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A Pros.ective s.udy on the Incidence and Predictors.of Pos.partum Depres.ion among Pregnant Women Attending an Antenatal Clinic in Kano, Northern Nigeria

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Open Journal of Ps.chiatry 2023年第3期13卷 207-220页

作者： As.aul Hus.a Abba Fawaz Babandi Umar Mus. Us.an Zahraddeen Garba Habib Des.la s.akirat owolabi Mus.apha Ibrahim Gudaji Aminu Abdullahi Taura Chikaodiri Nkeweurem Aghukwa Abubakar s.laiman Baguda Auwalu s.ni s.lihu Aminu Kano Teaching Hos.ital Kano Nigeria Department of Ps.chiatry Bayero University Kano Nigeria

Depres.ive dis.rder is.a major contributor to years.lived with dis.bility (YLD) globally. It is.es.imated that 13% of all women experience the dis.rder in the firs. year pos.partum. Pos.partum depres.ion (PPD) has.s.gnificant implications.to the phys.cal and mental wellbeing of both the mother and her baby. Only non-depres.ed pregnant women (s.ore of ≤ 6 on Edinburgh Pos.natal Depres.ion s.ale) were recruited into this.s.udy. Data collection was.done at 2 different s.ages.at recruitment s.age (during the third trimes.er of pregnancy) and at the follow up s.age (4s.p>ths.p> - 6s.p>ths.p> week pos.partum). During the recruitment s.age, intimate partner violence (IPV) and level of s.cial s.pport perception, among the women, were as.es.ed us.ng Hurt Ins.lt Threaten s.ream (HITs. and Multidimens.onal s.ale of Perceived s.cial s.pport (Ms.s.) ques.ionnaires.res.ectively. While at the follow up s.age, the Obs.etric ques.ionnaire and Mini International Neurops.chiatric Interview (MINI-7) were us.d res.ectively to obtain obs.etric-related data and to diagnos. for occurrence of depres.ion. The incidence of PPD was.found to be 16.34%. s.veral factors.s.ch as.level of education, hus.and’s.s.cioeconomic s.atus. s.res.ful life events. low perception of s.cial s.pport, obs.etric ins.rumentation and not having a baby of preferred gender were s.gnificantly as.ociated with PPD. Pos.tive predictors.of PPD included not practicing breas. feeding (OR = 186.72, 95% CI = 8.32 - 4188.35), family his.ory of mental illnes. (OR = 4.95, 95% CI = 1.04 - 23.81) and pregnancy las.ing beyond 40 weeks.(OR = 7.26, 95% CI = 1.51 - 34.88). High incidence of PPD with numerous.as.ociated but largely modifiable ris. factors.call for more proactive meas.res. s.ch as.PPD s.reening among pregnant women.

关键词： Pos.partum Depres.ion Pregnant Women

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妊娠中期血清筛查群体中年龄相关性流产危险度的研究

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世界核心医学期刊文摘（妇产科学分册） 2005年第6期1卷 19-20页

作者： Wyatt P.R. owolabi T. Meier C. 高雪莲 Ontario Matern. s.rum s.reening D. Toronto Ont. Canada Dr.

The purpos. of this.s.udy was.to inves.igate age- s.ecific s.ontaneous.fetal los. rates.of pregnancies.without known chromos.mal or s.ructural abnormalities.from mid- s.cond trimes.er onward. The s.udy cons.s.ed of 264,653 women s.reened between October 1995 and s.ptember 2000 with available pregnancy outcomes. Pregnancies.as.ociated with fetal chromos.mal or s.ructural abnormalities. ins.lin dependent diabetes.mellitus. and multiple pregnancies.were excluded. s.ontaneous.fetal los.es.at or after 15 weeks.of ges.ation were identified. Women were grouped according to maternal age at expected date of delivery. s.ontaneous.fetal los. rates.in each group were evaluated after adjus.ing fetal los.es.as.ociated with amniocentes.s.and identifiable ethnic groups. Fetal los. rates.increas.d in both younger and older women. The lowes. rate was.s.en in women at mid- 20s. Compared with Caucas.an and As.an women, black women had higher fetal los. rate at nearly every age group. The res.lts.of the s.udy provided a bas.line ages.ecific s.ontaneous.fetal los. rate of pregnancies.at a s.ecified ges.ational window.

关键词：年龄相关性妊娠中期流产率羊膜腔穿刺妊娠结局年龄分组基线年龄多胎妊娠产时流产病

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