ABSTRACT

Background

Fear of childbirth is an important reason for a caesarean section on request.

Objective

To assess the association between depressive symptoms during pregnancy and post-delivery fear of childbirth (PFOC).

Methods

We prospectively studied pregnant women from two hospitals in the Netherlands. Women completed the Edinburgh Depression Scale (EPDS), the Wijma Delivery Experience Questionnaire (W-DEQ B) and questions concerning risk factors. Depressive symptoms were assessed at baseline and six weeks post-delivery. PFOC was assessed six weeks post-delivery. Baseline characteristics and pregnancy outcomes were compared between women with and without a depression at baseline. The association between depression and PFOC was assessed with multivariable logistic regression analysis.

Results

245 women participated in this study. At baseline 11% suffered from depressive symptoms. There were no differences in pregnancy outcomes. Women with depressive symptoms more often suffered from depressive symptoms six weeks post-delivery (adjusted OR 4.9, 95% CI 1.4–17). PFOC six weeks post-delivery was present in 11%. Women with depression were at increased risk of PFOC six weeks post-delivery (adjusted OR 9.2, 95% CI 2.6–32).

Conclusion

This study shows that women with depression at baseline are at increased risk for depression and PFOC six weeks post-delivery.

中文翻译：

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怀孕期间的抑郁症状与分娩后对分娩的恐惧之间的关联；一项前瞻性研究。

摘要

背景

害怕分娩是要求剖腹产的重要原因。

客观的

评估怀孕期间的抑郁症状与分娩后分娩恐惧 (PFOC) 之间的关联。

方法

我们前瞻性地研究了荷兰两家医院的孕妇。女性完成了爱丁堡抑郁量表 (EPDS)、Wijma 分娩体验问卷 (W-DEQ B) 和有关风险因素的问题。在基线和分娩后六周评估抑郁症状。PFOC 在交付后六周进行评估。比较基线时有抑郁症和无抑郁症的女性的基线特征和妊娠结局。用多变量逻辑回归分析评估抑郁症和 PFOC 之间的关联。

结果

245 名女性参与了这项研究。在基线时，11% 的人患有抑郁症状。妊娠结局没有差异。有抑郁症状的女性更常在分娩后六周出现抑郁症状（调整后 OR 4.9，95% CI 1.4-17）。11% 的产后 6 周内含有 PFOC。患有抑郁症的女性在分娩后六周内患 PFOC 的风险增加（调整后的 OR 9.2，95% CI 2.6-32）。

结论

这项研究表明，基线时患有抑郁症的女性在分娩后六周内患抑郁症和全氟辛烷磺酸的风险增加。