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Cited by 157Maternal Mental Health During Pregnancy and PostpartumMaternal and Perinatal Health InterventionsMaternal and Neonatal Healthcare

The DOI matches its Crossref record; 69 of the 69 references it cites were found in a registry or an index.

Is mode of delivery associated with postpartum depression at 6 weeks: a prospective cohort study: Mode of Delivery and Postpartum Depression

Sword, W, Kurtz Landy, C, Thabane, L, Watt, S, Krueger, P, Farine, D, Foster, G·2011·BJOG: An International Journal of Obstetrics & Gynaecology
DOI 10.1111/j.1471-0528.2011.02950.x
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Abstract

OBJECTIVE: To examine the relationship between delivery mode and postpartum depression at 6 weeks following hospital discharge. DESIGN: A prospective cohort study. SETTING: Eleven hospitals in Ontario, Canada. SAMPLE: A total of 2560 women ≥16 years of age who delivered singleton, live infants at term. METHODS: Women completed a questionnaire in hospital and 74% (n = 1897) participated in a structured telephone interview 6 weeks after discharge. Additional data were extracted from labour and delivery records. Generalised estimating equations (GEEs) were used to investigate factors associated with postpartum depression. MAIN OUTCOME MEASURE: Women were screened for depression at 6 weeks following hospital discharge using the Edinburgh Postnatal Depression Scale (EPDS). A score of ≥12 on the EPDS was used as a measure of the primary outcome, depression. RESULTS: Mode of delivery was not independently associated with postpartum depression, and did not factor into the main-effects model. The multivariable analysis identified 11 predictor variables for depression: young maternal age (OR 5.27; 95% CI 2.73-10.15); maternal hospital readmission (OR 3.02; 95% CI 1.46-6.24); non-initiation of breastfeeding (OR 2.02; 95% CI 0.99-4.11); good, fair, or poor self-reported postpartum health (OR 1.82; 95% CI 1.19-2.80); urinary incontinence (OR 1.79; 95% CI 1.06-3.03); multiparity (OR 1.59; 95% CI 1.22-2.08); low mental health functioning (OR 1.20; 95% CI 1.15-1.25); low subjective social status (OR 1.16; 95% CI 1.02-1.33); high number of unmet learning needs in hospital (OR 1.12; 95% CI 1.03-1.22); low social support (OR 1.06; 95% CI 1.03-1.09); and low physical health functioning (OR 1.03; 95% CI 1.003-1.055). An exploratory interaction model revealed that caesarean section was associated with higher odds of becoming depressed in Canadian-born women, but that in women born outside of Canada it was associated with a lower risk of becoming depressed. CONCLUSIONS: Delivery mode had no significant impact on the development of postpartum depression in the main-effects model. However, it may interact with place of birth and other unmeasured factors to create a risk for depression.

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Crossref · 10.1111/j.1471-0528.2011.02950.x

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Research works printed but not linked: 2

  1. Norrie, 2009, Postsecondary Educational Attainment and Participation in Ontario
  2. Public Health Agency of Canada Canadian Perinatal Health Report, 2008 Edition http://www.publichealth.gc.ca/cphr/

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Metadata

Authors
Sword, W., Kurtz Landy, C., Thabane, L., Watt, S., Krueger, P., Farine, D., & Foster, G.
Affiliations
  • McMaster University (CA)
  • St. Joseph’s Healthcare Hamilton (CA)
  • University of Toronto (CA)
  • Mount Sinai Hospital (CA)
Corresponding author
Sword, W
ORCID
Venue
BJOG: An International Journal of Obstetrics & Gynaecology
Publisher
Wiley
Published
2011-04-13
Volume
118
Issue
8
Pages
966-977
ISSN
  • 0306-5456 (ISSN-L)
  • 1470-0328
DOI
10.1111/j.1471-0528.2011.02950.x
OpenAlex
W1483308241
Cited by
157
References
69
Citations by year
2025: 3 · 2024: 11 · 2023: 6 · 2022: 16 · 2021: 12 · 2020: 15 · 2019: 14 · 2018: 13 · 2017: 12 · 2016: 13 · 2015: 15 · 2014: 8 · 2013: 11 · 2012: 6
FWCI
8.48
Type
journal article
Language
en
Open access
closed
Licence
doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 1602 d)
Locations
  • BJOG An International Journal of Obstetrics & Gynaecology (publishedVersion)
  • PubMed (publishedVersion)
Funders
Canadian Institutes of Health Research
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
Keywords
postpartum depression, mode of delivery, vaginal delivery, cesarean section, risk factors, maternal age, hospital readmission, breastfeeding initiation, urinary incontinence, multiparity, social support, postpartum health, mental health, subjective social status, Edinburgh Postnatal Depression Scale, term singleton delivery, Ontario hospitals, post-discharge follow-up
MeSH terms
Adult, Cesarean Section, Female, Humans, Infant, Newborn, Ontario, Pregnancy, Prospective Studies, Surveys and Questionnaires, Cohort Studies, Risk Assessment, Depression, Postpartum, Delivery, Obstetric

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