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- Title
Assessment of Peripartum Psychological Disturbances in Relation to Modes of Delivery.
- Authors
Radeef, Ali S.; Al-Kubaisi, Muna Kh; John, Akbar B.; A. I., Nur Khairulnisa
- Abstract
Background: Anxiety disorders are common during peripartum period. This study aimed to identify which mode of delivery was more prone to develop psychological disturbances. Methods: This prospective cohort study conducted among 541 pregnant women presented for spontaneous labour, induction or elective caesarean section in a Malaysian hospital. The severity of depression, anxiety and stress symptoms are assessed by using self-rated depression anxiety and stress scales in four different occasions; pre-labour/operation, 24 hours postnatal, 2 weeks, and at 6 weeks. Results: In the prenatal period, there was no statistically significant difference in the mean score of depression between women coming for labour (4.17 ± 5.28) and elective CS (4.21 ± 5.87). During puerperium; at 24 hours postnatal, 2 weeks and 6 weeks assessments there was no significant difference in depression score among patients with different modes of delivery. The overall scores were (4.23 ± 5.46, 3.26 ± 4.85, 0.78 ± 2.37, 0.18 ± 0.93) for patients going through vaginal delivery, instrumentation, emergency or elective CS. The same trend was found when anxiety and stress were analysed. Conclusions: The most prominent peripartum psychological disturbances symptom is anxiety. Minority of patients will experience persistence anxiety by the end of 6 weeks postpartum. The caesarean section and induction of labour does not increase the psychological impact.
- Subjects
PSYCHOLOGICAL tests; CESAREAN section; INDUCED labor (Obstetrics); ANXIETY disorders; DEPRESSION in women; PREGNANT women
- Publication
Makara Journal of Health Research, 2019, Vol 23, Issue 1, p1
- ISSN
2356-3664
- Publication type
Article
- DOI
10.7454/msk.v23i1.9773