Peripartum Predictors of the Risk of Postpartum Depressive Disorder: Results of a Case-Control Study
The study aimed at the identification of the risk factors present during delivery, which might be present in prophylactic programs concerning postpartum mood disorders. This was a retrospective comparative study. The study material included data retrieved from the medical records of patients hospita...
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| Veröffentlicht in: | International journal of environmental research and public health 2020-11, Vol.17 (23), p.8726 |
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| creator | Zaręba, Kornelia Banasiewicz, Jolanta Rozenek, Hanna Wójtowicz, Stanisław Jakiel, Grzegorz |
| description | The study aimed at the identification of the risk factors present during delivery, which might be present in prophylactic programs concerning postpartum mood disorders.
This was a retrospective comparative study. The study material included data retrieved from the medical records of patients hospitalized in the Teaching Department of Gynecology and Obstetrics of Professor Orłowski Hospital in Warsaw, in the years 2010-2017. The EPDS data of 604 patients were analyzed. The study group included 75 women who obtained at least 12 points in the EPDS and the control group was made up of 75 women who obtained no more than 5 points in the EPDS.
The women in whom we noted an increased risk of developing mood disorders had blood loss >1000 mL and had a significantly longer stage II and III of labor than the control group. Other risk factors were cesarean section, vaginal delivery with the curettage of the uterine cavity, slightly lower APGAR scores (0.4 pts), and lower birth weight (approximately 350 g) of the child. Women at a low risk of postpartum mood disorders more commonly underwent episiotomy during delivery (76%).
Increased supervision and support should be offered to women who experienced the above-mentioned risk factors. |
| doi_str_mv | 10.3390/ijerph17238726 |
| format | Article |
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This was a retrospective comparative study. The study material included data retrieved from the medical records of patients hospitalized in the Teaching Department of Gynecology and Obstetrics of Professor Orłowski Hospital in Warsaw, in the years 2010-2017. The EPDS data of 604 patients were analyzed. The study group included 75 women who obtained at least 12 points in the EPDS and the control group was made up of 75 women who obtained no more than 5 points in the EPDS.
The women in whom we noted an increased risk of developing mood disorders had blood loss >1000 mL and had a significantly longer stage II and III of labor than the control group. Other risk factors were cesarean section, vaginal delivery with the curettage of the uterine cavity, slightly lower APGAR scores (0.4 pts), and lower birth weight (approximately 350 g) of the child. Women at a low risk of postpartum mood disorders more commonly underwent episiotomy during delivery (76%).
Increased supervision and support should be offered to women who experienced the above-mentioned risk factors.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph17238726</identifier><identifier>PMID: 33255386</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Anxiety ; Apgar score ; Birth weight ; Breastfeeding & lactation ; Case-Control Studies ; Cesarean Section ; Comparative studies ; Consent ; Curettage ; Depression, Postpartum - diagnosis ; Depression, Postpartum - epidemiology ; Emotional disorders ; Female ; Gynecology ; Hospitalization ; Humans ; Medical records ; Mental depression ; Mood ; Mood disorders ; Obstetrics ; Pain ; Patients ; Peripartum Period ; Physiology ; PMS ; Postpartum ; Postpartum depression ; Pregnancy ; Premenstrual syndrome ; Questionnaires ; Retrospective Studies ; Risk analysis ; Risk Factors ; Risk management ; Uterus ; Vagina ; Womens health</subject><ispartof>International journal of environmental research and public health, 2020-11, Vol.17 (23), p.8726</ispartof><rights>2020. This work is licensed under http://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 by the authors. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-bff3f137999492c774ee5319f1ff155104296530da787db684998f48eb1451833</citedby><cites>FETCH-LOGICAL-c418t-bff3f137999492c774ee5319f1ff155104296530da787db684998f48eb1451833</cites><orcidid>0000-0002-8262-4380 ; 0000-0001-9670-9580 ; 0000-0002-6094-2273</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7727836/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7727836/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33255386$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zaręba, Kornelia</creatorcontrib><creatorcontrib>Banasiewicz, Jolanta</creatorcontrib><creatorcontrib>Rozenek, Hanna</creatorcontrib><creatorcontrib>Wójtowicz, Stanisław</creatorcontrib><creatorcontrib>Jakiel, Grzegorz</creatorcontrib><title>Peripartum Predictors of the Risk of Postpartum Depressive Disorder: Results of a Case-Control Study</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>The study aimed at the identification of the risk factors present during delivery, which might be present in prophylactic programs concerning postpartum mood disorders.
This was a retrospective comparative study. The study material included data retrieved from the medical records of patients hospitalized in the Teaching Department of Gynecology and Obstetrics of Professor Orłowski Hospital in Warsaw, in the years 2010-2017. The EPDS data of 604 patients were analyzed. The study group included 75 women who obtained at least 12 points in the EPDS and the control group was made up of 75 women who obtained no more than 5 points in the EPDS.
