subjects with EPDS score≥ 13 were set as the postpartum depression group ( n = 14) , and those with EPDS < 13 were included in the control group ( n = 34) . The differences in demographic data, EPDS scores, feeding patterns and nutritional status of the two groups at each follow - up points were compared. Results At the postpartum 12 th week, the weight gain in the postpartum depression group was higher than that in the control group ( Z = - 2. 612, P = 0. 009) . At each follow - up point, average daily non -breastfeeding rate in the postpartum depression group was higher than that in the control group ( Z4w = - 2. 652, Z8w = - 3. 591 , Z12w= - 2. 822, P < 0. 05) . The average number of non - breastfeeding per day ( Z4w = - 2. 403, Z8w = - 3. 666, Z12w = - 2. 834, P < 0. 05) , the amount of non - breastfeeding ( Z4w = - 2. 289, Z8w = - 3. 347, Z12w = - 2. 609, P < 0. 05) and the expenditure on infant necessities( Z4w = - 3. 404, Z8w = - 4. 130, Z12w = - 3. 859, P < 0. 05) of the postpartum depression group were higher than those in the control group. Conclusion At the 12 th week postpartum, the offspring of depressed mothers have low breast feeding rate, but no difference is observed on the weight gain between two groups. |
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