Journal of Developmental Medicine(Electronic Version)  2023, Vol. 11 Issue (1): 38-43 DOI: 10.3969/j.issn.2095-5340.2023.01.007 |
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| Study on the relationship between iron deficiency anemia and depression in pregnant women in Sanya city |
| Huang Qi, Zeng Xiangli
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Department of Women's Health Care, Sanya Women and Children's HospitalManaged by Shanghai Children’s Medical Center, Hainan, Sanya 572000, China
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Abstract 【Abstract】 Objective To investigate the relationship between iron deficiency anemia (IDA) anddepression in pregnant women. Method The study included 2 571 pregnant women who had completedprenatal examination and information in Sanya Women and Children's Hospital from January 2020 toDecember 2021. The cases were divided into IDA group and non-IDA group, and the depression status ofpregnant women was evaluated. The characteristics of IDA group and non-IDA group and depression andnon-depression groups were compared. The statistical method was t test, χ2 test, and multiple stepwiseLogistic regression analysis. Result Of 2 571 pregnant women, 561 cases were diagnosed as IDAand 2 010 cases were diagnosed as non-IDA. 22.99% (129/561) of Pregnant women with ≥1 birth in IDAgroup were significantly lower than 28.01% (563/2 010) in non-IDA group, which was statistical significance(P<0.05). There were no significant differences between the two groups in terms of age, location, educationlevel, work status, active or passive smoking, history of miscarriage, and comorbid diseases (P>0.05). Amongthe included cases, 232 pregnant women (232/2 571, 9.02%) had depression, and IDA in the depressedgroup was higher than that in the non-depressed group, with statistical significance [30.17% (70/232) vs20.99% (491/2 339), P=0.001]. There was also a statistically significant difference in IDA between the twogroups (P=0.006). Multivariate stepwise Logistic regression analysis showed that IDA (OR=2.717, 95%CI:1.301-3.987, P=0.011), the degree of the anemia (OR=1.227, 95%CI: 1.035-1.452, P=0.020), unemployed(OR=4.151, 95%CI: 1.283-10.297, P=0.006), history of miscarriage (OR=1.005, 95%CI: 1.001-1.010,P=0.017), assisted reproductive technologies (OR=1.471, 95%CI: 1.133-1.897, P=0.004) and concomitantother diseases (OR=5.032, 95%CI: 1.533-13.472, P=0.006) were risk factors for the occurrence of depressionin pregnant women. Conclusion IDA is a risk factor for depression in pregnant women. Treatment andpsychological intervention should be carried out to improve the pregnancy outcome
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Received: 20 June 2022
Published: 30 January 2023
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