Phân tích các yếu tố liên quan đến trầm cảm sau sinh tại Bệnh viện Phụ sản Trung ương=Analysis of factors related to postpartum depression at National Hospital of Obstetrics and Gynecology

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Tác giả: Quảng Bắc Nguyễn, Văn Kỳ Nguyễn, Danh Cường Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2023

Mô tả vật lý: tr.97-103

Bộ sưu tập: Metadata

ID: 477697

Thêm vào giỏ

Phân tích các yếu tố liên quan đến trầm cảm sau sinh ở sản phụ đến đẻ tại Bệnh viện Phụ sản Trung ương. Phương pháp: Đây là nghiên cứu mô tả trên 550 sản phụ đến sinh tại bệnh viện Phụ sản Trung ương năm 2020-2021. Kết quả: Nhóm tuổi mẹ dưới 25 có nguy cơ mắc trầm cảm sau sinh (TCSS) cao hơn gấp 5,84 lần so với nhóm tuổi từ 25-34 (95%CI: 3,21-9,27). Phụ nữ chưa kết hôn có nguy cơ TCSS cao hơn gấp 11,32 lần so với người đã kết hôn (95%CI 4,64-20,1). Việc quan tâm tới giới tính của con cũng làm nguy cơ TCSS tăng lên 2,73 lần. Trẻ sinh trước 37 tuần và cân nặng dưới 2500g làm nguy cơ mắc TCSS tăng lên lần lượt là 4,69 lần (95%CI 1,13-19,5) và 2,24 lần (1,05-8,41). Sau sinh, trẻ quấy khóc đêm cũng làm nguy cơ TCSS tăng lên 4,42 lần (95%CI 1,6-12,3). Quan hệ giữa 2 vợ chồng không hòa thuận cũng là yếu tố nguy cơ làm tăng tỷ lệ TCSS. Kết luận: Tuổi mẹ không trong độ tuổi sinh đẻ, độc thân và mẹ làm nghề nông là các yếu tố cá nhân làm tăng nguy cơ mắc trầm cảm sau sinh. Trẻ nhẹ cân (<
2500g) hoặc đẻ non (trước 37 tuần) hoặc tình trạng trẻ không tốt cũng ảnh hưởng tiêu cực đến tâm lý người mẹ. Quan hệ của 2 vợ chồng trong giai đoạn sinh đẻ cũng là một yếu tố quan trọng gây ra trầm cảm cho người phụ nữ sau sinh.To analyze factors related to postpartum depression (PPD) in pregnant women giving birth at the National Hospital of Obstetrics and Gynecology. Methods: This is a descriptive study on 550 pregnant women giving birth at the National Hospital of Obstetrics and Gynecology in 2020-2021. Results: The maternal age group under 25 has a 5.84 times higher risk of PPD than the age group 25-34 (95% CI: 3.21-9.27). Unmarried women have an 11.32 times higher risk of PPD than married women (95% CI 4.64-20.1). Paying attention to the sex of the child also increases the risk of PPD by 2.73 times. Babies born before 37 weeks and weighing less than 2500g increase the risk of PPD by 4.69 times (95% CI 1.13-195) and 2.24 times (1.05-8.41), respectively. After birth, babies crying at night also increased the risk of PPD by 4.42 times (95% CI 1.6-12.3). The relationship between husband and wife is not in harmony is also a risk factor for increasing the rate of PPD. Conclusion: Non-reproductive maternal age, singleness, and farming mothers are individual factors that increase the risk of postpartum depression. Low birth weight (<
2500g) or premature birth (before 37 weeks), or poor child’s condition also negatively affects the mother’s psychological well-being. The relationship between husband and wife during childbirth is also an important factor causing postpartum depression in women.

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