Cesarean Section and Post Partum Depression

Document Type : Original Article

Authors

1 M.Sc. of Midwifery, Islamic Azad University of Rasht, Rasht, Iran.

2 M.Sc. of Epidemiology, Vice Chancellery of Gilan University of Medical Sciences, Gilan, Iran.

Abstract

Introduction: Some previous studies have indicated that mode of delivery especially cesarean section might be as a risk factor for post partum depression. This study aimed to determine the relationship between cesarean section and post partum depression.
Methods: This cohort study was conducted on 310 women referring for delivery to Rasool Akram hospital of Rasht in 2010. Post partum depression was determined in cesarean group (156 cases) and vaginal delivery group (154 cases) using Edinburg standard questionnaire. The women diagnosed with depressive mode in third trimester based on Edinburg score more than 12 were excluded. The questionnaires were completed again, 6 weeks after delivery. Other information were also completed and analyzed in two groups by using SPSS software version 16.
Results: The frequency of post partum depression was 5.2% in vaginal delivery and 7.7% in cesarean group and difference was not statistically significant (p=0.37). After controlling age, history of PMS and abortion, the odds ratio of post partum depression was 2.53 in cesarean group compared to vaginal delivery group using logistic regression test (95% CI=0.93-6.88, p=0.07). Only history of PMS was significantly related to post partum depression (OR=4.36, 95% CI: 1.48-12.83, p=0.008).
Conclusion: This study revealed that cesarean section is not significantly related with post partum depression.

Keywords

References

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