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首页> 外文期刊>The journal of obstetrics and gynaecology research >Effect of mode of delivery on postpartum depression in Iranian women
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Effect of mode of delivery on postpartum depression in Iranian women

机译:分娩方式对伊朗妇女产后抑郁的影响

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Aim: The aim of this study was to determine the relation between mode of delivery (cesarean section [CS] or unassisted vaginal delivery) and postpartum depression (PPD). Material and Methods: In a prospective study, 300 women who had experienced vaginal delivery (VD) or CS were recruited in Kashan, Iran. PPD was measured using the Edinburgh Postnatal Depression Scale (EPDS). A score of 13 or more was defined as PPD. Data collection was conducted at two assessment points: 2 months and 4 months postpartum. Mean scores of EPDS and PPD were compared between the VD and CS groups. Results: Differences in mean scores of EPDS between CS (n = 150) and VD (n = 150) groups at the first and the second assessments were not significant. The depression mean scores differences from the first to the second assessment were compared between the two groups; VD group showed more decrease on EPDS score (P = 0.006). Comparing the two assessments, the VD group showed a more decreased EPDS from the first to the second one. PPD prevalence rates (score ≥13) among the VD and CS groups were 24% and 20.7% for the first and 14.7% and 16.7% for the second assessment, respectively, which were not significantly different. The logistic regression showed that an unwanted pregnancy and PPD 2 months after delivery were determinants for PPD 4 months after delivery. Conclusion: Therewas no relation between delivery mode and PPD at 2 and 4 months after delivery; however, the VD group showed greater decrease in EPDS score from 2 to 4 months after delivery.
机译:目的:本研究的目的是确定分娩方式(剖宫产[CS]或无助阴道分娩)与产后抑郁症(PPD)之间的关系。材料和方法:在一项前瞻性研究中,招募了300位经历过阴道分娩(VD)或CS的妇女在伊朗喀山。 PPD使用爱丁堡产后抑郁量表(EPDS)进行测量。 PPD为13或以上。在两个评估点进行数据收集:产后2个月和4个月。比较VD组和CS组的EPDS和PPD平均得分。结果:在第一次和第二次评估中,CS(n = 150)和VD(n = 150)组之间EPDS的平均评分差异不显着。比较两组之间从第一次评估到第二次评估的抑郁平均得分差异。 VD组的EPDS评分下降幅度更大(P = 0.006)。比较这两项评估,VD组显示EPDS从第一次评估到第二次评估的下降幅度更大。 VD组和CS组的PPD患病率(得分≥13)在第一次评估中分别为24%和20.7%,在第二次评估中分别为14.7%和16.7%。 Logistic回归显示,分娩后4个月,PPD的决定因素是分娩后2个月的意外怀孕和PPD。结论:分娩方式与分娩后2个月和4个月的PPD无关。但是,VD组在分娩后2到4个月内EPDS评分下降幅度更大。

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