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Relationship between delivery with anesthesia and postpartum depression: The Japan Environment and Children’s Study (JECS)

Authors :
Nobuhiro Suzumori
Takeshi Ebara
Hazuki Tamada
Taro Matsuki
Hirotaka Sato
Sayaka Kato
Shinji Saitoh
Michihiro Kamijima
Mayumi Sugiura-Ogasawara
the Japan Environment, Children’s Study Group
Source :
BMC Pregnancy and Childbirth, Vol 21, Iss 1, Pp 1-9 (2021)
Publication Year :
2021
Publisher :
BMC, 2021.

Abstract

Abstract Background Postpartum depression is one of the most commonly experienced psychological disorders for women after childbirth, usually occurring within one year. This study aimed to clarify whether women with delivery with anesthesia, including epidural analgesia, spinal-epidural analgesia, and paracervical block, had a decreased risk of postpartum depression after giving birth in Japan. Methods The Japan Environment and Children’s Study (JECS) was a prospective cohort study that enrolled registered fetal records (n = 104,065) in 15 regions nationwide in Japan. Binomial logistic regression analyses were performed to calculate the adjusted odd ratios (aORs) for the association between mode of delivery with or without anesthesia and postpartum depression at one-, six- and twelve-months after childbirth. Results At six months after childbirth, vaginal delivery with anesthesia was associated with a higher risk of postpartum depression (aOR: 1.233, 95% confidence interval: 1.079–1.409), compared with vaginal delivery without analgesia. Nevertheless, the risk dropped off one year after delivery. Among the pregnant women who requested delivery with anesthesia, 5.1% had a positive Kessler-6 scale (K6) score for depression before the first trimester (p

Details

Language :
English
ISSN :
14712393
Volume :
21
Issue :
1
Database :
Directory of Open Access Journals
Journal :
BMC Pregnancy and Childbirth
Publication Type :
Academic Journal
Accession number :
edsdoj.092f8c7ca1c44452814a535cb26730d4
Document Type :
article
Full Text :
https://doi.org/10.1186/s12884-021-03996-y