title: [Study on the status and related socio-psychological factors of maternal depression among high-risk pregnancy women in Harbin city].
abstract: OBJECTIVE
  This study aimed to investigate the depression status among high-risk pregnancy women, and to analyze its relevant social and psychological factors.
  
  
  METHODS
  A total of 42 high-risk pregnancy women and 40 normal pregnancy women in a teaching hospital in Harbin city were followed up at time points of 32 - 36 weeks pregnancy, one week before labor, one week postpartum, and six weeks postpartum, respectively. During follow-up, the basic situation, social psychosocial factors of pregnancy women were collected and the depression of pregnancy women was measured by self-designed questionnaire and self-rating depression scale. The Edinburgh Postnatal Depression Scale (EPDS) was applied at timepoint of one week postpartum. Single factor analysis and the unconditional multivariate logistic regression were applied for analyzing the on the related social-psychosocial factors among high-risk pregnancy women.
  
  
  RESULTS
  The age of high-risk pregnancy women was (31.0±5.6), and the age of normal pregnancy women was (30.5±3.8) (t=0.169, P>0.05). The results showed that the depression rate in high-risk pregnancy women was 45.2% (19/42), which was 25.0% (10/40) in normal pregnancy women, the difference was significant (χ2=3.671, P=0.045). The depression rates at different time points were 30.9% (13/42), 42.9% (18/42), 23.8% (10/42), 26.2% (11/42) in high-risk pregnancy women respectively, and 25.0% (10/40), 15.0% (6/40), 20.0% (8/40), 17.5% (7/40) in the control group respectively, the difference of the depression rates among groups at one week before labor was significant (χ2=7.680, P<0.01), the difference among groups at 32-36 weeks pregnancy (χ2=0.133, P=0.80), at one week postpartum (χ2=0.174, P=0.79) and at six weeks postpartum (χ2=0.903, P=0.43) were not significant. At one week postpartum and six weeks postpartum periods, the EPDS depression rate were 12.5% (4/32), 30.4% (7/23) in case group respectively, 8.3% (3/36), 22.9% (8/35) in control group respectively, the difference were not significant (χ2=0.319, 0.416, P=0.573, 0.519). There were significantly associations between the depression mood of one week before labor and the depressive symptoms of six weeks postpartum in both groups (r=0.824, 0.677, both P values were <0.05). The risk factors for maternal depression among high-risk pregnancy women were not ready for production (OR=2.73, P<0.01) and fearing of childbirth safety (OR=2.89, P<0.01).
  
  
  CONCLUSIONS
  The depression date of high-risk pregnancy was high, especially at the time point one week before labor. Risk factors of maternal depression among high-risk pregnancy were "not ready for production" and "fear of childbirth safety".
authors.affiliation: Department of Child and Adolescent Health and Maternal Health Care, Public Health School, Harbin Medical University, Harbin 150086, China.
authors.forename: Ya-chun
authors.initials: YC
authors.lastname: Xie
authors.forename: Hong-wei
authors.initials: HW
authors.lastname: Yuan
authors.forename: Ru-jin
authors.initials: RJ
authors.lastname: Zhuang
authors.forename: Cong-hui
authors.initials: CH
authors.lastname: Han
authors.forename: Shu-hong
authors.initials: SH
authors.lastname: Liu
authors.forename: Su-fen
authors.initials: SF
authors.lastname: Chen
authors.forename: Zhi-wei
authors.initials: ZW
authors.lastname: Fu
authors.forename: Zhi-ming
authors.initials: ZM
authors.lastname: Wang
authors.forename: Su-zhen
authors.initials: SZ
authors.lastname: Qiao
authors.forename: Lin
authors.initials: L
authors.lastname: Guo
authors.forename: Hui-ying
authors.initials: HY
authors.lastname: Zhang
mesh_terms: D000328:Adult; D002681:China / Q000453:epidemiology; D015331:Cohort Studies; D003863:Depression / Q000453:epidemiology / Q000523:psychology*; D019052:Depression, Postpartum / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D016015:Logistic Models; D049590:Postpartum Period / Q000523:psychology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000523:psychology; D018566:Pregnancy, High-Risk / Q000523:psychology*; D012307:Risk Factors