Effect of mode of delivery on postpartum depression in Iranian women

Sadat, Z. and Atrian, M.K. and Alavi, N.M. and Abbaszadeh, F. and Karimian, Z. and Taherian, A.A. (2014) Effect of mode of delivery on postpartum depression in Iranian women. Journal of Obstetrics and Gynaecology Research, 40 (1). pp. 172-177.

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Abstract

Aim: The aim of this study was to determine the relation between mode of delivery (cesarean section CS or unassisted vaginal delivery) and postpartum depression (PPD). Material and Methods: In a prospective study, 300 women who had experienced vaginal delivery (VD) or CS were recruited in Kashan, Iran. PPD was measured using the Edinburgh Postnatal Depression Scale (EPDS). A score of 13 or more was defined as PPD. Data collection was conducted at two assessment points: 2 months and 4 months postpartum. Mean scores of EPDS and PPD were compared between the VD and CS groups. Results: Differences in mean scores of EPDS between CS (n = 150) and VD (n = 150) groups at the first and the second assessments were not significant. The depression mean scores differences from the first to the second assessment were compared between the two groups; VD group showed more decrease on EPDS score (P = 0.006). Comparing the two assessments, the VD group showed a more decreased EPDS from the first to the second one. PPD prevalence rates (score �13) among the VD and CS groups were 24% and 20.7% for the first and 14.7% and 16.7% for the second assessment, respectively, which were not significantly different. The logistic regression showed that an unwanted pregnancy and PPD 2 months after delivery were determinants for PPD 4 months after delivery. Conclusion: Therewas no relation between delivery mode and PPD at 2 and 4 months after delivery; however, the VD group showed greater decrease in EPDS score from 2 to 4 months after delivery. © 2013 Japan Society of Obstetrics and Gynecology.

Item Type: Article
Additional Information: cited By 1
Uncontrolled Keywords: adult; article; cesarean section; childbirth; Edinburgh Postnatal Depression Scale; female; human; Iran; logistic regression analysis; major clinical study; prospective study; puerperal depression; scoring system; unwanted pregnancy; vaginal delivery, cesarean section; delivery; depression; mothers; postpartum; psychology, Adult; Cesarean Section; Delivery, Obstetric; Depression, Postpartum; Female; Follow-Up Studies; Humans; Iran; Pregnancy; Prevalence; Prospective Studies; Psychiatric Status Rating Scales; Reproducibility of Results; Young Adult
Subjects: Midwifery
Divisions: Faculty of Nursing & Midwifery > Department of Midwifery
Depositing User: editor . 2
Date Deposited: 05 Mar 2017 08:40
Last Modified: 11 Mar 2017 14:28
URI: http://eprints.kaums.ac.ir/id/eprint/480

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