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The Correlation between Maternal Ante- and Postpartum Depression and Mode of Delivery: Preliminary Study

Authors
 Hwa Seon Koo  ;  Young Ran Kim  ;  Jin Young Park  ;  Kyungun Jhung  ;  Kyungmi Chung  ;  Hee Young Cho 
Citation
 Korean Journal of Perinatology(대한주산의학회잡지), Vol.31(4) : 186-190, 2020-12 
Journal Title
Korean Journal of Perinatology(대한주산의학회잡지)
ISSN
 1229-2605 
Issue Date
2020-12
Keywords
Cesarean section ; Delivery ; Depression ; Psychiatric status rating scale
Abstract
Objective
To investigate the relationship of prenatal and postnatal depression and mode of delivery.

Methods
The study population consisted of 35 pregnant women who underwent antenatal care in Bundang CHA Medical Center from October 2018 to September 2019. Among them, 20 women underwent cesarean section (c-sec) and 15 women underwent vaginal delivery (VD). The survey was conducted at 34 to 36 gestational weeks and at postpartum 4 weeks consecutively using Korean version of Edinburgh Perinatal/Postnatal Depression Scale (EPDS). To evaluate the association between maternal ante- and postpartum depression and mode of delivery, we analyzed the differences of EPDS according to mode of delivery and pre- and postpartum.

Results
The mean scores of EPDS before delivery was 7.2±5.0 in C-sec group and 5.8±4.7 in VD group, but it was not statistically significant (P=0.390). The EPDS scores at postpartum was significantly higher in women who underwent C-sec compared to VD group (9.2±4.9 vs. 7.6±5.4, P=0.010; respectively). Also when comparing the mode of delivery in fourteen women with EPDS 9 or above at postpartum, C-sec rate (64.3%) was significantly higher than VD rate (35.7%) (P=0.010). In both groups, the scores of EPDS were increased after delivery with statistical significance (P=0.039).

Conclusion
C-sec delivery could increase the EPDS at postpartum and delivery itself could result in maternal depressive symptoms during postpartum period regardless of mode of delivery.
Files in This Item:
T999202295.pdf Download
DOI
10.14734/PN.2020.31.4.186
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Park, Jin Young(박진영) ORCID logo https://orcid.org/0000-0002-5351-9549
Chung, Kyungmi(정경미) ORCID logo https://orcid.org/0000-0003-2754-7631
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/184994
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