Mode of birth and long-term maternal mental health: A follow-up study in the Danish National Birth Cohort

IF 2.8 3区 医学 Q1 NURSING Birth-Issues in Perinatal Care Pub Date : 2023-12-11 DOI:10.1111/birt.12802
Sarah Hjorth PhD, Stina Kruse Skov MSc, Helene Kirkegaard PhD, Jørn Olsen PhD, Ellen Aagaard Nohr PhD
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Abstract

Background

Cesarean birth has been associated with increased risks of short-term mental health problems. Little is known about whether these associations persist in the long term. This study aimed to estimate the associations between mode of birth and maternal mental health in midlife while considering mental health before and during pregnancy.

Methods

Cohort study among mothers in the Danish National Birth Cohort. Birth mode for each woman's entire reproductive history was obtained from Danish national registries. Symptoms of depression and stress in midlife were self-reported using validated scales. Log binomial regression was used to calculate risk ratios (RR) with 95% confidence intervals (CI) for the association between birth mode and depressive symptoms. Linear regression was used to calculate mean difference in stress score by birth mode.

Results

Among 42,872 women, 15.5% reported depressive symptoms at follow-up, where they were, on average, 43.9 years and 11.2 years after their last birth. Compared with women who only ever had spontaneous vaginal births, women who only had cesarean births, or had both cesarean and vaginal births with the last birth by cesarean, reported slightly more symptoms of depression (RR 1.10, 95% CI 1.01;1.20) and stress (mean difference 0.68 on a 100-point scale, 95% CI 0.10;1.26).

Conclusion

Whether due to the birth experience or underlying factors, depression and stress in midlife were more frequent in women with only cesarean births or whose last birth was by cesarean compared with women with vaginal births.

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分娩方式与产妇的长期心理健康:丹麦全国出生队列跟踪研究
剖腹产与短期精神健康问题的风险增加有关。至于这些关联是否会长期存在,目前还知之甚少。本研究旨在估算分娩方式与中年产妇心理健康之间的关联,同时考虑孕前和孕期的心理健康。
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来源期刊
Birth-Issues in Perinatal Care
Birth-Issues in Perinatal Care 医学-妇产科学
CiteScore
4.10
自引率
4.00%
发文量
90
审稿时长
>12 weeks
期刊介绍: Birth: Issues in Perinatal Care is a multidisciplinary, refereed journal devoted to issues and practices in the care of childbearing women, infants, and families. It is written by and for professionals in maternal and neonatal health, nurses, midwives, physicians, public health workers, doulas, social scientists, childbirth educators, lactation counselors, epidemiologists, and other health caregivers and policymakers in perinatal care.
期刊最新文献
Issue Information A History of Cesarean Birth as a Risk Factor for Postpartum Hemorrhage Even After Successful Planned Vaginal Birth. Pregnant Women's Care Needs During Early Labor-A Scoping Review. Sociodemographic and Health-Related Risk Factors Associated With Planned and Emergency Cesarean Births in Mexico. Validating the Quality Maternal and Newborn Care Framework Index: A Global Tool for Quality-of-Care Evaluations.
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