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Association of Obstetric and Neonatal Factors with Postpartum Depression in Parturients with Vaginal Delivery: A Case-Control Study
Abstract Number: F310-514
Abstract Type: Original Research
Postpartum Depression (PPD) is a serious public health problem with harmful impact to both mother and child. Multifactorial psychological, physical, social, obstetric factors have been associated with the development of PPD. The period of childbirth is one of the most susceptible times for women in their lives. We performed this study to investigate the role of peripartum obstetric factors, fetal and neonatal outcomes that might be related to PPD.
We extracted the data from the records of term, singleton parturients who had a vaginal delivery at Partner Healthcare System from Jan 1, 2016 to Dec 31, 2018. PPD case group was defined as women with Edinburgh Postnatal Depression Scale (EPDS) ≥ 10. Non-PPD control group matched with 1:2 ratio using age, body mass index, race and parity. Demographic data, obstetrical interventions, duration from rupture of membrane to delivery, and durations of labor stages were recorded. Type of labor analgesia was also documented.
A total of 378 parturients were included. The duration of second stage labor was more than the non-PPD group (P<0.05). The rate of augmentation in PPD group is less than in non-PPD group (P<0.05). The incidences of fetal macrosomia, growth restriction and neonatal asphyxia were different between two groups (P<0.05).
Our study indicated that labor augmentation was potentially protective against PPD. It could be attributed to its augmented labor course. However, the length of the second stage of labor was positively associated with PPD, indicating the interaction between these two factors. Our study demonstrated in vaginal delivered parturients, fetal complications such as birthing weight, growth restriction and neonatal asphyxia were significantly associated with PPD. We advocate to secure early peripartum consultation for parturients who were diagnosed with fetal growth restriction.
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2. Takács, et al. Arch Womens Ment Health.2018
3. Suhitharan, et al. Neuropsychiatr Dis Treat.2016