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Risk of postnatal depression after emergency delivery
Author(s) -
Koo Vincent,
Lynch Janine,
Cooper Stephen
Publication year - 2003
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1046/j.1341-8076.2003.00104.x
Subject(s) - medicine , edinburgh postnatal depression scale , apgar score , gestational age , depression (economics) , obstetrics , pregnancy , cohort study , retrospective cohort study , pediatrics , psychiatry , depressive symptoms , anxiety , macroeconomics , biology , economics , genetics
Aim: To identify whether women having emergency delivery are at increased risk of developing postnatal depression (PND). Methods: This is a retrospective comparative cohort study design. Two hundred and fifty Malaysian women were part of a previous study examining the prevalence of PND in a multiracial country and the effects of postnatal rituals. All women were at least 6 weeks post‐partum when asked to complete the Edinburgh Postnatal Depression Scale (EPDS). Sociodemographic and birth data were obtained. Results: Data collected were divided into two groups: 55 emergency delivery and 191 non‐emergency delivery. There were four missing data. There was no significant difference in the mean age, parity, gestational period, baby birthweight, 5 min baby Apgar score and EPDS scores of the two groups. However, the analysis of PND indicated that women with emergency delivery had a relative risk of 1.81 compared with women with non‐emergency delivery. The comparison of the two groups using χ 2 indicated a significant (χ 2 = 3.94, d.f. = 1, P = 0.04) increase in the presence of PND in the emergency delivery. Conclusion: When compared with women having non‐emergency delivery, women having emergency delivery had about twice the risk of developing PND. Special attention to this group appears warranted.