Mode of birth and early postnatal psychological morbidity

Hanlon, Amie J. M.; Beckmann, Michael

doi:10.1111/ajo.12387

Cited by 9 publications

(9 citation statements)

References 19 publications

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“…However, whether there is an association between the mode of birth and symptoms of postnatal depression is unclear. A very recent study failed to observe an association between operative birth and post-partum depression (Hanlon & Beckmann, 2015).…”

Section: Discussionmentioning

confidence: 96%

Sleep Trajectories Among Pregnant Women and the Impact on Outcomes: A Population-Based Cohort Study

Plancoulaine

Flori

Bat-Pitault

et al. 2017

Matern Child Health J

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Objectives Sleep problems and deprivation are common during pregnancy, particularly in the third trimester. Previous studies are mostly descriptive or focused on specific clinical groups and late pregnancy. We aimed to identify sleep duration trajectories during the pregnancy period, their associated factors, and impact on pregnancy and birth outcomes. Methods We studied 200 women from a mother-child cohort recruited in 2009-2011 from the French general population. We used semi-parametric models to analyze data collected through questionnaires. Results We detected three sleep duration trajectories during pregnancy: short-decreasing (<6.5h/night, 10.8% of the sample), medium-decreasing (6.5-8h/night, 57.6%), and long-increasing (>8h/night, 31.6%) trajectories. Factors associated with the short-decreasing trajectory relative to the medium-decreasing trajectory were older age (odds-ratio/year = 1.13 [95%Confidence-Interval 1.00-1.29]) and working > 28 weeks of gestational age (odds-ratio = 0.30 [0.10-0.90]). Sleep duration during pregnancy in this trajectory group was modified by insomniac symptoms (regression coefficient/trimester = -0.74 [Standard-Error 0.12]) and naps (regression coefficient/trimester = 0.58 [0.25]). Restless legs syndrome was the only factor associated with the long-increasing trajectory and decreased sleep duration (regression coefficient/trimester = -0.88 [0.25]). Assisted delivery (i.e. cesarean section and/or instrumental delivery) and post-partum depression were more frequent among women with the short-decreasing and long-increasing trajectories whereas cesarean section alone was more prevalent among those with the short-decreasing trajectory. Proportion of premature births was higher in the short-decreasing trajectory group. Birth-weight-z-score was lower in the long-increasing trajectory group. Conclusion We identified sleep trajectories among pregnant women with specific risk factors that could affect both pregnancy and birth outcomes. Taking these into consideration could improve both maternal and child health.

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Section: Discussionmentioning

confidence: 96%

Sleep Trajectories Among Pregnant Women and the Impact on Outcomes: A Population-Based Cohort Study

Plancoulaine

Flori

Bat-Pitault

et al. 2017

Matern Child Health J

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“…This is challenging given the large number and wide variety of scientific articles that explore risk factors for PPD. Topics range from mode of birth [22][23][24][25][26] to breastfeeding [27][28][29] and numerous others. As this array of individual articles is difficult to report on succinctly, many have been summarized in systematic reviews and meta-analyses.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Postpartum Depression: An Umbrella Review

Hutchens

Kearney

2020

J Midwife Womens Health

229

134

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Introduction: A deeper understanding of risk factors for postpartum depression (PPD) is essential to better target prevention and screening. An umbrella review was conducted to summarize and synthesize previously published systematic reviews and meta-analyses. Methods: Eight databases were searched in October of 2016, including PubMed, CINAHL, MEDLINE, PsycINFO, Embase, SCOPUS, PsycEX-TRA, and Cochrane. Studies were included if they were reviews examining one or more risk factors for PPD and published between 1996 and 2016. The final sample included 21 articles, which varied in numerous ways, including the scope of risk factors explored and statistical methods. Results: Because of methodological variations between reviews, standardized statistical aggregation was not possible. From this body of literature, 25 statistically significant risk factors emerged with 2 additional risk factors presenting inconclusive findings. The most common risk factors identified were high life stress, lack of social support, current or past abuse, prenatal depression, and marital or partner dissatisfaction. The 2 strongest risk factors for PPD were prenatal depression and current abuse. Discussion: Because untreated PPD leaves women and their children vulnerable to numerous negative short-term and long-term outcomes, a better understanding of PPD risk factors serves to improve maternal and child outcomes by allowing health care providers to better anticipate the needs of affected women.

