Objective To investigate the influencing factors of postpartum depression in hypertensive patients during pregnancy, and to investigate their quality of life. Methods A total of 312 case of hypertensive patients during pregnancy who delivered in obstetrics of our hospital from June 2016 to June 2021 were selected, the incidence of postpartum depression was assessed by the Edinburgh Postpartum Depression Scale (EPDS). Clinical data were collected, and multivariate Logistic regression was used to analyze the risk factors of postpartum depression in hypertensive patients during pregnancy. The Chinese version of the Mos 36-item short form health survey (SF-36) was used to assess patients'' quality of life. Results Among 312 patients with hypertension during pregnancy, 66 patients developed postpartum depression, the incidence was 21.15%. Univariate analysis showed that proportion of age ≥35 years old, education level of senior high school (technical secondary school) or below, no economic income, marital status was unmarried/divorced/widowed, with pregnancy complications, gestational weeks of delivery < 36 weeks, no doula delivery, neonatal diseases, severe wound pain, postpartum bleeding, puerperal infection and poor postpartum blood pressure control in the depression group were higher than those in the non-depression group (P<0.05). Multivariate Logistic regression analysis showed that neonatal disease, gestational weeks of delivery < 36 weeks, poor postpartum blood pressure control, no economic income and low education level were the risk factors for postpartum depression in patients with gestational hypertension (P<0.05). The SF-36 scores of Somatic function, physical function, physical pain, general health, vitality, social function, emotional function and mental health in the depression group were lower than those in the non-depression group (P<0.05). Conclusion Neonatal disease, gestational weeks of delivery < 36 weeks, poor postpartum blood pressure control, no economic income, low education level are the risk factors of postpartum depression in patients with gestational hypertension. The quality of life of patients with postpartum depression is low. Postpartum psychological intervention should be strengthened to improve the quality of life of patients. |