Association Between Mode of Delivery and Postpartum Depression: The Japan Environment and Children’s Study (JECS)

Baba, Sachiko; Ikehara, Satoyo; Eshak, Ehab S.; Ueda, Kimiko; Kimura, Tadashi; Iso, Hiroyasu

doi:10.2188/jea.je20210117

Cited by 11 publications

(13 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…No apparent relationship between elective and PPD doctor visits was observed for the group of women with depression. Interestingly, our finding is somewhat different from the evidence by Henderson and Quenby [ 33 ], who concluded that women with depression following elective CS have a lower risk of PPD.…”

Section: Discussioncontrasting

confidence: 99%

“…Conversely, Eckerdal et al [ 5 ] confirmed that mode of delivery has no direct effect on PPD, but a negative delivery experience mediates an indirect association between clinical CS and PPD. Women who had antenatal psychological distress and underwent CS delivery may be regarded as a target for monitoring PPD [ 33 ]. Since a history of depression is proven to be correlated with postpartum mental health, it is logical to consider the history of depression as an important risk factor when further investigating the relationship between mode of delivery and PPD.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Mode of Delivery Is Associated with Postpartum Depression: Do Women with and without Depression History Exhibit a Difference?

et al. 2022

View full text Add to dashboard Cite

Whether the mode of birth delivery correlates with the incidence of postpartum depression (PPD) is still under debate. This study seeks to clarify such a correlation and to further investigate if there are any differences in the likelihood of PPD medical care use among women with and without a history of depression. A logistic regression at two assessment points (6-month and 12-month postpartum) on the National Health Insurance Database in Taiwan is performed. In total, 32,729 women were included who gave first birth from 2007 to 2011 via cesarean section (CS), elective CS, and vaginal delivery, of whom 3580 (10.9%) were diagnosed with a history of depression. Findings show that CS was associated with a higher likelihood of PPD doctor visits regardless of whether the women have a history of depression or not, but elective CS tended to have different impacts for these two groups of women. Mentally healthy women who experienced elective CS had 1.36- and 1.64-times higher risk of PDD medical care use than those who delivered vaginally, whereas previous depressive women undertaking an elective cesarean birth had no significant difference observed in incidences. A notably higher risk of elective CS delivery versus vaginal delivery for mentally healthy women suggests that elective CS is not clinically appropriate, yet it might be an alternative to vaginal delivery with careful counseling for pregnant women who experience a history of depression.

show abstract

Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Mode of Delivery Is Associated with Postpartum Depression: Do Women with and without Depression History Exhibit a Difference?

et al. 2022

View full text Add to dashboard Cite

show abstract

“…There were 14 cohort studies and 4 case-control studies, with the sample size ranging from 60 to 511,422 participants. Specifically, eleven studies ( 11 , 24 , 26 – 30 , 32 , 35 – 37 ) had <10,000 participants, while the remaining seven studies ( 21 – 23 , 25 , 31 , 33 , 34 ) had >10,000 participants. Furthermore, ten studies ( 21 , 23 , 26 , 28 – 31 , 34 , 36 , 37 ) were conducted in Asia, whereas seven studies ( 22 , 24 , 25 , 27 , 32 , 33 , 35 ) were carried out in Europe, one studies ( 11 ) were conducted in North America.…”

Section: Resultsmentioning

confidence: 99%

“…Specifically, eleven studies ( 11 , 24 , 26 – 30 , 32 , 35 – 37 ) had <10,000 participants, while the remaining seven studies ( 21 – 23 , 25 , 31 , 33 , 34 ) had >10,000 participants. Furthermore, ten studies ( 21 , 23 , 26 , 28 – 31 , 34 , 36 , 37 ) were conducted in Asia, whereas seven studies ( 22 , 24 , 25 , 27 , 32 , 33 , 35 ) were carried out in Europe, one studies ( 11 ) were conducted in North America. Additionally, ten studies ( 11 , 23 , 24 , 27 – 30 , 34 , 35 , 37 ) utilized the Edinburgh Postnatal Depression Scale (EPDS) to measure PPD levels, two studies ( 22 , 25 ) deployed the SCL-90, two studies ( 21 , 31 ) adopted the 2010 LNHID, one study ( 26 ) used the CES-D, one study ( 36 ) employed the NHIS-NSC, one study ( 32 ) utilized the BDI, and one study ( 33 ) incorporated the HDR.…”

