"Doing the month" and postpartum depression among Chinese women: A Shanghai prospective cohort study

被引:39
作者
Ding, Guodong [1 ,2 ,3 ]
Niu, Lei [4 ]
Vinturache, Angela [5 ]
Zhang, Jun [1 ,2 ]
Lu, Min [3 ]
Gao, Yu [6 ]
Pan, Shuming [4 ]
Tian, Ying [1 ,2 ,6 ]
机构
[1] Shanghai Jiao Tong Univ, Xinhua Hosp, Minist Educ, Sch Med, Shanghai, Peoples R China
[2] Shanghai Jiao Tong Univ, Xinhua Hosp, Shanghai Key Lab Childrens Environm Hlth, Sch Med, 1665 Kongjiang Rd, Shanghai 200092, Peoples R China
[3] Shanghai Jiao Tong Univ, Shanghai Childrens Hosp, Dept Resp Med, Shanghai, Peoples R China
[4] Shanghai Jiao Tong Univ, Xinhua Hosp, Dept Emergency, Sch Med, 1665 Kongjiang Rd, Shanghai 200092, Peoples R China
[5] St Georges Univ Hosp NHS Fdn Trust, St Georges Hosp, Dept Obstet & Gynecol, London, England
[6] Shanghai Jiao Tong Univ, Sch Publ Hlth, Dept Environm Hlth, Sch Med, Shanghai, Peoples R China
基金
中国国家自然科学基金;
关键词
Doing the month; Confinement practice; Postpartum depression; Woman; China; POSTNATAL DEPRESSION; MENTAL-HEALTH; MIGRANT WOMEN; RISK-FACTORS; PREVALENCE; SYMPTOMS; SLEEP; TAIWAN; INCOME; CONVALESCENCE;
D O I
10.1016/j.wombi.2019.04.004
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background: The Chinese postpartum custom of "doing the month" characterized by generous social support available through the traditional cultural practices was considered to protect women from postpartum depression in early puerperium. Methods: This study used data from the Shanghai Birth Cohort, a study of 2615 postpartum women from Shanghai, China, that was conducted between 2013 and 2016. Detailed information on the traditional "doing the month" practices and the on the Edinburgh Postnatal Depression Scale scores was collected from questionnaires administered on the 42nd day after childbirth. Logistic regression models were used to examine the association between the adopting traditional puerperium practices and postpartum depression. Results: The estimated prevalence of postpartum depression in women from the Shanghai area in China was 11.8% (n = 308) at six weeks postpartum. Women who went outside their homes during the first month postpartum showed higher risks of postpartum depression compared with those who never left the house (1-2 times: OR = 1.9, 95% CI = 1.4-2.4; 3-5 times: OR = 2.3, 95% CI = 1.5-3.5; >= 6 times: OR = 2.5, 95% CI = 1.2-5.1). Women with average sleep of 6 h or less per night were more likely to suffer from postpartum depression compared with those who slept 8 h (6 h: OR = 1.7, 95% CI = 1.2-2.4; less than 6 h : OR = 3.3, 95% CI = 2.2-5.0). Women who opened the house windows most of the time exhibited decreased risks of postpartum depression compared to those who never or rarely opened the windows (often: OR = 0.6, 95% CI = 0.4-0.9; always: OR = 0.4, 95% CI = 0.3-0.7). Conclusions: Our results suggested that not all the activities of "doing the month" provided protection against developing PPD. This study emphasized the need for flexibility to fit and adjust the ritual into the modern life to enhance the positive effects of traditional practices on maternal health. (C) 2019 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:E151 / E158
页数:8
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