A foresight of appearance of maternity blues and a settlement of the care-systems

由于预防分娩期的产妇忧郁症取决于如何快速预见这些迹象，我们认为，如果早期预测是可能的，本研究对40名孕妇在妊娠中期和分娩第4天的心身症状进行了纵向研究，旨在探讨妊娠期心身症状与PGD值的关系。1、产后抑郁症的早期预测我们采用Zung氏抑郁自评量表（SDS）的20个条目和MPI神经症量表的24个条目对产后抑郁症进行评定，并通过问卷调查进行检验。结果发现，妊娠中期妇女出现心身症状，表现为“强烈的神经官能症症状”，而分娩后第四天妇女出现“产后烦躁感”，这证实了心身症状出现在分娩后第四天， 关于我们 2. PGD_2值是评价PGD_2的客观指标。提取唾液1ml，采用EIA法。结果表明，妊娠期妇女唾液PGD_2值高于非妊娠期妇女。妊娠中期PGD_2值较高，而产后第4天PGD_2值较低的两组产妇均有产后烦躁感，SDS评分与PGD_2值的关系：PGD评分高的孕中期妇女心身症状评分高，PGD评分低的孕中期妇女心身症状评分高，PGD评分低的孕中期妇女心身症状评分高，PGD评分低的孕中期妇女心身症状评分高。妊娠期唾液PGD_2值在分娩后突然降低等激素环境的改变可能是引起烦躁感和心身症状的原因。我们将PGD_2作为引起产妇抑郁症状的因素之一，并进行了基础研究，以确保唾液中PGD_2测定的可靠性。少

As prevention of maternity blues in a lying-in-period depends on how quickly foresee such signs, we believe if earlier prediction is possible, that will be useful in establishing the support system.We vertically studied 40 persons on mid-term of the pregnancy and at the fourth day in the lying-in-period aimed at clarifying relations between psychosomatic symptoms appeared in pregnancy and the value of PGD_2 in saliva and obtained the following information.1 Earlier prediction of maternity blues symptomsWe used 20 items of Zung's Self-Rating-Depression-Scale (SDS) and 24 items of MPI-Neurocism-Scale in rating maternity blues, and we tested through the question-nairing. We found that psychosomatic symptoms appeared in the group of women on mid-term of the pregnancy with "strong symptoms of neurosis" similarly appeared in the group of women at the fourth day in the lying-in period with "after childbirth feeling of irritations" and confirmed thus that psychosomatic symptoms appeared during … More pregnancy and also appeared after childbirth have a relationship.2 The value of PGD_2 is an objective indexIn rating PGD_2. we extracted 1ml of saliva and used EIA method. we found the value of PGD_2 in saliva of pregnant-childbed women showed higher than that in non-pregnant women. Both groups of women whose value of PGD_2 were higher on mid-term of the pregnancy and whose value of PGD_2 lowered at the fourth day of the lying-in-period have complained the after childbirth feeling of irritations.Concerning relations between the score of SDS and the value of PGD_2, we found the high score of psychosomatic symptoms in the group of women on mid-term of the pregnancy with higher score of PGD_2 and also in the group of women at the fourth day in the lying-in-period with lower value of PGD_2.Such hormone environmental changes as the value of PGD_2 in saliva in pregnancy suddenly lowers after childbirth could be causative of the feeling of irritations and psychosomatic symptoms. We add PGD_2 as one of the factors causing maternity blues symptoms and proceed our basic researches to ensure reliability in raing PGD_2 in saliva. Less