Abstract

There are various factors related to postpartum depression. In this study we have aimed to determine the effect of mode of delivery on the risk of postpartum depression. A total of 318 women who applied for delivery were included in the study. Previously diagnosed fetal anomalies, preterm deliveries, stillbirths, and patients with need of intensive care unit were excluded from the study. Data about the patients were obtained during hospital stay. During the postpartum sixth week visit Edinburgh postnatal depression scale (EPDS) was applied. There was no significant difference between EPDS scores when compared according to age, education, gravidity, wanting the pregnancy, fear about birth, gender, family type, and income level (P > 0.05). Those who had experienced emesis during their pregnancy, had a history of depression, and were housewives had significantly higher EPDS scores (P < 0.05). Delivering by spontaneous vaginal birth, elective Cesarean section, or emergency Cesarean section had no effect on EPDS scores. In conclusion healthcare providers should be aware of postpartum depression risk in nonworking women with a history of emesis and depression and apply the EPDS to them for early detection of postpartum depression.

Highlights

  • Postpartum depression (PPD) is considered as an important health problem in modern societies

  • This study aims to investigate the risk of postpartum depression after six weeks of delivery according to mode of delivery and to evaluate other related risk factors in order to develop precautions

  • A history of hyperemesis gravidarum, depression, and being a housewife were significantly associated with the risk of postpartum depression

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Summary

Introduction

Postpartum depression (PPD) is considered as an important health problem in modern societies. The Diagnostic and Statistical Manual of Mental Disorders defines PPD as having five or more of the following symptoms for at least two weeks: insomnia/hypersomnia, psychomotor agitation or retardation, fatigue, appetite changes, feelings of hopelessness or guilt, decreased concentration, and suicidality. These episodes begin within 4 weeks postpartum and may last one year [5]. Some risk factors are merely seen in eastern communities such as sex of the infant [11, 12] and grand multiparity [13]

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