The women in whom we noted an increased risk of developing mood disorders had blood loss >1000 mL and had a significantly longer stage II and III of labor than the control group. Other risk factors were cesarean section, vaginal delivery with the curettage of the uterine cavity, slightly lower APGAR scores (0.4 pts), and lower birth weight (approximately 350 g) of the child. Women at a low risk of postpartum mood disorders more commonly underwent episiotomy during delivery (76%).
Increased supervision and support should be offered to women who experienced the above-mentioned risk factors.</description><subject>Anxiety</subject><subject>Apgar score</subject><subject>Birth weight</subject><subject>Breastfeeding & lactation</subject><subject>Case-Control Studies</subject><subject>Cesarean Section</subject><subject>Comparative studies</subject><subject>Consent</subject><subject>Curettage</subject><subject>Depression, Postpartum - diagnosis</subject><subject>Depression, Postpartum - epidemiology</subject><subject>Emotional disorders</subject><subject>Female</subject><subject>Gynecology</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Medical records</subject><subject>Mental depression</subject><subject>Mood</subject><subject>Mood disorders</subject><subject>Obstetrics</subject><subject>Pain</subject><subject>Patients</subject><subject>Peripartum Period</subject><subject>Physiology</subject><subject>PMS</subject><subject>Postpartum</subject><subject>Postpartum depression</subject><subject>Pregnancy</subject><subject>Premenstrual syndrome</subject><subject>Questionnaires</subject><subject>Retrospective Studies</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Risk management</subject><subject>Uterus</subject><subject>Vagina</subject><subject>Womens health</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkctPGzEQxi1UVB7tlWO1Ui-9LPi1fvRQqUp4SZGIKJwtZ3dMnG7ixfZG4r9nAwERTjPS_ObTfPMhdELwKWMan_kFxG5OJGVKUrGHDokQuOQCky8f-gN0lNICY6a40F_RAWO0qpgSh6iZQvSdjblfFtMIja9ziKkIrshzKG59-r_ppyHlLTSGLkJKfg3F2KcQG4i_i1tIfZtf1mwxsgnKUVjlGNriX-6bp29o39k2wfdtPUb3F-d3o6tycnN5Pfo7KWtOVC5nzjFHmNRac01rKTlAxYh2xDlSVQRzqkXFcGOlks1MKK61clzBjPCKKMaO0Z9X3a6fLaGpYbjBtqaLfmnjkwnWm93Jys_NQ1gbKalUTAwCv7YCMTz2kLJZ-lRD29oVhD4ZyoePMkk1H9Cfn9BF6ONqsLehKiKGPOhAnb5SdQwpRXDvxxBsNgGa3QCHhR8fLbzjb4mxZ0Whl88</recordid><startdate>20201124</startdate><enddate>20201124</enddate><creator>Zaręba, Kornelia</creator><creator>Banasiewicz, Jolanta</creator><creator>Rozenek, Hanna</creator><creator>Wójtowicz, Stanisław</creator><creator>Jakiel, Grzegorz</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8262-4380</orcidid><orcidid>https://orcid.org/0000-0001-9670-9580</orcidid><orcidid>https://orcid.org/0000-0002-6094-2273</orcidid></search><sort><creationdate>20201124</creationdate><title>Peripartum Predictors of the Risk of Postpartum Depressive Disorder: Results of a Case-Control Study</title><author>Zaręba, Kornelia ; 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This was a retrospective comparative study. The study material included data retrieved from the medical records of patients hospitalized in the Teaching Department of Gynecology and Obstetrics of Professor Orłowski Hospital in Warsaw, in the years 2010-2017. The EPDS data of 604 patients were analyzed. The study group included 75 women who obtained at least 12 points in the EPDS and the control group was made up of 75 women who obtained no more than 5 points in the EPDS.
The women in whom we noted an increased risk of developing mood disorders had blood loss >1000 mL and had a significantly longer stage II and III of labor than the control group. Other risk factors were cesarean section, vaginal delivery with the curettage of the uterine cavity, slightly lower APGAR scores (0.4 pts), and lower birth weight (approximately 350 g) of the child. Women at a low risk of postpartum mood disorders more commonly underwent episiotomy during delivery (76%).
Increased supervision and support should be offered to women who experienced the above-mentioned risk factors.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>33255386</pmid><doi>10.3390/ijerph17238726</doi><orcidid>https://orcid.org/0000-0002-8262-4380</orcidid><orcidid>https://orcid.org/0000-0001-9670-9580</orcidid><orcidid>https://orcid.org/0000-0002-6094-2273</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Anxiety Apgar score Birth weight Breastfeeding & lactation Case-Control Studies Cesarean Section Comparative studies Consent Curettage Depression, Postpartum - diagnosis Depression, Postpartum - epidemiology Emotional disorders Female Gynecology Hospitalization Humans Medical records Mental depression Mood Mood disorders Obstetrics Pain Patients Peripartum Period Physiology PMS Postpartum Postpartum depression Pregnancy Premenstrual syndrome Questionnaires Retrospective Studies Risk analysis Risk Factors Risk management Uterus Vagina Womens health |
| title | Peripartum Predictors of the Risk of Postpartum Depressive Disorder: Results of a Case-Control Study |
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