Assessment of peripartum psychological disturbances in relation to modes of delivery
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 o...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English English |
| Published: |
Universitas Indonesia
2019
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/71927/ http://irep.iium.edu.my/71927/ http://irep.iium.edu.my/71927/ http://irep.iium.edu.my/71927/1/Assessment%20of%20Peripartum%20Psychological%20Disturbances%20in%20Relation%20toModes%20of%20Delivery.pdf http://irep.iium.edu.my/71927/7/71927_Assessment%20of%20Peripartum%20Psychological%20Disturbances%20in%20Relation%20to%20Modes%20of%20Delivery_wos.pdf |
| Summary: | 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 6weeks.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, 2weeks and 6weeks 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. |
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