Basha Asma, Yousef Hala, AlJazzazi Roaa, Alfugaha Joanna, Alfreihat Samah, Jaber Dunia, Jaber Kamel
Department of Obstetrics and Gynecology, School of Medicine, the University of Jordan, Jordan.
The University of Jordan Hospital, School of Medicine, the University of Jordan, Jordan.
J Int Med Res. 2025 May;53(5):3000605251327485. doi: 10.1177/03000605251327485. Epub 2025 May 7.
ObjectivePostnatal depression is a common and serious mental health problem. Despite the existence of established risk factors for postnatal depression, the role of the mode of delivery in influencing its prevalence remains a topic of debate. This study investigated the potential association between postnatal depression and the mode of delivery, specifically comparing the prevalence of postnatal depression in women who had a vaginal delivery versus those who underwent either an emergency or elective cesarean section. This study aimed to explore how different modes of delivery affect the prevalence and severity of postnatal depression among women in Jordan.MethodsA cross-sectional study was conducted at Jordan University Hospital between January and April 2024 to assess postnatal depression among women who delivered singleton fetuses 1 week after delivery. The participants completed a self-reported questionnaire, which collected demographic data and responses to the Edinburgh Postnatal Depression Scale. These responses were used to evaluate postnatal depression symptoms.ResultsA total of 267 women participated in the study. Results showed no significant association or difference in the postnatal depression scores between different modes of delivery (p = 0.459 and 0.441). Moreover, gestational age at the time of delivery and the infant feeding method after delivery showed no significant differences in the postnatal depression scores (p = 0.681 and 0.537, respectively). Results showed that the occurrence of intrapartum complications was associated with an approximately two times greater risk of developing postnatal depression (adjusted odds ratio = 1.96, p = 0.013).DiscussionThis study found no clear relationship between the mode of delivery and postnatal depression, with similar depression scores observed across vaginal and cesarean deliveries. Peripartum complications were linked to a higher risk of postnatal depression, whereas factors such as age, occupation, and infant feeding method showed inconsistent associations. The results highlight the complex, multifactorial nature of postnatal depression.ConclusionsThere was no significant association or difference in the postnatal depression scores between the modes of delivery. The results suggested that factors other than the mode of delivery played a more significant role in the development of postnatal depression among the women included in this study. Although our findings contribute to the understanding of maternal mental health, further research is needed to explore additional risk factors and interventions for postnatal depression.
目的
产后抑郁症是一种常见且严重的心理健康问题。尽管存在已确定的产后抑郁症风险因素，但分娩方式对其患病率的影响仍然是一个有争议的话题。本研究调查了产后抑郁症与分娩方式之间的潜在关联，具体比较了顺产女性与接受急诊或择期剖宫产女性的产后抑郁症患病率。本研究旨在探讨不同分娩方式如何影响约旦女性产后抑郁症的患病率和严重程度。
方法
2024年1月至4月在约旦大学医院进行了一项横断面研究，以评估分娩单胎1周后的女性的产后抑郁症情况。参与者完成了一份自我报告问卷，该问卷收集了人口统计学数据以及对爱丁堡产后抑郁量表的回答。这些回答用于评估产后抑郁症状。
结果
共有267名女性参与了该研究。结果显示，不同分娩方式之间的产后抑郁评分没有显著关联或差异（p = 0.459和0.441）。此外，分娩时的孕周和产后的婴儿喂养方式在产后抑郁评分上也没有显著差异（分别为p = 0.681和0.537）。结果表明，产时并发症的发生与产后抑郁症发病风险高出约两倍相关（调整后的优势比 = 1.96，p = 0.013）。
讨论
本研究发现分娩方式与产后抑郁症之间没有明确关系，顺产和剖宫产的抑郁评分相似。围产期并发症与产后抑郁症的较高风险相关，而年龄、职业和婴儿喂养方式等因素的关联则不一致。结果突出了产后抑郁症的复杂多因素性质。
结论
分娩方式之间的产后抑郁评分没有显著关联或差异。结果表明，在本研究纳入的女性中，分娩方式以外的因素在产后抑郁症的发生中起了更重要的作用。尽管我们的研究结果有助于理解孕产妇心理健康，但仍需要进一步研究以探索产后抑郁症的其他风险因素和干预措施。
