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01.12.2012 | Maternal-Fetal Medicine

Delivery mode and the course of pre- and postpartum depression

verfasst von: Claudia Rauh, Andrea Beetz, Pascal Burger, Anne Engel, Lothar Häberle, Peter A. Fasching, Johannes Kornhuber, Matthias W. Beckmann, Tamme W. Goecke, Florian Faschingbauer

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 6/2012

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Abstract

Purpose

To compare depressiveness scores, both during and after pregnancy, with the delivery mode (DM).

Methods

In a longitudinal, prospective study, standardized questionnaires for the Edinburgh Postnatal Depression Scale were presented to 1,100 women and used to assess the presence and severity of depressiveness at three time points: prenatal, from the 30th gestational week (Q1); 48–72 h postnatal (Q2); and 6–8 months postnatal (Q3). The patients were divided into four groups relative to DM: spontaneous delivery, primary cesarean section (CS), secondary CS, and assisted vaginal delivery. The final number of participating women with both delivery mode and depression information for all three time points was 753.

Results

There was a significant difference of the mean EPDS values between the spontaneous delivery and primary CS groups (P = 0.04) at Q1 (5.1 vs. 6.3). None of the other comparisons was significant. Significant differences relative to DM were seen at Q2 (P < 0.0001), but there were no significant differences between the patient groups at Q3 (P = 0.54).

Conclusions

DM only showed coherence with the extent of depression briefly during the peripartal period. A relationship was found between depressiveness during pregnancy and DM, with higher depressiveness scores in the group of patients undergoing primary CS. This should be taken into account when patients requesting an elective cesarean section are being counseled.

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Titel: Delivery mode and the course of pre- and postpartum depression
verfasst von: Claudia Rauh
Andrea Beetz
Pascal Burger
Anne Engel
Lothar Häberle
Peter A. Fasching
Johannes Kornhuber
Matthias W. Beckmann
Tamme W. Goecke
Florian Faschingbauer
Publikationsdatum: 01.12.2012
Verlag: Springer-Verlag
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 6/2012
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-012-2470-8

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Delivery mode and the course of pre- and postpartum depression