Sadat Zohreh, Kafaei Atrian Mahboobeh, Masoudi Alavi Negin, Abbaszadeh Fatemeh, Karimian Zahra, Taherian Aliacbar
Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.
J Obstet Gynaecol Res. 2014 Jan;40(1):172-7. doi: 10.1111/jog.12150. Epub 2013 Sep 19.
The aim of this study was to determine the relation between mode of delivery (cesarean section [CS] or unassisted vaginal delivery) and postpartum depression (PPD).
In a prospective study, 300 women who had experienced vaginal delivery (VD) or CS were recruited in Kashan, Iran. PPD was measured using the Edinburgh Postnatal Depression Scale (EPDS). A score of 13 or more was defined as PPD. Data collection was conducted at two assessment points: 2 months and 4 months postpartum. Mean scores of EPDS and PPD were compared between the VD and CS groups.
Differences in mean scores of EPDS between CS (n = 150) and VD (n = 150) groups at the first and the second assessments were not significant. The depression mean scores differences from the first to the second assessment were compared between the two groups; VD group showed more decrease on EPDS score (P = 0.006). Comparing the two assessments, the VD group showed a more decreased EPDS from the first to the second one. PPD prevalence rates (score ≥ 13) among the VD and CS groups were 24% and 20.7% for the first and 14.7% and 16.7% for the second assessment, respectively, which were not significantly different. The logistic regression showed that an unwanted pregnancy and PPD 2 months after delivery were determinants for PPD 4 months after delivery.
There was no relation between delivery mode and PPD at 2 and 4 months after delivery; however, the VD group showed greater decrease in EPDS score from 2 to 4 months after delivery.
本研究旨在确定分娩方式（剖宫产[CS]或自然阴道分娩）与产后抑郁症（PPD）之间的关系。
在一项前瞻性研究中，招募了伊朗卡尚的300名经历过阴道分娩（VD）或剖宫产的女性。使用爱丁堡产后抑郁量表（EPDS）测量产后抑郁症。得分13分及以上被定义为产后抑郁症。在产后2个月和4个月这两个评估点进行数据收集。比较VD组和CS组的EPDS平均得分和产后抑郁症平均得分。
CS组（n = 150）和VD组（n = 150）在第一次和第二次评估时EPDS平均得分的差异不显著。比较两组从第一次到第二次评估的抑郁平均得分差异；VD组的EPDS得分下降更多（P = 0.006）。比较两次评估，VD组从第一次到第二次评估的EPDS得分下降更多。VD组和CS组中产后抑郁症患病率（得分≥13）在第一次评估时分别为24%和20.7%，在第二次评估时分别为14.7%和16.7%，差异不显著。逻辑回归显示，意外怀孕和产后2个月的产后抑郁症是产后4个月产后抑郁症的决定因素。
分娩方式与产后2个月和4个月的产后抑郁症之间没有关系；然而，VD组在产后2至4个月的EPDS得分下降幅度更大。
