摘要
目的:探讨新生儿重症监护病房(NICU)住院早产儿母亲产后抑郁与早期泌乳量的相关关系。方法:选取山东省某三级甲等综合医院122例NICU住院早产儿母亲为研究对象,采用现况调查法对研究对象在患儿住院期间的泌乳量进行连续跟踪测定。应用爱丁堡产后抑郁量表(EPDS)对其进行产后抑郁筛查,以EPDS得分≥10分为产后抑郁筛查阳性,将阳性者纳入产后抑郁筛查阳性组;EPDS得分<10分者纳入正常组,比较两组研究对象产后早期每日泌乳量及平均吸奶频率,并分析EPDS得分与泌乳量的相关性。结果:NICU住院早产儿母亲产后抑郁筛查阳性率为58%(58/100)。阳性组产后第11~14天泌乳量低于正常组(均P<0.05/14),平均吸奶频率也低于正常组(P<0.05)。EPDS得分与产后第2天及第11~14天泌乳量均呈负相关,相关系数在-0.38~-0.35之间(均P<0.05/14)。结论:本研究提示,NICU住院早产儿母亲产后抑郁筛查阳性率高,产后抑郁可能对其产后早期泌乳量产生不利影响。
Objective: To investigate the relationship between postpartum depression and the early milk volume among mothers of preterm infants in neonatal intensive care unit( NICU). Methods: Totally 122 mothers of preterm infants in NICU from one Grade-Ⅲ Class-A hospital in Shandong Province were invited to participate in the study. Continuous measurements for daily breast milk production were performed during the preterm infants ' hospitalization. The postpartum depression was screened with the Edinburgh Postnatal Depression Scale( EPDS). The EPDS score of more than 10 was considered positive for postpartum depression,which were dovetailed in postpartum depression positive group. The EPDS score < 10 was included in the normal group. The milk volumes and pumping frequencies were compared among two groups. The relationship between milk volume and EPDS scores was analyzed. Result:The positive rate of postpartum depression among preterm mothers was 58%( 58/100). The milk volumes were lower in positive group than in the normal group during day 11 to day 14 postpartum( Ps < 0. 05/14),the pumping frequen-cies were lower in positive group than in the normal group( P < 0. 05). The EPDS scores were negatively correlated with milk volume during day 2 and day 11 to day 14 postpartum( r =-0. 38--0. 35,Ps < 0. 05/14). Conclusion:The study shows that the positive rate of postpartum depression for the mothers of preterm infants in NICU is high. Postpartum depression may have a negative effect on milk production during early postpartum.
引文
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