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Postpartum depression: is mode of delivery a risk factor?
Asli Goker1, Emre Yanikkerem, M Murat Demet
1Department of Obstetrics and Gynecology, University of Celal Bayar, 45030 Manisa, Turkey.
ISRN Obstetrics and Gynecology
|January 11, 2013
Summary
Mode of delivery did not impact postpartum depression risk. However, women experiencing emesis, with a history of depression, or who are housewives showed higher depression scores. Early screening is recommended for these groups.
Area of Science:
- Obstetrics and Gynecology
- Psychiatry
- Public Health
Background:
- Postpartum depression (PPD) is a significant concern affecting maternal mental health.
- Identifying risk factors for PPD is crucial for timely intervention and support.
Purpose of the Study:
- To investigate the influence of delivery mode on the risk of developing postpartum depression.
- To identify specific demographic and clinical factors associated with PPD.
Main Methods:
- A cohort of 318 women undergoing delivery was studied.
- Exclusion criteria included fetal anomalies, preterm birth, stillbirth, and NICU admission.
- The Edinburgh Postnatal Depression Scale (EPDS) was administered at the sixth postpartum week.
Main Results:
- No significant difference in EPDS scores was observed based on delivery mode (vaginal, elective Cesarean, emergency Cesarean).
- Higher EPDS scores were significantly associated with experiencing emesis during pregnancy, a prior history of depression, and being a housewife.
- No significant differences in EPDS scores were found concerning age, education, gravidity, pregnancy desire, birth fear, gender, family type, or income level.
Conclusions:
- The mode of delivery does not appear to be a risk factor for postpartum depression.
- Healthcare providers should screen nonworking women with a history of emesis and depression for PPD using the EPDS for early detection.
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