The association between depressive symptoms during pregnancy and post-delivery fear of childbirth; a prospective study

Autor:	Hester J. van der Zaag-Loonen, Brenda M. Kazemier, Meike Bangma, K. Marieke Paarlberg, Dimitri N.M. Papatsonis
Přispěvatelé:	Obstetrics and Gynaecology
Rok vydání:	2020
Předmět:	medicine.medical_specialty Delivery fear medicine.medical_treatment fear of childbirth Pregnancy Surveys and Questionnaires Peripartum Period medicine Humans Childbirth Caesarean section Prospective Studies Association (psychology) Prospective cohort study reproductive and urinary physiology General Psychology Depression (differential diagnoses) Depressive symptoms Netherlands Psychiatric Status Rating Scales Cesarean Section Depression business.industry Obstetrics Parturition Obstetrics and Gynecology post-partum Fear medicine.disease psychiatry Pregnancy Complications Logistic Models Reproductive Medicine Pediatrics Perinatology and Child Health Female business
Zdroj:	Journal of reproductive and infant psychology, 38(4), 367-377. Routledge
ISSN:	1469-672X 0264-6838
Popis:	Background: Fear of childbirth is an important reason for a caesarean section on request. Objective: To assess the association between depressive symptoms during pregnancy and post-delivery fear of childbirth (PFOC). Methods: We prospectively studied pregnant women from two hospitals in the Netherlands. Women completed the Edinburgh Depression Scale (EPDS), the Wijma Delivery Experience Questionnaire (W-DEQ B) and questions concerning risk factors. Depressive symptoms were assessed at baseline and six weeks post-delivery. PFOC was assessed six weeks post-delivery. Baseline characteristics and pregnancy outcomes were compared between women with and without a depression at baseline. The association between depression and PFOC was assessed with multivariable logistic regression analysis. Results: 245 women participated in this study. At baseline 11% suffered from depressive symptoms. There were no differences in pregnancy outcomes. Women with depressive symptoms more often suffered from depressive symptoms six weeks post-delivery (adjusted OR 4.9, 95% CI 1.4–17). PFOC six weeks post-delivery was present in 11%. Women with depression were at increased risk of PFOC six weeks post-delivery (adjusted OR 9.2, 95% CI 2.6–32). Conclusion: This study shows that women with depression at baseline are at increased risk for depression and PFOC six weeks post-delivery.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2cd91ca19a3733d0230ab0f2d8d6b923 https://doi.org/10.1080/02646838.2020.1753031 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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