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Published on: August 25, 2014
Antenatal Depression and Cesarean Delivery Among Recently-Delivered Nulliparous Women in Rhode Island
Nina K Ayala1, Adam K Lewkowitz1, Annie Gjelsvik2
1Division of Maternal Fetal Medicine, Women & Infants Hospital of Rhode Island.
Objective:
Antenatal depression (AD) is frequently cited as a risk factor for cesarean delivery (CD) with limited supporting data.
Study Design:
We utilized 2016-2018 data from the Pregnancy Risk Assessment Monitoring System (PRAMS) survey for the state of Rhode Island. Nulliparous women who reported AD (n=242) were compared to women who did not (n=1,081). Maternal demographics, pregnancy and delivery characteristics were compared by AD status using population-weighted bivariable analyses and multivariable logistic regression.
Results:
17.7% reported AD, and 34% underwent CD. There was no difference in CD based on reported AD status (aOR 1.04; 95% CI 0.69, 1.56). However, there were significant differences between those reporting AD compared to those who did not: less education, more public insurance, use of Women, Infants and Children (WIC) benefits, tobacco use, and pre-gestational hypertension/diabetes.
Conclusion:
In this large, population-based, state representative sample, we found no difference in CD among recently delivered nulliparous women with and without AD.
