FREQUENCY OF POSTPARTUM DEPRESSION IN OPERATIVE VS SPONTANEOUS VAGINAL DELIVERY

Sidrah Yousafzai, Nazish Hayat, Nighat Parveen

Abstract


Background: Postpartum depression affects approximately one tenth of postnatal women. Different factors have been found to increase the risk of developing postnatal depression including antepartum depression, psychiatric history, low self-esteem, stressful life events, and a lack of social support. The study aims to look at mode of delivery as a possible risk factor. The objective of this study was to compare postpartum depression in operative vs spontaneous vaginal delivery among women.

Materials & Methods: It was a comparative cross-sectional study, conducted in Gynae department of Lady Reading Hospital Peshawar. The study was conducted from 10th April 2023 to 10th November 2023. A total of 139 pregnant women with delivery of a live baby at term were included in the study. Patients with history of conception by assisted reproductive techniques, previously diagnosed mental or chronic medical illness and history of antenataly diagnosed fetal anomaly were excluded. Edinburgh Postnatal Depression Scale score at 6 weeks postpartum was noted. Data was entered and analyzed on SPSS.

Results: In this study mean age of the participants was 28.234±2.84 years, mean gestational age 38.473±2.26 weeks, mean duration of hospital stay 2.335±1.00 days and mean Edinburgh Postnatal Depression Scale score was 8.183±5.65. Depression was observed in 21.58% patients. Depression was observed in 6.67% patients with spontaneous vaginal delivery, 6.3% in elective C-section and 76.6% was in patients of Emergency C-section.

Conclusion: Postnatal Depression is more frequent in women who underwent emergency caesarean section.


Keywords


Pregnancy; Postpartum depression; Mode of delivery; Cesarian section; Depression scale.

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