Fetal gender and postpartum depression in a cohort of Chinese women
Fetal gender and postpartum depression in a cohort of Chinese women
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DOI：
10.1016/j.socscimed.2007.04.003
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发表时间：
2007-08-01
影响因子：
5.4
通讯作者：
Wen, Shi Wu
中科院分区：
文献类型：
--
作者：
Xie, Ri-Hua;He, Guoping;Wen, Shi Wu
为了探讨胎儿性别与产后抑郁症的关系，我们于2004年9月至2005年1月在中国湖南长沙进行了一项队列研究。年龄在18-40岁之间的妇女，她们第一次活产一个单胎婴儿，并在分娩后6周来医院进行产后检查，被邀请参加。排除已知有精神疾病或精神疾病史的女性。收集人口统计学和临床信息数据。采用爱丁堡产后抑郁量表中文版评定产后抑郁。52例（17.3%）产妇出现产后抑郁症。生女婴的妇女产后抑郁症的发生率为24.6%，而生男婴的妇女产后抑郁症的发生率为12.2%。在调整了母亲年龄、教育水平、家庭收入、生活条件、妊娠次数、产前检查次数和分娩方式等潜在混杂因素后，生女婴的妇女与生男婴的妇女相比，产后抑郁症的相对危险度为2.89。我们的结论是，产后抑郁症的风险增加，在中国妇女谁生了一个女婴相比，那些谁生了一个男婴。我们推测，这与家庭成员对女婴出生的负面反应有关。(c)2007爱思唯尔有限公司保留所有权利。
To examine the relationship between fetal gender and postpartum depression, we conducted a cohort study in Changsha, Hunan, China between September 2004 and January 2005. Women aged 18-40 years with their first live birth of a singleton infant who came to hospital for postpartum examination at 6 weeks after childbirth were invited to participate. Women with known psychiatric disorders or a history of psychiatric disorders were excluded. Data on demographic and clinical information were collected. Postpartum depression was assessed by the Chinese version of the Edinburgh Postnatal Depression Scale. Fifty-two women (17.3%) were found to have postpartum depression. The rate of postpartum depression in women who gave birth to a female infant was 24.6% while the rate in those women who gave birth to a male infant was 12.2%. The relative risk for postpartum depression of women who gave birth to a female infant as compared with those who gave birth to a male was 2.89, after adjusting for potential confounding by maternal age, education level, family income, living condition, gravidity, number of prenatal care visits, and mode of delivery. We conclude that the risk of postpartum depression is increased in Chinese women who give birth to a female infant as compared to those who gave birth to a male infant. We speculate that this is associated with the negative reactions of family members towards the birth of a female baby. (c) 2007 Elsevier Ltd. All rights reserved.