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Created on : 18 Apr 2005
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Operative delivery and postnatal depression: a cohort study. The British Medical Journal 2005;330:879

Author(s) :

Patel RR, Murphy DJ, Peters TJ.

Year of publication :

2005

URL(s) :

http://bmj.bmjjournals.com/cgi/content/full/bmj;33…

Résumé (français)  :

Abstract (English)  :

Objectives
To assess the association between elective caesarean section and postnatal depression compared with planned vaginal delivery and whether emergency caesarean section or assisted vaginal delivery is associated with postnatal depression compared with spontaneous vaginal delivery.

Design
Prospective population based cohort study.

Setting
ALSPAC (the Avon longitudinal study of parents and children).

Participants
14 663 women recruited antenatally with a due date between 1 April 1991 and 31 December 1992.

Main outcome measure
Edinburgh postnatal depression scale score 13 at eight weeks postnatal on self completed questionnaire.

Results
Albeit with wide confidence intervals, there was no evidence that elective caesarean section altered the odds of postnatal depression compared with planned vaginal delivery (adjusted odds ratio 1.06, 95% confidence interval 0.66 to 1.70, P = 0.80). Among planned vaginal deliveries there was similarly little evidence of a difference between women who have emergency caesarean section or assisted vaginal delivery and those who have spontaneous vaginal delivery (1.17, 0.77 to 1.79, P = 0.46, and 0.89, 0.68 to 1.18, P = 0.42, respectively).

Conclusions
There is no reason for women at risk of postnatal depression to be managed differently with regard to mode of delivery. Elective caesarean section does not protect against postnatal depression. Women who plan vaginal delivery and require emergency caesarean section or assisted vaginal delivery can be reassured that there is no reason to believe that they are at increased risk of postnatal depression.

Sumário (português)  :

Resumen (español)  :

Comments :

Article en accès libre.

Argument (français) :

Le risque de dépression post-natale serait indépendant du mode d’accouchement lorsqu’il s’agit de choisir
entre une césarienne programmée et un accouchement par voie basse, ou encore entre une césarienne
d’urgence un accouchement par voie basse avec ou sans extraction instrumentale.

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ c-section/caesarean ; depression, anxiety ; psychology ; instrumental delivery

Author of this record :

Cécile Loup — 18 Apr 2005