Proportion and Factors of Postpartum Depression Among Cesarean Section Versus Vaginal Deliveries: Institutional Based Cross-Sectional Study
European Journal of Biophysics
Volume 8, Issue 1, June 2020, Pages: 1-9
Received: Mar. 27, 2020;
Accepted: Apr. 23, 2020;
Published: Jun. 4, 2020
Views 284 Downloads 79
Mezgebu Mihret Kefale, Department of Midwifery, College of Health Science and Medicine, Bahirdar University, Bahirdar, Ethiopia
Selamawit Lake Fenta, Department of Midwifery, College of Health Science and Medicine, Bahirdar University, Bahirdar, Ethiopia
Fentahun Yenealem Beyene, Department of Midwifery, College of Health Science and Medicine, Bahirdar University, Bahirdar, Ethiopia
Natnael Atnafu Gebeyehu, Department of Midwifery, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia
Background: postpartum depression is a severe health problem which affects both developing and developed countries. It is one of the diseases which affect women after the delivery of their baby and difficult to manage because of the presence of postpartum blues. Objective: To assess the proportion and factors of postpartum depression following normal vaginal deliveries and cesarean section among postnatal women at Finoteselam Hospital, April 05, 2018–May 20, 2018. Result: The proportion of postpartum depression among postpartum women was 13% of which 9.1% and 3.9% for vaginal and cesarean delivery respectively. In this study; previous history of postpartum depression [AOR=5.498 (1.843-16.405)], no domestic violence [AOR=0.250 (0.065-0.956)], women who faced negative life event [AOR=17.322 (4.753-63.135)], previous history of two abortion [AOR=0.160 (0.034-0.746). Previous history of mental illness, [AOR=.187 (0.053-0.659)], being at the level of secondary education [AOR=8.818 (1.596-48.716)] and husband support during pregnancy [AOR=.048 (.014-.164)] had an association with postpartum depression. All the individual Edinburgh postnatal depression scale score mean values were higher for the cesarean group which was 6.97 when compared to the vaginal delivery group was 5.865. Conclusion: Prevalence of postnatal depression was comparably high in vaginal deliveries compared to cesarean sections. By revealing the prevalence and factors that determine postpartum depression, this study recommended interventions like Integration of mental health service with existing maternal health care and health institutions to prevent Postpartum depression at Finoteselam Hospital.
Mezgebu Mihret Kefale,
Selamawit Lake Fenta,
Fentahun Yenealem Beyene,
Natnael Atnafu Gebeyehu,
Proportion and Factors of Postpartum Depression Among Cesarean Section Versus Vaginal Deliveries: Institutional Based Cross-Sectional Study, European Journal of Biophysics.
Vol. 8, No. 1,
2020, pp. 1-9.
Haudron, L. H. Postpartum Depression. Pediatrics in review, 2003. 24 (5): p. 155.
World Health Organization. (2005). Atlas: child and adolescent mental health resources: global concerns: implications for the future. World Health Organization. https://apps.who.int/iris/handle/10665/43307.
Azale, T. A. Fekadu, and C. Hanlon, Treatment gap and help-seeking for postpartum depression in a rural African setting. BMC Psychiatry, 2016. 16 (1): p. 196.
Braveman, P., et al., Poverty, near-poverty, and hardship around the time of pregnancy. Maternal and Child Health Journal, 2010. 14 (1): 20-35.
Yelland, J., G. Sutherland, and S. J. Brown, Postpartum anxiety, depression and social health: findings from a population-based survey of Australian women. BMC Public Health. 2010 Dec 20; 10: 771.
Milgrom J GA, B. J., et al, Antenatal risk factors for postnatal depression: a large Prospective study. J Affect Disord. 2008. 108 (1-2): 147-57.
WHO. World Health Statistics 2010: WHO Statistical Information System (WHOSIS).
Burns, D. Aspects of Postpartum Depression. London, Ontario: December 2003.
Epperson, C. Postpartum major depression: Detection and treatment; American Family Physician., (2016). 59, 2247-2254.
Nonacs, R., & Cohen. Postpartum mood disorders: diagnosis and treatment guidelines. Journal of Clinical Psychiatry, (2004). 59, S. 2, 34-40
Lanes, A., J. L. Kuk, and H. Tamim. Prevalence and characteristics of postpartum depression symptomatology among Canadian women: a cross-sectional study. BMC public health, 2011. 11 (1): p. 302.
