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Postpartum depression, mode of delivery, and indication for unscheduled cesarean delivery: a retrospective cohort study

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Veröffentlicht/Copyright: 14. Februar 2022
Journal of Perinatal Medicine
Aus der Zeitschrift Journal of Perinatal Medicine Band 50 Heft 5

Abstract

Objectives

To examine the relationship between postpartum depression (PPD), mode of delivery (MOD), and indication for unscheduled cesarean delivery (uCD).

Methods

Patients with antenatal and postpartum Edinburgh Postnatal Depression Scale (EPDS) scores were compared by MOD and indication for uCD if applicable. Patients with an antenatal EPDS>12 were excluded to ascertain the incidence of new depression. The primary outcome was EPDS≥13 by MOD. The secondary outcome was EPDS≥13 by indication for uCD.

Results

Seven hundred and thirty eight patients met inclusion criteria. There were statistically significant differences in MOD by age, race, BMI, and multi-gestation pregnancy. Patients delivered via uCD had a higher rate of peripartum complications and NICU admission. There were no differences in medical comorbidities or use of psychiatric medications by MOD. There was no difference in EPDS by MOD. The rate of PPD was higher in patients with uCD for non-reassuring fetal heart tones (NRFHT) compared to other indications for uCD (p=0.02).

Conclusions

While there was no difference in the incidence of PPD by MOD, the incidence of PPD was higher among patients delivered via uCD for NRFHT. These findings may have implications for patient counseling, post-operative mental health surveillance, and support of postpartum patients.

Keywords: depression; Edinburgh postnatal depression scale; mode of delivery; mood disorders; postpartum depression
Corresponding author: Meralis Lantigua-Martinez, MD, Department of Obstetrics and Gynecology, NYU Langone, 550 First Avenue, New York, NY 10016, USA, E-mail:

  1. Research funding: None declared.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: A waiver of informed consent was approved by the NYU Grossman School of Medicine Institutional Review Board.

  5. Ethical approval: The research related to human use has complied with all the relevant national regulations, institutional policies, and in accordance with the tenets of the Helsinki Declaration, and has been approved by NYU Grossman School of Medicine Institutional Review Board.

References

1. Gaynes, BN, Gavin, N, Meltzer-Brody, S, Lohr, KN, Swinson, T, Gartlehner, G, et al.. Perinatal depression: prevalence, screening accuracy, and screening outcomes. Evid Rep Technol Assess 2005;119:1–8. https://doi.org/10.1037/e439372005-001.Suche in Google Scholar

2. Séguin, L, Potvin, L, St.-Denis, M, Loiselle, J. Chronic stressors, social support, and depression during pregnancy. Obstet Gynecol 1995;85:583–9.10.1016/0029-7844(94)00449-NSuche in Google Scholar

3. Sun, L, Wang, S, Li, XQ. Association between mode of delivery and postpartum depression: a systematic review and network meta-analysis. Aust N Z J Psychiatr 2021;55:588–601. https://doi.org/10.1177/0004867420954284.Suche in Google Scholar PubMed

4. Carter, FA, Frampton, CMA, Mulder, RT. Cesarean section and postpartum depression: a review of the evidence examining the link. Psychosom Med 2006;68:321–30. https://doi.org/10.1097/01.psy.0000204787.83768.0c.Suche in Google Scholar PubMed

5. Cox, JL, Holden, JM, Sagovsky, R. Detection of postnatal depression. Development of the 10-item Edinburgh postnatal depression scale. Br J Psychiatry 1987;150:782–6. https://doi.org/10.1192/bjp.150.6.782.Suche in Google Scholar PubMed

6. Xu, H, Ding, Y, Ma, Y, Xin, X, Zhang, D. Cesarean section and risk of postpartum depression: a meta-analysis. J Psychosom Res 2017;97:118–26. https://doi.org/10.1016/j.jpsychores.2017.04.016.Suche in Google Scholar PubMed

