| Summary: | 碩士 === 實踐大學 === 食品營養與保健生技學系碩士班 === 106 === Taiwanese women are used to of confinement after birth, but no study investigated whether confinement provides a balanced dietary and affected the occurrence of postpartum depression. The aim of this study was to investigate the association between nutritional status and postpartum depression at 6 weeks of postpartum. Recruited subjects back for postpartum routine examination on the obstetrics and gynecology clinic of Shin Kong Wu Ho-Su Memorial Hospital from January 2016 to September 2017.A total of 344 women received the assessment of Edinburdh Postnatal Depression Scale (EPDS), EPDS ≥ 10 was defined postpartum depression (PPD). Ninety seven assessed as normal and twenty three PPD women completed blood analysis and dietary questionnaires. Blood examination includes complete blood count, plasma vitamin A, vitamin D, vitamin E, vitamin B2, ferritin and fatty acid composition of erythrocytes. Result showed the prevalence of postpartum depression was 8.4%. PPD was 70% confinement at home significantly higher than Normal 45%. All of women of PPD group feel conscious pressure, the percentage of husband or family cannot provide assistance was significantly higher in PPD compared to Normal. The postpartum care satisfaction score of PPD was also lower than Normal. In dietary intake, all of women were lower calcium, magnesium, iron, zinc, vitamin E and vitamin C intake, but no difference between the two groups. Nutritional biomarker analysis, Normal and PPD had 76% and 74% vitamin D insufficiency respectively, but there was no statistical difference between two groups. PPD was lower vitamin B2 level than Normal. In fatty acid profiles of erythrocytes, PPD was significantly higher C20:4n-6, C22:5n-6, n-6/n-3 ratio and lower C16:1n-9, C24:1n-9, C18:3n-6, C20:5n-3, n-3 fatty acid ratio than Normal. In binary logistic regression analysis, the higher vitamin B2, C16:1n-9, C24:1n-9, C18:3n-6, and C20:5n-3 level and lower n-6 fatty acid and C22:5n-6 will decrease the risk of postpartum depression after adjusting for the type of confinement, conscious stress scores and postpartum care satisfaction scores. Conclusion: plasma vitamin B2 level and erythrocytes fatty acid composition might be major impact factors of postpartum depression development.
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