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Relationship between postpartum mood disorder and birth experience: a prospective observational study.
- Source :
-
International journal of obstetric anesthesia [Int J Obstet Anesth] 2020 Nov; Vol. 44, pp. 90-99. Date of Electronic Publication: 2020 Jul 22. - Publication Year :
- 2020
-
Abstract
- Background: This study aims to investigate the relationship between the birth experience and the risk of developing postpartum depression or post-traumatic stress disorder.<br />Methods: In this prospective, longitudinal, observational study, women were assessed at different time points for depression and post-traumatic stress disorder. The risk of depression or post-traumatic stress disorder based on patient characteristics and specific birth events was assessed within three months postpartum.<br />Results: We enrolled 600 women; 426 were eligible for postpartum assessment. At six weeks and three months postpartum, 15.9% and 12.7% screened positive for depression respectively. Positive post-traumatic stress disorder screenings at six weeks and three months postpartum were 6.2% and 5.1% respectively. Twenty-seven women (8.3%) with a negative screening at six weeks converted to a positive depression or post-traumatic stress disorder screening at three months. A pre-existing history of anxiety or depression was associated with an increased risk of developing depression (aOR 2.12, 95% CI 1.30 to 3.47) and post-traumatic stress (aOR 3.15, 95% CI 1.42 to 7.02) within three months postpartum. The risk of developing post-traumatic stress disorder within three months postpartum was also increased among patients experiencing their first delivery (aOR 2.55, 95% CI 1.10 to 5.88) or operative management of postpartum hemorrhage (aOR 4.44, 95% CI 1.16 to 17.02).<br />Conclusion: Depression and post-traumatic stress symptoms either persisted or had new onset at three months postpartum. Mental health screening and postpartum follow-up after six weeks should be considered in high-risk patients who have a history of psychopathology, nulliparity, or undergo operative management of postpartum hemorrhage.<br /> (Copyright © 2020 Elsevier Ltd. All rights reserved.)
- Subjects :
- Adolescent
Adult
Depression, Postpartum psychology
Female
Humans
Longitudinal Studies
Prospective Studies
Puerperal Disorders epidemiology
Puerperal Disorders psychology
Risk Factors
Stress Disorders, Post-Traumatic psychology
Surveys and Questionnaires
Young Adult
Depression, Postpartum epidemiology
Parturition psychology
Stress Disorders, Post-Traumatic epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1532-3374
- Volume :
- 44
- Database :
- MEDLINE
- Journal :
- International journal of obstetric anesthesia
- Publication Type :
- Academic Journal
- Accession number :
- 32861082
- Full Text :
- https://doi.org/10.1016/j.ijoa.2020.07.008