■相当比例的妇女在怀孕或产后期经历心理健康挑战。常见的精神障碍(CMD),包括抑郁症,焦虑,强迫症,是普遍的。确定原因和相关的危险因素对于早期干预和预防心理健康问题至关重要。
■这项研究利用了2018年基础卫生研究的数据,在印度尼西亚全国范围内进行,使用横截面的方法。我们关注的是目前或以前结婚的13-49岁女性,经历过怀孕,包括8,889名孕妇和77,012名在2013年1月1日至2018年8月31日期间分娩的妇女。采用自我报告问卷-20评估CMD。进行多因素logistic回归分析。
■孕妇中CMD的患病率为12.6%,而产后母亲的患病率为10.1%。在两次怀孕期间(调整后的赔率比[AOR]:12.23,95%置信区间[CI]:9.06-16.60)和产后期间(AOR:16.72,95%CI:14.85-18.82),对CMD的影响最大。两组的其他重要因素包括年轻的母亲年龄,缺乏教育,失业,高血压的故事,和吸烟状况。在孕妇中,CMD也与孕早期妊娠有关,既往妊娠并发症,和小的上臂周长。对于产后母亲来说,重要因素包括流产史,意外怀孕,妊娠并发症,缺乏产前护理,自发分娩,产后并发症和避孕药的使用。
■CMD会影响孕妇和产后妇女。早期诊断和管理必须无缝集成到初级医疗保健实践中。
UNASSIGNED: A substantial proportion of women experience mental health challenges during pregnancy or the postpartum period. Common mental disorders (CMDs), including depression, anxiety, and obsessive-compulsive disorder, are prevalent. Identifying causes and associated risk factors is imperative for early intervention and the prevention of mental health issues.
UNASSIGNED: This study utilized data from the 2018 Basic Health Research, which was conducted nationwide in Indonesia, using a cross-sectional approach. We focused on women aged 13-49 years who were currently or previously married, and had experienced pregnancy, including 8,889 pregnant women and 77,012 women who had delivered between January 1, 2013, and August 31, 2018. The Self-Reporting Questionnaire-20 was employed to assess CMDs. Multivariate logistic regression was performed.
UNASSIGNED: The prevalence of CMDs in pregnant women was 12.6%, while postpartum mothers exhibited a prevalence of 10.1%. Poor health status displayed the strongest impact on CMDs during both pregnancy (Adjusted Odds Ratio [AOR]: 12.23, 95% Confidence Interval [CI]: 9.06-16.60) and the postpartum period (AOR: 16.72, 95% CI: 14.85-18.82). Additional significant factors for both group include young maternal age, lack of education, unemployment, hystory of hypertension, and smoking status. Among pregnant women, CMDs was also associated with first-trimester pregnancy, previous pregnancy complications, and small upper arm circumference. For postpartum mothers, significant factors include history of abortion, unwanted pregnancy, pregnancy complications, lack of antenatal care, spontaneous delivery, postpartum complications and contraceptive use.
UNASSIGNED: CMDs can impact in pregnant and postpartum women. Early diagnosis and management must be seamlessly integrated into primary healthcare practices.