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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Type of delivery is not associated with maternal depression

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Author(s):
Faisal-Cury, Alexandre [1, 2] ; Menezes, Paulo Rossi [2]
Total Authors: 2
Affiliation:
[1] Univ Sao Paulo, Fac Med, Dept Med Prevent, Av Dr Arnaldo 455, BR-01246903 Sao Paulo, SP - Brazil
[2] Univ Sao Paulo, Prevent Med Dept, Sao Paulo - Brazil
Total Affiliations: 2
Document type: Journal article
Source: ARCHIVES OF WOMENS MENTAL HEALTH; v. 22, n. 5, p. 631-635, OCT 2019.
Web of Science Citations: 0
Abstract

Although many women experience depressive symptoms during the first year after childbirth, the relationship between type of delivery and maternal depression is not clear. The purpose of this study is to evaluate relationship between type of delivery and maternal depression, between 6 to 16 months after childbirth. We performed a prospective cohort study of 558 low-socioeconomic status pregnant women without depression. All participants were recruited from primary care clinics of the public sector in three administrative districts in the Western area of the city of Sao Paulo, Brazil. Depressive symptoms were assessed using the Self-Report Questionnaire (SRQ-20). Type of delivery was classified as uncomplicated spontaneous vaginal delivery (UVD) (no episiotomy and no more than a first-degree perineal laceration), complicated vaginal delivery (CVD) (episiotomy or more than a second-degree perineal laceration), and cesarean delivery (CD). Data about type of delivery were extracted from medical charts. Crude and adjusted risk ratios with 95% confidence intervals were estimated using Poisson regression with robust variance estimates to examine the association between type of delivery with maternal depression. Among 482 women reassessed during 6 to 16 months after delivery, 18% had symptoms of depression. According to the type of delivery, 250 (51.8%), 85 (21.7%), and 147 (30.5%) were UVD, CVD, and CD, respectively. There was no association between type of delivery and maternal depression. In comparison with women submitted to uncomplicated vaginal, women who had a cesarean or perineal trauma/episiotomy did not show greater risk of maternal depression, in the medium to long term after delivery. (AU)

FAPESP's process: 05/04572-2 - Post-partum depression: incidence and association with socio-economic status, domestic violence and social support
Grantee:Alexandre Faisal Cury
Support Opportunities: Scholarships in Brazil - Post-Doctoral