Objectives To examine the relationship between postpartum depression (PPD), mode of delivery (MOD), and indication for unscheduled cesarean delivery (uCD). Methods Patients with antenatal and postpartum Edinburgh Postnatal Depression Scale (EPDS) scores were compared by MOD and indication for uCD if applicable. Patients with an antenatal EPDS>12 were excluded to ascertain the incidence of new depression. The primary outcome was EPDS≥13 by MOD. The secondary outcome was EPDS≥13 by indication for uCD. Results Seven hundred and thirty eight patients met inclusion criteria. There were statistically significant differences in MOD by age, race, BMI, and multi-gestation pregnancy. Patients delivered via uCD had a higher rate of peripartum complications and NICU admission. There were no differences in medical comorbidities or use of psychiatric medications by MOD. There was no difference in EPDS by MOD. The rate of PPD was higher in patients with uCD for non-reassuring fetal heart tones (NRFHT) compared to other indications for uCD (p=0.02). Conclusions While there was no difference in the incidence of PPD by MOD, the incidence of PPD was higher among patients delivered via uCD for NRFHT. These findings may have implications for patient counseling, post-operative mental health surveillance, and support of postpartum patients.

No abstract

No abstract

INTRODUCTION: Bellevue Hospital's Program For Survivors of Torture (PSOT) sees patients applying for asylum from developing countries with limited access to contraception. The objective of this study is to examine contraceptive knowledge and use among a population of asylum candidates, in order to better understand their contraceptive educational needs. METHODS: An observational study was conducted using a cross-sectional structured interview questionnaire. IRB approval and patient informed consent were obtained. Data were collected from 55 participants as part of a larger research study to assess histories, perceptions, and gynecological needs of immigrant female survivors of torture. Data analysis was conducted via REDCap. RESULTS: Sixty-three percent of participants did not want to get pregnant within the next year, but only 32% of them were using any form of effective contraception. The only effective method of contraception that a majority (53%) of participants had been taught to use were oral contraceptive pills (OCPs) and only 36% had knowledge about long-acting reversible contraceptives (LARCs). Comparatively, 75% knew how to use the rhythm method. Prior use of LARCs, OCPs, and non-effective methods were 9%, 31%, and 63%, respectively. CONCLUSION: A majority of the immigrant women in this study did not want to get pregnant in the next year, but a minority had knowledge about effective contraceptive options outside of OCPs, and an even fewer had knowledge about LARCs. The discrepancy of usage between non-effective methods of contraception and effective methods suggests providers who see patients entering the American healthcare system should provide education on effective contraceptive options.