Blues and depression during early puerperium: home versus hospital deliveries

British Journal of Obstetrics and Gynaecology
V J PopI H Komproe

Abstract

To investigate whether women who give birth at home are less prone to mood disturbances during the early puerperium than those who give birth in hospital. A prospective study of 303 pregnant women who registered for antenatal care. The antenatal clinic at St Joseph's Hospital, Veldhoven, The Netherlands, and five antenatal consultation programmes of local midwives working in the surrounding region. Three hundred and eighty-two consecutive caucasian women registering for antenatal care were approached. Of these, 303 consented to participate and 293 completed the study. The predictor variable was the way in which the women gave birth: spontaneous vaginal parturition at home or in hospital as follows: spontaneously; vaginal parturition after stimulation with medication; vaginal parturition with forceps/vacuum extraction; or caesarean section. The outcome variables were blues and depression. The occurrence of blues was assessed at 4 weeks postpartum, using Pitt's criteria. The occurrence of depression was assessed at 4 weeks postpartum using the Research Diagnostic Criteria. The possible confounding effects of a set of obstetrical and psycho-social variables relating to the early puerperium were investigated using logistic regressi...Continue Reading

References

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Citations

May 26, 1999·Journal of Psychosomatic Research·R M van DamV J Pop
Mar 24, 2006·Psychosomatic Medicine·Frances A CarterRoger T Mulder
Jul 10, 2007·Journal de gynécologie, obstétrique et biologie de la reproduction·J Dayan
Oct 3, 2006·Journal of Affective Disorders·F GonidakisG N Christodoulou
Sep 14, 2007·Journal of Psychosomatic Obstetrics and Gynaecology·M K KuscuE Ozek
Jul 4, 2006·Journal of Midwifery & Women's Health·Noelle Borders
Feb 10, 2020·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Khadije Rezaie-KeikhaieAzizollah Arbabisarjou

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