Section: Resultsmentioning

confidence: 99%

Meta-analysis of association between caesarean section and postpartum depression risk

Ning,

Deng,

et al. 2024

Front. Psychiatry

View full text Add to dashboard Cite

BackgroundThe association of caesarean section (CS) for postpartum depression (PPD) remains controversial. This study aims to explore the relationship between CS and the risk of PPD, in order to provide a basis for preventing PPD.Material and methodsWe searched PubMed, Web of Science, Cochrane Library, and EMBASE databases for literature about the correlation between CS and PPD published as of February 2024. The combined odds ratios (ORs) and 95% confidence intervals (Cls) were obtained by flexible use of fixed-effects models or random-effects models.ResultsA total of 18 publications were ultimately included in the analysis. Among these, 14 were cohort studies and 4 were case-control reports, encompassing 844,328 total cases. All of the included studies were deemed to be of moderate or higher quality. The meta-analysis indicated that the prevalence of PPD among parturients undergoing CS was 13.4% (95% CI: 6.5%-25.5%).The adjusted odds ratio (OR) for the association between CS and PPD was 1.12 (95% CI: 1.04-1.20) compared to the natural vaginal delivery (NVD) group. Specifically, the adjusted OR for the association between CS and PPD was 1.29 (95% CI: 1.18-1.40) during the first 1-6 months postpartum, and 1.23 (95% CI: 1.14-1.33) after 6 months postpartum. Furthermore, in comparison to the NVD group, the adjusted OR for elective caesarean section (ELCS) and emergency caesarean section (EMCS) were 0.96 (0.83, 1.10) and 1.20 (1.08, 1.34), respectively.ConclusionOur findings suggest that PPD risk may rise in the presence of CS. In particular, the risk was increased by 20% in the EMCS group, and the risk of PPD within one to six months postpartum after CS increases by 6% compared to that at six months postpartum. In the future, more rational designs and in-depth studies are needed to obtain more accurate information.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/#recordDetails, identifier CRD42023389265.

show abstract

“…CS may increase the risk of maternal and neonatal morbidity and lead to waste of human and financial resources ( 12 ). Currently, it is believed that CS and emergency CS are associated with the increased risk of PPD ( 8 , 13 , 14 ).…”

Section: Introductionmentioning

confidence: 99%

Risk factors for postpartum depression in women undergoing elective cesarean section: A prospective cohort study

et al. 2022

View full text Add to dashboard Cite

BackgroundPostpartum depression (PPD) has adverse effects on maternal and child health. Cesarean section (CS) is suggested to be associated with PPD, but no study has examined the risk factors for PPD in women who underwent CS. Therefore, this study aimed to investigate this association.MethodsA prospective observational study was conducted between December 2020 and September 2021. In total, 590 women who underwent elective CS participated in this study. Data were collected using a questionnaire through a face-to-face interview at three time points: 32nd week of gestation, 2 days postpartum, and 6 weeks postpartum. PPD was defined by an Edinburgh Postnatal Depression Scale (EPDS) score of ≥ 11 at 6 weeks postpartum. Multivariate logistic regression analysis was performed to identify the risk factors for PPD.ResultsAmong the 590 women, 25.4% had PPD (142/590). After adjustment for the confounding factors, high antenatal self-rating anxiety scale score (OR = 1.10, 95% CI = 1.04–1.16), PPD symptoms (EPDS ≥ 11) at 2 days postpartum (OR = 6.17, 95% CI = 1.35–28.31), and pain at 6 weeks postpartum (OR = 2.14, 95% CI = 1.24–3.69) were independently associated with PPD.ConclusionPrenatal anxiety, PPD symptoms occurring at an early postoperative stage, and pain at 6 weeks postpartum may be associated with an increased risk of PPD among women who undergo CS.

show abstract

Association Between Mode of Delivery and Postpartum Depression: The Japan Environment and Children’s Study (JECS)

Cited by 11 publications

References 44 publications

Mode of Delivery Is Associated with Postpartum Depression: Do Women with and without Depression History Exhibit a Difference?

Mode of Delivery Is Associated with Postpartum Depression: Do Women with and without Depression History Exhibit a Difference?

Meta-analysis of association between caesarean section and postpartum depression risk

Risk factors for postpartum depression in women undergoing elective cesarean section: A prospective cohort study

Contact Info

Product

Resources

About