The role of elective and emergency cesarean delivery in maternal postpartum anhedonia, anxiety, and depression

Zanardo, Vincenzo; Giliberti, Lara; Giliberti, Elia; Volpe, Francesca; Straface, Gianluca; Greco, Pantaleo

doi:10.1002/ijgo.12657

Cited by 22 publications

(21 citation statements)

References 28 publications

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“…We analysed this factor as a variable with four modalities: caesarean delivery ≥26 weeks (reference modality because this is the most frequent in this cohort), vaginal delivery ≥26 weeks, caesarean delivery < 26 weeks, and vaginal delivery < 26 weeks. The threshold of 26 weeks was chosen because of clinical relevance, given the independent association of severe maternal morbidity and mortality and caesarean delivery before 26 weeks as previously reported 19 . The last menstrual period and an early prenatal ultrasonogram allowed gestational age to be estimated.…”

Section: Methodsmentioning

confidence: 99%

“…Subsequently, Fisher et al 15 identified caesarean delivery as a factor associated with deterioration in mood and decreased self‐esteem among mothers. Emergency caesarean section has been documented as being associated with acute traumatic stress symptoms, more negative perceptions of the birth experience, and higher levels of anhedonia compared with vaginal delivery 16–19 . Considering these findings, it is important to assess whether extremely preterm caesarean delivery (usually emergency caesarean delivery) is a factor associated with symptoms of depression and anxiety independently of the known association of very low birthweight, low gestational age at birth and mothers’ symptoms of depression and anxiety 20,21 .…”

Section: Introductionmentioning

confidence: 99%

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Association between extremely preterm caesarean delivery and maternal depressive and anxious symptoms: a national population‐based cohort study

Resseguier

Auquier

Ancel³

et al. 2020

BJOG

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Association between extremely preterm caesarean delivery and maternal depressive and anxious symptoms: a national population‐based cohort study

Resseguier

Auquier

Ancel³

et al. 2020

BJOG

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“…Anxiety is the mental reaction to either imagined or real threat. The symptoms of anxiety include smoking, high caffeine consumption, physical disease, poor nutrition and lack of sleep [7]. Accumulation of anxiety to a certain degree can cause disability [8].…”

Section: Introductionmentioning

confidence: 99%

Effects of a psychological nursing intervention on prevention of anxiety and depression in the postpartum period: a randomized controlled trial

Liu

Yang

2021

Ann Gen Psychiatry

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Background Anxiety and postpartum depression are the most common psychological problems in women after delivery. Cognitive behavior intervention has been reported to have an effect in the therapy of postpartum depression. This research aimed to investigate whether cognitive behavior intervention could prevent the pathogenesis of postpartum depression in primiparous women. Methods In this randomized controlled trial, primiparous women who were prone to postpartum depression were recruited. Participates in the control group received routine postpartum care and those in the intervention group received both routine postpartum care and cognitive behavior intervention. Hamilton Depression Scale (HAMD), Hamilton Anxiety Scale (HAMA), Edinburgh Postpartum Depression Scale (EPDS) and Pittsburgh Sleep Quality Index (PSQI) were evaluated before and after the intervention. Results In the intervention group, the post-intervention scores of HAMA, HAMD, EPDS and PSQI were all significantly lower than the baseline scores (p = 0.034, p = 0.038, p = 0.004, p = 0.014, respectively). The proportion of participants with postpartum depression in the intervention group (11.5%) was significantly lower than the control group (24.3%) after the 6-week intervention. Participants in the intervention group were significantly more satisfied with the care than those in the control group (p = 0.032). Conclusion This research provided evidence that cognitive behavioral intervention in postpartum period could alleviate anxiety and depression in primiparous women, and inhibit the pathogenesis of postpartum depression. Trial registry This clinical trial was registered in the Chinese Clinical Trial Registry (ChiCTR2000040076).

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“…Although the available best evidence supports an association between delivery mode and postpartum depression, more large-scale cohort studies are required to further reveal the relationship between the mode of delivery and depression in the postpartum period. Future studies also may divide the delivery modes into detailed modes such as elective cesarean delivery, emergency cesarean delivery [20], planned vaginal delivery, assisted vaginal delivery, spontaneous vaginal delivery [21,22], uncomplicated spontaneous vaginal delivery, complicated vaginal delivery [23], to study the role of delivery modes in postpartum. PRISMA study ow chart…”

Section: Discussionmentioning

confidence: 99%

The relationship between delivery mode and postpartum depression: a systematic review and meta-analysis

Chen¹,

Zhao²,

Jiesisibieke³

et al. 2020

Preprint

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Background: To assess the relationship between delivery mode and postpartum depression and to examine whether cesarean section (CS) has a higher risk of postpartum depression than vaginal delivery (VD). Methods: We searched the Cochrane Library, PubMed, and EMBASE from inception to 30 April 2019 without language limitations. Two authors independently selected studies, assessed the quality of included studies, and extracted data. Any disagreements were resolved by discussion with a third author. We used the Newcastle-Ottawa Scale and GRADE methods to assess the quality of the included studies and evidences. This study had four included cohort studies data and carried out fixed-effect model meta-analysis. Results: The findings demonstrated a significant difference in the risk of postpartum depression between CS and VD. Compared with the control group, the CS group was associated with a higher prevalence of postpartum depression symptoms (Risk Ratio =1.29; 95% CI: 1.11-1.51). Conclusions: The findings supported a relationship between delivery mode and postpartum depression. Particularly, we found that CS is associated with a higher risk of postpartum depression. Therefore, we ought to encourage pregnant women who are without medical indication of CS to select VD.r Trial registration: The protocol of this systematic review was registered in the PROSPERO under the number CRD42019148154.

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The role of elective and emergency cesarean delivery in maternal postpartum anhedonia, anxiety, and depression

Abstract: Postpartum depressive symptomatology of women who have had a cesarean delivery was characterized by higher levels of anxiety after ElCD and by higher levels of anhedonia after EmCD.

Cited by 22 publications

References 28 publications

Association between extremely preterm caesarean delivery and maternal depressive and anxious symptoms: a national population‐based cohort study

Association between extremely preterm caesarean delivery and maternal depressive and anxious symptoms: a national population‐based cohort study

Effects of a psychological nursing intervention on prevention of anxiety and depression in the postpartum period: a randomized controlled trial

The relationship between delivery mode and postpartum depression: a systematic review and meta-analysis

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