Journal des soins de santé des femmes
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Mode of Delivery and Post-partum Depression: A Cohort Study

Mohammad Arbabi, Ziba Taghizadeh, Sedigheh Hantoushzadeh and Edith Haghnazarian

Objective: Postpartum depression (PPD) and postpartum anxiety have serious complications on the mother and the infant. Multiple risk factors are associated with PPD and anxiety, namely Mode of delivery, in this study we aimed to examine the association of delivery mode and these disorders.
Methods: In this cross-sectional study 250 women were recruited from the delivery ward of Valiasr hospital at Imam Khomeini hospital Complex, Tehran, Iran. Depression and anxiety were measured using the Edinburg Postnatal Depression Scale (EPDS). Mode of delivery, health related and demographic data were also assessed. Data was analyzed on SPSS v19 software.
Results: Overall prevalence of PPD was 23.2% (25% in CS and 18.3% in NVD) and prevalence of anxiety was 23.6% (22.9% CS and 25.4% in NVD). Our findings did not show any significant relationship between mode of delivery and PPD or anxiety. Whereas other factors such as previous history of mood disorders and depressed mood immediately after delivery and suicidal thoughts were significantly associated with PPD and Anxiety.
Conclusion: Mode of delivery was not significantly associated with Post-partum depression or anxiety, 3 most important risk factors were: a history of mood disorder, early depressive mood postpartum, and suicidal thoughts.