The Journal of the Convergence on Culture Technology (문화기술의 융합)

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
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The Relationship between Perineal Demage in Delivery and Postpartum Depression

분만 시 회음부 손상과 산후 우울간의 관계

  • Received : 2017.12.08
  • Accepted : 2018.02.26
  • Published : 2018.02.28
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Abstract

This study was conducted to examine the relationship between perineal demage, a physiological element that mothers experience immediately after delivery, and postpartum depression. The postpartum depression level of women after delivery was $6.67{\pm}4.34$ points at delivery, $7.41{\pm}4.77$ after 2 weeks, and $7.77{\pm}5.27$ after 6 weeks. The degree of mild postpartum depression increased to 26% after delivery, 33% after 2 weeks, and to 41.4 after 6 weeks. At 2 weeks and 6 weeks postpartum, the feeling of discomfort during walking or sitting caused by perineal incision had a direct correlation with postpartum depression. Therefore, in order to prevent postpartum depression, management of discomfort associated with the perineal incision should be given priority.

본 연구는 여성들에게 분만시 발생하는 회음부 손상과 산후 우울증의 관련성을 확인하기 위해 시도되었다. 분만 후 여성들의 산후 우울 수준은 분만1일째 $6.67{\pm}4.34$점, 분만 2주일째 $7.41{\pm}4.77$점, 분만 6주일째 $7.77{\pm}5.27$점으로 높지 않았지만, 경한 산후 우울(EPDS>9)로 의심되는 여성이 분만 1일째는 전체의 26.1%, 분만 2주일째는 33.8%, 분만 6주째는 41.4%로 증가되었다. 산후 2주와 6주에는 회음부 절개술로 발생되는 걷거나 앉을때의 불편감이 산후우울에 직접적인 상관관계를 보여주었다. 따라서 분만시 시행하는 회음부 절개술에 의한 회음부 손상 관리를 산후 우울 예방차원에서 우선적으로 중요하게 다루어져야 할 필요가 있다.

Keywords

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