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Assessment of peripartum psychological disturbances in relation to modes of delivery

Al-Ani, Ali Sabri Radeef and Al-Kubaisi, Muna Khaleel Dheyab and John, Akbar B and Abu Ishak, Nurkhairulnisa (2019) Assessment of peripartum psychological disturbances in relation to modes of delivery. Makara Journal of Health research, 23 (1). pp. 1-6. ISSN 2356-3664 E-ISSN 2356-3656

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Background:Anxiety disorders are common during peripartum period.This study aimed to identify which mode of delivery was more prone to develop psychological disturbances.Methods:This prospective cohort study conducted among 541 pregnant women presented for spontaneous labour, induction or elective caesarean section in a Malaysian hospital. The severity of depression, anxiety and stress symptoms are assessed by using self-rated depression anxiety and stress scales in four different occasions; pre-labour/operation, 24 hours postnatal, 2 weeks,and at 6weeks.Results:In the prenatal period, there was no statistically significant difference in the mean score of depression between women coming for labour (4.17 ±5.28) and elective CS (4.21 ±5.87). During puerperium; at 24 hours postnatal, 2weeks and 6weeks assessments there was no significant difference in depression score among patients with different modes of delivery. The overall scores were (4.23 ±5.46, 3.26 ±4.85, 0.78 ±2.37, 0.18 ±0.93) for patients going through vaginal delivery, instrumentation, emergency or elective CS. The same trend was found when anxiety and stress were analysed. Conclusions:The most prominent peripartum psychological disturbances symptom is anxiety. Minority of patients will experience persistence anxiety by the end of 6 weeks postpartum. The caesarean section and induction of labour does not increase the psychological impact.

Item Type: Article (Journal)
Additional Information: 6563/71927
Uncontrolled Keywords: caesarean section;depression;induction oflabour;stress
Subjects: R Medicine > RG Gynecology and obstetrics > RG551 Pregnancy
R Medicine > RZ Other systems of medicine > RZ400 Mental healing
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine
Kulliyyah of Medicine > Department of Obstetric & Gynecology
Kulliyyah of Medicine > Department of Psychiatry
Kulliyyah of Science
Depositing User: Asst. Prof. Dr. Ali Sabri Radeef Al-Ani
Date Deposited: 02 May 2019 12:24
Last Modified: 12 Jun 2020 09:04
URI: http://irep.iium.edu.my/id/eprint/71927

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