Cesarean Section Can Be Related With Postpartum Depression: A Cross-sectional Study

IF 0.8 Q4 REPRODUCTIVE BIOLOGY
Rana Dousti, S. Hakimi, H. Pourfathi, Roghaiyeh Nourizadeh, N. Sattarzadeh
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Abstract

Objectives: Depression is highly prevalent during pregnancy and after childbirth, and many factors, including the type of delivery, can contribute to developing this condition. Considering the increased use of remifentanil in painless labor and the need for conducting more studies on the consequences of this method this study aimed to determine the mean score of postpartum depression in women giving birth by either remifentanil-induced painless delivery or elective cesarean section. Materials and Methods: The present study was a longitudinal investigation conducted on140 women referred to private hospitals, Tabriz, Iran, between 2020 and 2021 in two groups: women with elective cesarean delivery and women with vaginal delivery with remifentanil analgesia (n=70/each). Depression during pregnancy was assessed at 35-37th weeks’ gestation, and postpartum depression was determined four weeks after childbirth using the Edinburgh Postnatal Depression Scale (EPDS). Independent t test and paired t test were used to compare depression scores. Results: Postpartum depression was significantly higher in women who had undergone a cesarean section than in those giving birth by remifentanil-induced painless vaginal delivery (P = 0.009). Conclusions: The prevalence of postpartum depression was higher in women who underwent elective cesarean section than women who underwent painless vaginal delivery with remifentanil. Considering the steady rise in worldwide cesarean section rate and the health burden and consequences of postpartum depression on mothers and children, health legislators should take measures to reduce women’s tendency towards the cesarean section in the long run.
剖宫产可能与产后抑郁有关:一项横断面研究
目的:抑郁症在怀孕期间和分娩后非常普遍,许多因素,包括分娩类型,都可能导致这种情况的发生。考虑到瑞芬太尼在无痛分娩中的使用越来越多,并且需要对这种方法的后果进行更多的研究,本研究旨在确定经瑞芬太尼诱导无痛分娩或择期剖宫产分娩的妇女产后抑郁的平均评分。材料和方法:本研究是对2020年至2021年间在伊朗大不里士私立医院转诊的140名妇女进行的纵向调查,分为两组:选择性剖宫产妇女和阴道分娩使用瑞芬太尼镇痛的妇女(n=70/每组)。在妊娠35-37周评估孕期抑郁,并在分娩后4周使用爱丁堡产后抑郁量表(EPDS)评估产后抑郁。比较抑郁得分采用独立t检验和配对t检验。结果:剖宫产孕妇的产后抑郁明显高于经瑞芬太尼诱导的无痛阴道分娩孕妇(P = 0.009)。结论:选择剖宫产的妇女产后抑郁的发生率高于使用瑞芬太尼无痛阴道分娩的妇女。考虑到世界范围内剖宫产率的稳步上升以及产后抑郁症对母亲和儿童的健康负担和后果,卫生立法者应采取措施,从长远来看减少妇女剖宫产的倾向。
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来源期刊
CiteScore
1.60
自引率
14.30%
发文量
8
期刊介绍: All kind of knowledge contributing to the development of science by its content, value, level and originality will be covered by IJWHR. Problems of public health and their solutions are at the head of the windows opening us to the world. The "International Journal of Women''s Health and Reproduction Sciences” is a modern forum for scientific communication, covering all aspects women health and reproduction sciences, in basic and clinical sciences, mainly including: -Medical Education in Women Health and Reproduction Sciences -Cardiology in Women Health-Related Reproductive Problems -Sports Medicine in Women Health and Reproduction Sciences -Psychiatry in Women Health-Related Reproductive Problems -Antioxidant Therapy in Reproduction Medicine Sciences -Nutrition in Women Health and Reproduction Sciences -Defense Androgen and Estrogen -Fertility and Infertility -Urogynecology -Endometriosis -Endocrinology -Breast Cancer -Menopause -Puberty -Eroticism -Pregnancy -Preterm Birth -Vaginal Diseases -Sex-Based Biology -Surgical Procedures -Nursing in Pregnancy -Obstetrics/Gynecology -Polycystic Ovary Syndrome -Hyperandrogenism in Females -Menstrual Syndrome and Complications -Oncology of Female Reproductive Organs -Traditional Medicine in Women Reproductive Health -Ultrasound in Women Health Reproduction sciences -Stem Cell Research In Women Reproduction Sciences -Complementary Medicine in Women Reproductive Health -Female Sexual Dysfunction: Pathophysiology & Treatment
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