POSTPARTUM DEPRESSIONAND ANXIETY AMONG WOMEN UNDERGO CESAREAN SECTION COMPARED WITH VAGINAL DELIVERY IN NABLUS
Loading...
Date
2023-05-31
Authors
Sojoud Abu-Baker
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Background: Depression and anxiety are considered to be significant mood changes among pregnant women. Numerous studies have reported fluctuations in levels of depression and anxiety over time among women who planned for caesarean section (CS) more than a normal vaginal delivery. Based on data from the World Health Organization, around ten percent of pregnant women around the world and 13 percent of the women who have given birth experience a mental disorder, and primarily depression.
Aim: The study aims to investigate the prevalence of depression and anxiety among women who have undergone a caesarean section versus woman who delivered normal, and to identify the related predictors of depression and anxiety.
Methodology: A quantitative prospective cross-sectional approach was used in this study. The researcher used the Edinburgh Postnatal Depression Scale (EPDS). The Postpartum Specific Anxiety Scale (PSAS) for anxiety was used after two weeks and six weeks of postpartum and applied on 361women who underwent caesarean section and normal delivery at large hospitals in Palestine.
Results: The study showed that the majority of the participants were aged 28-37 (38.8%) and 47.1% holding a bachelor's degree. About 30.5% of women experienced psychological stress after childbirth. Family support was available to 73.1% of participants. The study revealed significant differences in anxiety and depression scores after 2 weeks post-delivery, associated with various obstetric factors such as allergies, surgical procedures, medical diseases, and family psychological history (p < 0.05). Additionally, factors like gravity, parity, abortion, gestational age, number of foetuses, number of male and female babies, type of delivery, planned caesarean delivery, type of anaesthesia during delivery, health problems after delivery, and type of feeding also showed similar associations (p < 0.05). These findings underscore the importance of considering these obstetric factors as potential risk factors impacting maternal mental health during the postpartum period.
Conclusions: The researcher found the total percentage of post-partum women who suffer from severe PPD and anxiety were high especially for CS group, according to the findings of the study, midwives should focus on providing healthcare for woman after six weeks of childbirth especial CS group, because through our study, the incidence of PPD and anxiety increase with time, especially in this period and focus on decreased factors that increased occurrence of PPD and anxiety.
Keywords: Cesarean section, Postpartum depression, Anxiety, Risk factor, Women, Normal Delivery.