7. Meky, HK, Shaaban, MM, Ahmed, MR, Mohammed, TY. Prevalence of postpartum depression regarding mode of delivery: a cross-sectional study. J Matern Fetal Neonatal Med 2020;33:3300–7. https://doi.org/10.1080/14767058.2019.1571572.Suche in Google Scholar PubMed

8. Yokoyama, M, Tanaka, K, Sugiyama, T, Arakawa, M, Miyake, Y. Cesarean section is associated with increased risk of postpartum depressive symptoms in Japan: the Kyushu Okinawa Maternal and Child Health Study. J Affect Disord 2021;278:497–501. https://doi.org/10.1016/j.jad.2020.09.106.Suche in Google Scholar PubMed

9. Chan, JE, Samaranayaka, A, Paterson, H. Seasonal and gestational variation in perinatal depression in a prospective cohort in New Zealand. Aust N Z J Obstet Gynaecol 2019;59:514–22. https://doi.org/10.1111/ajo.12912.Suche in Google Scholar PubMed

10. Eckerdal, P, Georgakis, MK, Kollia, N, Wikström, AK, Högberg, U, Skalkidou, A. Delineating the association between mode of delivery and postpartum depression symptoms: a longitudinal study. Acta Obstet Gynecol Scand 2018;97:301–11. https://doi.org/10.1111/aogs.13275.Suche in Google Scholar PubMed

Received: 2021-11-05
Accepted: 2022-01-19
Published Online: 2022-02-14
Published in Print: 2022-06-27

© 2022 Walter de Gruyter GmbH, Berlin/Boston

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https://doi.org/10.1515/jpm-2021-0575
Schlagwörter für diesen Artikel
depression; Edinburgh postnatal depression scale; mode of delivery; mood disorders; postpartum depression

Artikel in diesem Heft

  1. Frontmatter
  2. Reviews
  3. Venous thrombosis risk factors in pregnant women
  4. Ethical considerations of maternal-fetal surgery
  5. Opinion Paper
  6. John Stuart Mill is relevant to COVID-19 vaccination in pregnancy today
  7. Corner of Academy
  8. Excellent perinatal outcome of monoamniotic twin pregnancy with timely diagnosis and optimal management – a retrospective cohort study
  9. Original Articles – Obstetrics
  10. Giving birth alone due to COVID-19-related hospital restrictions compared to accompanied birth: psychological distress in women with caesarean section or vaginal birth – a cross-sectional study
  11. COVID-19 and its effect on Instagram adoption by #OBGYN residency programs
  12. The role of the placenta in spontaneous preterm labor and delivery with intact membranes
  13. New ultrasonographic midtrimester scoring method for predicting spontaneous preterm birth in uncomplicated asymptomatic twin pregnancies
  14. Antenatal corticosteroids and neonatal outcomes in preterm birth in the United States
  15. Pregnancy, delivery, and neonatal outcomes among women with psoriatic arthritis, a population based study
  16. Maternal and neonatal outcomes among pregnant women with inflammatory myopathies
  17. Outcomes of pregnancies at high-risk for placenta accreta spectrum following negative diagnostic imaging
  18. Risk factors for postpartum hemorrhage in patients with retained placenta: building a predict model
  19. Prediction of insulin therapy in women with gestational diabetes: a systematic review and meta-analysis of observational studies
  20. Timing of delivery in antenatal fetal hydronephrosis: a snap shot social media survery of obstetric and fetal medicine practice
  21. Original Article – Neonates
  22. Is low cerebral near infrared spectroscopy oximetry associated with neurodevelopment of preterm infants without brain injury?
  23. Short Communication
  24. Postpartum depression, mode of delivery, and indication for unscheduled cesarean delivery: a retrospective cohort study
  25. Letters to the Editor
  26. Peripartum cephalocenthesis in a large fetal hydranencephaly
  27. John Stuart Mill and COVID-19 vaccination
  28. Letter reply “John Stuart Mill and COVID-19 vaccination”
Heruntergeladen am 8.5.2026 von https://www.degruyterbrill.com/document/doi/10.1515/jpm-2021-0575/html?lang=de
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