Abstract:Objective To investigate and analyze the impact of maternal postpartum depression on infant feeding style and infantbody weight so as to explore the strategies for maternal postpartum emotional intervention and improve maternal and infant health. Methods Eighty puerperae who had a delivery in the Second People's Hospital of Chengdu City from March 2017 to February 2019 and were eligible for inclusion in this survey were selected as the research subjects. The puerperae were surveyed by using Edinburgh Postnatal Depression Scale (EPDS) at 4 weeks after delivery. Puerperae with EPDS score ≥13 points served as the observation group (n=38), while ones with EPDS score < 13 points as the control group (n=42). 4, 8, 12 and 16 weeks after delivery, the state of maternal lactation (volume of lactation and frequency of breast-feeding), feeding patterns and neonatal body weight were separately followed up and compared between the two groups. Results The volume of lactation and frequency of breast-feeding at 4, 8, 12 and 16 weeks after childbirth were lower in the observation group than in the control group (both P<0.05). The pure breast-feeding rates at 8, 12 and 16 weeks after childbirth were all lower in the observation group than in the control group (all P<0.05). Weight gain at 4, 8, 12 and 16 weeks after childbirth was lower in the observation group than in the control group (all P<0.05). Conclusions Maternal postpartum depression declines the volume of lactation, frequency of breast-feeding, exclusive breast-feeding rate and the growth rate of infant body weight, and is detrimental to the healthy growth of infants. It is necessary to enhance the publicity and education about maternal emotion-related knowledge before delivery and maternal psychological intervention after childbirth so as to reduce the occurrence of postpartum depression and improve the level of maternal and child health.
[1] 王强,石超明.基于人文精神与质量安全的美国护理教育[J].医药高职教育与现代护理,2018,1(1):30-35. [2] 叶星星,金玲芳.影响初产妇母乳喂养自我效能的相关因素调查分析[J].中国农村卫生事业管理,2018,38(8):1076-1078. [3] 龚小青.整体护理对产褥期妇女产后抑郁的干预效果观察[J].现代医学与健康研究电子杂志,2018,2(15):97-98. [4] Torres FG, Arroyo J, Alvarez R, et al. Carboxymethyl κ/ι-hybrid carrageenan doped with NH 4 I as a template for solid bio-electrolytes development[J]. Mater Chem Phys,2019,8(9):223-231. [5] Gómez-Mascaraque LG, Martínez-Sanz M, Fabra MJ, et al. Development of gelatin-coated ι -carrageenan hydrogel capsules by electric field-aided extrusion. Impact of phenolic compounds on their performance[J]. Food Hydrocolloid,2018,12(31):315-324. [6] 李榕,王婷婷,朱启英,等.国内外3种常用产后抑郁筛查量表的比较研究[J].新疆医科大学学报,2014(37):1218-1220. [7] 尹进, 陈贵秋, 胡余明, 等. 不同喂养方式对婴儿肠道微生态的影响[J].实用预防医学,2018,25(3):308-310. [8] 李婉燕,洪燕.剖宫产初产妇母乳喂养自我效能的影响因素与护理对策[J].护理实践与研究,2019,16(7):94-96. [9] 唐久霞.细节优化护理在初产妇产后母乳喂养、产后康复以及产后抑郁情绪中的应用效果[J].临床医药文献电子杂志,2018,5(88):148-149. [10] 苏晋,刘爱敏.研究社区护理干预对外来务工人员产后抑郁的影响[J].微量元素与健康研究,2019,36(1):77-78. [11] 周华,秦志强,杨晓燕,等.常州市女性产后抑郁现况调查及相关因素分析[J].中国妇幼保健,2019,34(6):1347-1351. [12] 杨怀洁,王涛,周全.产后抑郁与母乳喂养关系的研究进展[J].解放军医学院学报,2019,40(2):199-201. [13] 杨小羽,何荣霞.产后抑郁的危害及相关影响因素的研究进展[J].西北国防医学杂志,2019,40(2):128-132. [14] 郑秀秀,朱桂东.社会支持度对女性产后抑郁的影响及相关性分析[J].中国妇幼健康研究,2018,29(8):970-973. [15] 杨怀洁,杨成良.产后抑郁症的研究进展[J].现代妇产科进展,2015,(1):72-74,77. [16] Morris E, Slomp C, Hippman C, et al. A matched cohort study of postpartum placentophagy in women with a history of mood disorders: no evidence for impact on mood, energy, vitamin B12 levels, or lactation[J]. J Obstet Gynaecol Can,2019,41(9):129-136. [17] 邵子瑜,陶兴永,胡传来,等.新生儿期体重变化趋势分析[J].中国妇幼保健,2008,23(27):3830-3831.