607: Delivery at 39 weeks for class III obesity: labor and delivery utilization, length of stay

Abstract

A total of 1858 women (56% Jewish) had complete data for present analyses. Overall 83 women (4.5%) screened positive for mild PPD risk (EPDS 8) and 37 women (2.0%) screened positive for moderate PPD risk (EPDS 10). Logistic regression results showed that Cesarean delivery was significantly associated with mild PPD risk (OR¼3.04, 95% CI 2.00e4.60), which remained significant after adjusting for age and religion (OR 1.75, 95% CI 1.207e2.87, p¼0.03). CONCLUSION: Delivering by Cesarean section may be an independent risk factor for mild PPD symptoms in the immediate postpartum period. This cohort had low rates of PPD risk compared to epidemiological rates (10%), particularly in the Jewish women. Ethnic, racial and religious minorities encounter more stigma and may not readily report symptoms, therefore, cut-points are often lowered from the standard EPDS 10. Indeed, in our sample CS was significantly associated with EPDS 10 in the univariate model. Mild PPD risk in the immediate post partum period is also predictive of subsequent development of PPD. Obstetric providers may consider immediate PPD screening, education, and referral to treatment for patients, particularly for those who deliver via Cesarean section.