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“…In contrast, one study [32] did not find an association between mode of birth and postnatal psychological morbidity when comparing vaginal delivery to instrumental or C-section delivery, and another study [16] did not find an association between mode of delivery (i.e., vaginal versus C-section) and PPD. However, neither of these studies differentiated between C-section types when comparing vaginal versus C-section delivery.…”

Section: C-section Births and Ppd Symptomsmentioning

confidence: 91%

“…A prospective cross-sectional study identified low subjective social status, multiparity, low social support, and low mental health function as predictors significantly associated with PPD [16]. Others found primiparity to be a risk factor for developing PPD [27,32]. Socioeconomic factors such as low income and education have also been associated with an increased incidence of PPD [11].…”

Section: Other Predictors Of Ppdmentioning

confidence: 99%

“…Socioeconomic factors such as low income and education have also been associated with an increased incidence of PPD [11]. Further, the link between a history of depression, including during pregnancy, and PPD symptoms is established [29,32]. Prenatal depression is classified as MDD with a peripartum onset that occurs during pregnancy [10].…”

Section: Other Predictors Of Ppdmentioning

confidence: 99%

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Associations among Caesarean Section Birth, Post-Traumatic Stress, and Postpartum Depression Symptoms

Grisbrook

Dewey

Cuthbert

et al. 2022

IJERPH

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Caesarean section (C-section) deliveries account for nearly 30% of births annually with emergency C-sections accounting for 7–9% of all births. Studies have linked C-sections to postpartum depression (PPD). PPD is linked to reduced quality of parent-child interaction, and adverse effects on maternal and child health. New mothers’ perceptions of more negative childbirth experiences, such as unplanned/emergency C-sections, are linked to post-traumatic stress disorder (PTSD), which in turn is related to PPD. Our objectives were to determine: (1) the association between C-section type (unplanned/emergency vs. planned) and PPD symptoms, and (2) if postnatal PTSD symptoms mediate this association. Employing secondary analysis of prospectively collected data from 354 mother-child dyads between 2009 and 2013 from the Alberta Pregnancy Outcomes and Nutrition (APrON) study, conditional process modeling was employed. The Edinburgh Postnatal Depression Scale (EPDS) and the Psychiatric Diagnostic Screening Questionnaire (PDSQ) were administered at three months postpartum, to assess for postpartum depressive and post-traumatic stress symptoms. The direct effect of emergency C-section on PPD symptoms was non-significant in adjusted and non-adjusted models; however, the indirect effect of emergency C-section on PPD symptoms with PTSD symptoms as a mediator was significant after controlling for prenatal depression symptoms, social support, and SES (β = 0.17 (SE = 0.11), 95% CI [0.03, 0.42]). This suggests that mothers who experienced an emergency or unplanned C-section had increased PTSD scores of nearly half a point (0.47) compared to mothers who underwent a planned C-section, even after adjustment. Overall, emergency C-section was indirectly associated with PPD symptoms, through PTSD symptoms. Findings suggest that PTSD symptoms may be a mechanism through which emergency C-sections are associated with the development of PPD symptoms.

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Mode of birth and early postnatal psychological morbidity

Cited by 9 publications

References 19 publications

Sleep Trajectories Among Pregnant Women and the Impact on Outcomes: A Population-Based Cohort Study

Sleep Trajectories Among Pregnant Women and the Impact on Outcomes: A Population-Based Cohort Study

Risk Factors for Postpartum Depression: An Umbrella Review

Associations among Caesarean Section Birth, Post-Traumatic Stress, and Postpartum Depression Symptoms

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