Addishiwet Fantahun, Amsale Cherie, and Leul Deribe. Prevalence and Factors Associated with Postpartum Depression Among Mothers Attending Public Health Centers of Addis Ababa, Ethiopia: Clin Pract Epidemiol Ment Health. 2018; 14: 196–206.
The British Psychological Society & The Royal College of Psychiatrists. Antenatal and Postnatal Mental Health: The NICE Guideline on Clinical Management and Service Guidance: National Collaborating Centre for Mental Health (UK); 2007.
Dinesh P, Swetha Raghavan. A comparative study of the prevalence of postnatal depression among subjects with normal and cesarean deliveries. IAIM, 2018. 5 (2): 6-11.
Virginia Mwikali Musau. The prevalence of postpartum depression among women delivering at Kenyatta national hospital. Department of Obstetrics and Gynecology University of Nairobi. 2013 (unpublished work).
Khalifa DS, Glavin K, Bjertness E, Lien L. Postnatal depression among Sudanese women: prevalence and Validation of the Edinburgh Postnatal Depression scale at 3 months postpartum: Int J Womens Health. 2015 Jul 8; 7: 677-84.
Deribachew H/Mariam, Berhe Dessalegn, Zaid Tadesse and Desta Siyoum. Assessment of prevalence and associated factors of postpartum depression among postpartum mothers in the eastern zone of Tigray. 2016. European Journal Of Pharmaceutical And Medical Research; 2016, 3 (10), 54-60.
Niloufer S Ali B, I. S. A., Postpartum anxiety and depression in peri-urban communities of Karachi, Pakistan: a quasi-experimental study. BMC Public Health, 2009. 9: 384.
Nadège Djoda, Pascal Foumane, Jean Pierre Kamga Olen, et al. Prevalence and Risk Factors of Postpartum Depression in Yaounde, Cameroon: Open Journal of Obstetrics and Gynecology; 2015, 5, 608-617.
Mahishale A, B. J., Comparison of the level of depression among mothers with lower segment cesarean section and vaginal delivery: A cross-sectional study. Journal of the Scientific Society, 2017; 44 (1): 15-9. 13.
Amaury Cantilino, Carla Fonseca Zambaldi, Thiago Lucena César de Albuquerque, et. al. Postpartum depression in Recife–Brazil: prevalence and Association with bio-socio-demographic factors: artigo original; 2010; 59 (1): (1-9).
Tomas Benti Tefera, Asfaw Negero Erena, Kemal Ahmed Kuti, and Mohammedawel Abduku Hussen. Perinatal depression and associated factors among reproductive-aged Group women at Goba and Robe Town of Bale Zone, Oromia Region, South East Ethiopia; Matern Health Neonatol Perinatol. 2015; 1: 12.
Bener A, Gerber LM, Sheikh J. Prevalence of psychiatric disorders and associated risk factors in women during their postpartum period: a major public health problem and global comparison. International Journal of Women’s Health, 2012. 4: (191–200).
Zhang Y, Zou S, Cao Y, Zhang Y. Relationship between domestic violence and postnatal depression among pregnant Chinese women: nt J Gynaecol Obstet. 2012 Jan; 116 (1): 26-30.
Cox J, Holden JM, Sagovsky R. Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 1987; 150: 782-6.
Asli Goker, Emre Yanikkerem, Murat Demet, et. al. Postpartum Depression: Is mode of delivery a risk factor? International scholar research network Obstetrics and Gynecology: Volume 2012, Article ID 616759, 6.
Mohammad Arbabi, Ziba Taghizadeh, Sedigheh Hantoushzadeh and Edith Haghnazarian. Mode of delivery and postpartum depression: J Women’s Health Care 2016, 5: 1.
Malik PR, Malik BB, Irfam. Comparison of postnatal depression in women following normal vaginal deliveries and cesarean section. Journal of post-grad Med Inst 2015, 29 (1): 34-7.
Guler Ateşer, İsa Şukru Oz, Sevinj Sardarli, et, al. Has delivery method any influence on the postpartum mood of the mother? Istanbul MedJ 2017; 18: 62-7.