Understanding the relationship between cesarean birth and stress, anxiety, and depression after childbirth: A nationwide cohort study

Chen, Hung-Hui; Lai, Jerry Cheng-Yen; Hwang, Shyh-Jou; Huang, Nicole; Chou, Yiing Jenq; Chien, Li Yin

doi:10.1111/birt.12295

Cited by 52 publications

(43 citation statements)

References 40 publications

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“…Some other evidence-based studies also showed the same ndings about the relationship between the type of delivery and postpartum depression [4][5][6]. However, some researchers pointed out that there was no obvious association between mode of delivery and maternal postpartum psychiatric disorders [7][8].…”

Section: Introductionmentioning

confidence: 76%

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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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Section: Introductionmentioning

confidence: 76%

“…The study by Ri-hua Xie et al included 415 patients with CS, 119 patients with VD [7]. The study by Hung-Hui Chen et al included 12619 patients with CS, 12619 control subjects [8]. The study by Vincenzo Zanardo et al included 256 patients with CS and 694 control subjects [11].…”

Section: Association Between Delivery Mode and Postpartum Depressionmentioning

confidence: 99%

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

Chen¹,

Zhao²,

Jiesisibieke³

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…Similarly, Chen et al 28 nationwide study in Taiwan revealed that cesarean birth was not a factor of PPD but was for symptoms of stress. 28 Although Shelton and Cormier 2 reported that cesarean delivery might be a predictor for PPD, different studies have shown otherwise. 2 A recent review reported that the presence of depressive symptoms in the third trimester was an independent predictor of emergency cesarean delivery.…”

Section: Discussionmentioning

confidence: 93%

“…However, type of delivery was not associated with PPD in the current study sample. Similarly, Chen et al nationwide study in Taiwan revealed that cesarean birth was not a factor of PPD but was for symptoms of stress . Although Shelton and Cormier reported that cesarean delivery might be a predictor for PPD, different studies have shown otherwise .…”

Section: Discussionmentioning

confidence: 98%

Depressive symptoms during pregnancy and postpartum: a prospective cohort study

Şahin

Seven

2018

Perspect Psychiatr Care

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Purpose The aim was to determine the prevalence and risk factors of postpartum depression, and changes over time from pregnancy to postpartum period. Design and Methods A prospective cohort study was conducted in 23 cities in Turkey, with 497 pregnant women. Findings Of women, 13.5% had a high level of depressive symptoms during pregnancy and 4.8% during the postpartum period. Significant relationships emerged between total Edinburgh Postnatal Depression Scale score and mean age of participants and their husbands, duration of marriage, parity, and history of receiving professional psychological support. Practice Implications Family planning education could be an important intervention to prevent depression in young couples.

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Section: Association Between Delivery Mode and Postpartum Depressionmentioning

confidence: 99%

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

Chen¹,

Zhao²,

Jiesisibieke³

et al. 2020

Preprint

View full text Add to dashboard Cite

Abstract 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. Then two authors independently selected the studies, assessed the quality of the included studies, and extracted data. Any disagreements were resolved by discussion with a third author. Next, we used the Newcastle-Ottawa Scale and GRADE methods are used to evaluate the quality of the included studies and evidences, respectively. 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 results showed that delivery mode has nonnegligible effects on the risk of postpartum depression. Particularly, we found that CS is associated with a higher risk of postpartum depression compared with VD. Therefore, we ought to encourage pregnant women who are without medical indication of CS to select VD. Trial registration: The protocol of this systematic review was registered in PROSPERO under the number CRD42019148154.

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Understanding the relationship between cesarean birth and stress, anxiety, and depression after childbirth: A nationwide cohort study

Abstract: Cesarean birth was associated with an increased risk of postpartum stress symptoms. Health professionals should avoid unnecessary cesarean birth, pay attention to women who deliver by cesarean, and intervene appropriately in an attempt to improve mental health among postpartum women.

Cited by 52 publications

References 40 publications

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

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

Depressive symptoms during pregnancy and postpartum: a prospective cohort study

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

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