ارتباط بین شیردهی و افسردگی پس از زایمان در زنان مراجعه کننده به مراکز بهداشتی شهرستان دره شهر، استان ایلام

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس ارشد، گروه مامایی و بهداشت باروری، دانشکدة علوم پزشکی، دانشگاه تربیت مدرس، تهران، ایران

2 استاد تمام، گروه مامایی و بهداشت باروری، دانشکده علوم پزشکی، دانشگاه تربیت مدرس، تهران، ایران.

چکیده

چکیده
مقدمه: افسردگی پس از زایمان (PPD) اپیزودی از افسردگی ماژور است که تاثیرات منفی بسیاری بر مادر و فرزندش دارد. عواملی به عنوان فاکتورهای پیشگویی‌کننده در حول و حوش زایمان، مانند افسردگی در قبل و طی بارداری، و تولد پیش از موعد نوزاد، برای آن شناخته شده‌ است. این مطالعه با هدف بررسی ارتباط شیردهی با PPDانجام گردیده است.
روش کار: مطالعه حاضر از نوع طولی بوده و از بین 365 خانم 38 هفته ی باردار مراجعه کننده به درمانگاه های شهرستان دره شهر، استان ایلام، در سال 95-94، تعداد 303 نفر که در بررسی با پرسشنامه ادینبرگ دچار افسردگی نبودند وارد مطالعه شدند. گروه مورد مطالعه مجددا در6 تا 8 هفته بعد از زایمان مورد بررسی مجدد با پرسشنامه ادینبرگ قرارگرفتند که 31 نفر نمره 13 یا بیشتر کسب کردند که 29 نفر، افسردگی آنان توسط روانپزشک تایید شد و مطالعه بر روی این افراد انجام شد. ارتباط بین PPD با شیردهی و سایر متغیرهای تاثیر گذار شامل نوع زایمان، محل زندگی و ..... با تقسیم نمونه ها به دو گروه افسرده و غیر افسرده سنجیده شد.
نتایج: از بین متغیرهای بررسی شده تنها شیردهی بود که با افسردگی پس از زایمان مرتبط بود (P=(0/004 و همچنین در آنالیز رگرسیون چند متغیره نیز این ارتباط همچنان برقرار بود (P=0/02).
نتیجه گیری: نتایج حاصل نشان می دهد در صورت شیردهی انحصاری با شیر مادر از میزان ابتلا به

کلیدواژه‌ها


عنوان مقاله [English]

The relationship between breastfeeding and Postpartum Depression in women referring to Health Centers in Darreh Shahr County, Ilam Province

نویسندگان [English]

  • Masoumeh Kashkouli 1
  • Saeedeh Ziaei 2
1 MSc of Midwifery, Department of Obstetrics and Gynecology, Faculty of Medical Science, Tarbiat Modares University, Tehran, Iran
2 Full professor, Department of Obstetrics and Gynecology, Faculty of Medical Science, Tarbiat Modares University, Tehran, Iran,
چکیده [English]

Introduction: Postpartum depression (PPD) is an episode of major depression that has many negative effects on the mother and the newborn child. Some factors have been identified as the predictive factors for PPD in peripartum such as Peripartum and Postpartum Depression, and preterm labor. The aim of this study was to investigate the relationship between breastfeeding and PPD.
Material and Methods: This research was a longitudinal study conducted in Darreh Shahr County, Ilam Province in 2015-2016. Of the 365 women who were pregnant about 38 weeks, 303 ones who had no depression according to the Edinburgh questionnaire were put under the study. The under study group was reexamined again with the Edinburgh questionnaire 6 to 8 weeks after delivery. 31 of them achieved grade 13 or greater of whom 29 ones were approved that had depression by a psychiatrist. The study was conducted on this group. Afterwards the relationship between breastfeeding and PPD and other effective variables including type of delivery, place of residence and etc, was investigated by dividing the samples into two groups namely depressed and non-depressed subjects.
Results: Among the variables studied it was only breastfeeding that was connected to postpartum depression (P=0/004). This relationship was also positive (P =0/ 02) in the multivariate regression analysis.
Conclusion: The results revealed that in the case of exclusive breastfeeding, the rate of PPD was decreased. Due to the high rate of prevalence of PPD

کلیدواژه‌ها [English]

  • Postpartum depression
  • Edinburgh questionnaire
  • Breastfeeding
  • Health Care Centers
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