Volume 22 Issue 4
Apr.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(4): 629-632
ZHAO Jinlong, LU Hui, XIAO Lingyan, TAN Jie. Study on the status and influencing factors of mental health in the second and third trimesters of pregnancy[J]. Chinese Journal of General Practice, 2024, 22(4): 629-632. doi: 10.16766/j.cnki.issn.1674-4152.003467
Citation: ZHAO Jinlong, LU Hui, XIAO Lingyan, TAN Jie. Study on the status and influencing factors of mental health in the second and third trimesters of pregnancy[J]. Chinese Journal of General Practice, 2024, 22(4): 629-632. doi: 10.16766/j.cnki.issn.1674-4152.003467
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Study on the status and influencing factors of mental health in the second and third trimesters of pregnancy

doi: 10.16766/j.cnki.issn.1674-4152.003467

  • Women' s Health Department, Jiaxing Maternal and Child Health Hospital, Jiaxing, Zhejiang 314000, China

Funds:

 2023KY1223

  • Received Date: 2023-11-25
    Available Online: 2024-05-29
    Abstract
  •   Objective  To analyze the depressive state of pregnant women in the second and third trimesters of pregnancy and to explore the influencing factors. This will provide a reference for early identification of high-risk groups for depression during these stages of pregnancy.  Methods  From January 2022 to September 2023, we selected pregnant women in the middle and third trimester of obstetric pregnancy who anderwent routine prenatal care at Jiaxing Maternal and Child Health Hospital as research subjects. We used a general data questionnaire and the Edinburgh depression scale (EPDS-10) to investigate and analyze the factors influencing depressive states during pregnancy using logistic regression.  Results  The second trimester had a higher incidence of depression (14.93%, 268/1 795) compared to the third trimester (9.77%, 55/563), the difference was statistically significant (P < 0.05). However, there was no statistically significant difference in the proportion of mild depression and moderate to severe depression between the second and third trimesters (P>0.05). The proportion of pregnant women with depression in the second trimester who were aged 35 or older, had a college education, had an adverse pregnancy history, were unmarried or divorced, or had an unplanned pregnancy was significantly higher than that of non-depressed pregnant women (P < 0.001). College education, adverse pregnancy history, unmarried or divorced status and unplanned pregnancy were identified as the independent risk factors for depression in the second trimester of pregnancy (P < 0.05). There was no statistically significant difference in the second trimester of depression between pregnant women with the regular residence, delivery history, and monthly family income and those who were not depressed (P>0.05). The proportion of pregnant women with depression in the third trimester who were aged ≥35 or older had a college education, no history of childbirth, adverse pregnancy history, unmarried or divorced, or had an unplanned pregnancy was higher than that of non-depressed pregnant women, the differences were statistically significant (P < 0.05). In the third trimester, pregnant women with adverse pregnancy history and unplanned pregnancy were found to be at a higher risk of depression (P < 0.05). There was no significant difference in the regular residence and monthly family income of pregnant women with depression in the third trimester and those without depression (P>0.05).  Conclusion  Depression is more common in pregnant women during the second trimester than in the third. Risk factors for depression during the second trimester include having a college education, a history of adverse pregnancy, being unmarried or divorced, and having an unplanned pregnancy.

     

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