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Mode of Delivery Is Associated with Postpartum Depression: Do Women with and without Depression History Exhibit a Difference?

Whether the mode of birth delivery correlates with the incidence of postpartum depression (PPD) is still under debate. This study seeks to clarify such a correlation and to further investigate if there are any differences in the likelihood of PPD medical care use among women with and without a histo...

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Autores principales: Liu, Tsai-Ching, Peng, Hui-Chun, Chen, Conmin, Chen, Chin-Shyan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9317972/
https://www.ncbi.nlm.nih.gov/pubmed/35885834
http://dx.doi.org/10.3390/healthcare10071308
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author Liu, Tsai-Ching
Peng, Hui-Chun
Chen, Conmin
Chen, Chin-Shyan
author_facet Liu, Tsai-Ching
Peng, Hui-Chun
Chen, Conmin
Chen, Chin-Shyan
author_sort Liu, Tsai-Ching
collection PubMed
description Whether the mode of birth delivery correlates with the incidence of postpartum depression (PPD) is still under debate. This study seeks to clarify such a correlation and to further investigate if there are any differences in the likelihood of PPD medical care use among women with and without a history of depression. A logistic regression at two assessment points (6-month and 12-month postpartum) on the National Health Insurance Database in Taiwan is performed. In total, 32,729 women were included who gave first birth from 2007 to 2011 via cesarean section (CS), elective CS, and vaginal delivery, of whom 3580 (10.9%) were diagnosed with a history of depression. Findings show that CS was associated with a higher likelihood of PPD doctor visits regardless of whether the women have a history of depression or not, but elective CS tended to have different impacts for these two groups of women. Mentally healthy women who experienced elective CS had 1.36- and 1.64-times higher risk of PDD medical care use than those who delivered vaginally, whereas previous depressive women undertaking an elective cesarean birth had no significant difference observed in incidences. A notably higher risk of elective CS delivery versus vaginal delivery for mentally healthy women suggests that elective CS is not clinically appropriate, yet it might be an alternative to vaginal delivery with careful counseling for pregnant women who experience a history of depression.
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spelling pubmed-93179722022-07-27 Mode of Delivery Is Associated with Postpartum Depression: Do Women with and without Depression History Exhibit a Difference? Liu, Tsai-Ching Peng, Hui-Chun Chen, Conmin Chen, Chin-Shyan Healthcare (Basel) Article Whether the mode of birth delivery correlates with the incidence of postpartum depression (PPD) is still under debate. This study seeks to clarify such a correlation and to further investigate if there are any differences in the likelihood of PPD medical care use among women with and without a history of depression. A logistic regression at two assessment points (6-month and 12-month postpartum) on the National Health Insurance Database in Taiwan is performed. In total, 32,729 women were included who gave first birth from 2007 to 2011 via cesarean section (CS), elective CS, and vaginal delivery, of whom 3580 (10.9%) were diagnosed with a history of depression. Findings show that CS was associated with a higher likelihood of PPD doctor visits regardless of whether the women have a history of depression or not, but elective CS tended to have different impacts for these two groups of women. Mentally healthy women who experienced elective CS had 1.36- and 1.64-times higher risk of PDD medical care use than those who delivered vaginally, whereas previous depressive women undertaking an elective cesarean birth had no significant difference observed in incidences. A notably higher risk of elective CS delivery versus vaginal delivery for mentally healthy women suggests that elective CS is not clinically appropriate, yet it might be an alternative to vaginal delivery with careful counseling for pregnant women who experience a history of depression. MDPI 2022-07-14 /pmc/articles/PMC9317972/ /pubmed/35885834 http://dx.doi.org/10.3390/healthcare10071308 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Liu, Tsai-Ching
Peng, Hui-Chun
Chen, Conmin
Chen, Chin-Shyan
Mode of Delivery Is Associated with Postpartum Depression: Do Women with and without Depression History Exhibit a Difference?
title Mode of Delivery Is Associated with Postpartum Depression: Do Women with and without Depression History Exhibit a Difference?
title_full Mode of Delivery Is Associated with Postpartum Depression: Do Women with and without Depression History Exhibit a Difference?
title_fullStr Mode of Delivery Is Associated with Postpartum Depression: Do Women with and without Depression History Exhibit a Difference?
title_full_unstemmed Mode of Delivery Is Associated with Postpartum Depression: Do Women with and without Depression History Exhibit a Difference?
title_short Mode of Delivery Is Associated with Postpartum Depression: Do Women with and without Depression History Exhibit a Difference?
title_sort mode of delivery is associated with postpartum depression: do women with and without depression history exhibit a difference?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9317972/
https://www.ncbi.nlm.nih.gov/pubmed/35885834
http://dx.doi.org/10.3390/healthcare10071308
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