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Delineating the association between mode of delivery and postpartum depression symptoms: a longitudinal study
| Content Provider | Scilit |
|---|---|
| Author | Eckerdal, Patricia Georgakis, Marios K. Kollia, Natasa Wikström, Anna-Karin Högberg, Ulf Skalkidou, Alkistis |
| Copyright Year | 2017 |
| Description | Journal: Acta Obstetricia et Gynecologica Scandinavica Although a number of perinatal factors have been implied in the etiology of postpartum depression (PPD), the role of mode of delivery remains controversial. Our aim was to explore the association between mode of delivery and PPD, considering the potentially mediating or confounding role of several covariates MATERIAL AND METHODS: In a longitudinal-cohort study in Uppsala, Sweden, with 3888 unique pregnancies followed-up postpartum, the effect of mode of delivery (spontaneous vaginal delivery, vacuum extraction, elective cesarean section, emergency cesarean section) on self-reported PPD symptoms (Edinburgh Postnatal Depression Scale ≥12) at six weeks postpartum was investigated through logistic regression models and path analysis RESULTS: The overall prevalence of PPD was 13%. Compared to spontaneous vaginal delivery, women delivered by emergency cesarean section were at higher risk for PPD six weeks after delivery in crude (OR: 1.45, 95%CI: 1.04-2.01), but not in adjusted analysis. However, the path analysis revealed that emergency cesarean section and vacuum extraction were indirectly associated with increased risk of PPD, by leading to postpartum complications, self-reported physical symptoms postpartum, and therefore a negative delivery experience. In contrast, history of depression and fear of delivery increased the odds of PPD, but also led more frequently to elective cesarean section, which was however associated with a positive delivery experience. |
| Ending Page | 311 |
| Starting Page | 301 |
| ISSN | 00221295 |
| e-ISSN | 16000412 |
| DOI | 10.1111/aogs.13275 |
| Journal | Acta Obstetricia et Gynecologica Scandinavica |
| Issue Number | 3 |
| Volume Number | 97 |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2017-12-07 |
| Access Restriction | Open |
| Subject Keyword | Journal: Acta Obstetricia et Gynecologica Scandinavica Obstetrics and Gynecology Cesarean Section Delivery Experience Mode of Delivery Postpartum Depression Vacuum Extraction |
| Content Type | Text |
| Resource Type | Article |
| Subject | Obstetrics and Gynecology |
