Assessment of difference in postpartum depression among caesarean and vaginally delivered women at 6-week follow-up in hospitals in Pune District, India: an observational cohort study

Doke, Prakash Prabhakarrao; Vaidya, Varsha; Narula, Arvinder Pal Singh; Datar, Manjiri C; Patil, Archana Vasantrao; Panchanadikar, Tushar; Wagh, Girija

doi:10.1136/bmjopen-2021-052008

Cited by 14 publications

(7 citation statements)

References 45 publications

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“…[ 29 ] According to a study conducted in Pune, PPD is more likely in women, who had cesarean births and mothers, who were under the age of 25. [ 32 ] The National Family Health Survey (NFHS)-5 [ 33 ] shows that C-section delivery trends are increasing in India compared with NFHS-4. It may substantially increase the prevalence of PPD.…”

Section: Resultsmentioning

confidence: 99%

Prevalence and associated risk factors of postpartum depression in India: A comprehensive review

Panolan,

Thomas M

2024

JNRP

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Postpartum depression (PPD) is a psychological illness that affects women following delivery. According to the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), PPD is a serious form of depression that begins four weeks following birth and continues for one year. Pregnancy and the period after delivery can be hazardous for women. Mothers undergo significant biological, emotional, financial, and societal changes during this time. Some women are predisposed to mental health disorders such as melancholy and worry. Many postpartum women do not acknowledge the seriousness of their condition, and many depressed mothers go untreated. Untreated PPD is harmful to both the mother and the newborn. The exact cause of PPD is unclear; however, hormonal fluctuations during pregnancy and childbirth, genetic susceptibility, birth trauma as well as psychosocial and demographic factors may serve as potential risk factors. The objective of this study is to determine the prevalence and risk factors of PPD in India. The review evaluates English language literature on PPD using Scopus, PubMed, and Google Scholar databases searched electronically between 2000 and 2022. The keywords “postpartum depression,” or “postnatal depression,” and “prevalence,” and “causes,” and “risk factors,” or “predisposing factors,” or “predictive factors” were used to search the database. The prevalence of PPD varies in different geographical regions and study settings. In India, the overall prevalence of PPD is 22%. However, the greatest prevalence was in the southern regions (26%; 95% confidence interval [CI]: 19–32) and the lowest in the northern regions (15%; 95% CI: 10–21). This study outlines the burden of PPD in India. Comprehensive intervention programs should be implemented to address the disease at a national level. The national authorities should incorporate PPD screening in the National Mental Health Program and emphasize health promotion activities.

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Section: Resultsmentioning

confidence: 99%

Prevalence and associated risk factors of postpartum depression in India: A comprehensive review

Panolan,

Thomas M

2024

JNRP

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“…These varied differences in the rate may also be due to differences in protocols for CS or different study participants and sample size. A study showed higher Postpartum Depression (PPD) rates in cesarean (33) sections than vaginal deliveries .…”

Section: (24)mentioning

confidence: 99%

Profile of cesarean sections among primiparous women at a tertiary care hospital

Apuroopa¹,

Nimbargi²

2022

BVMJ

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Background: World Health Organization has declared that an acceptable cesarean rate in any region should not be more than 15%. In modern obstetrics, cesarean section is an accepted standard procedure to reduce maternal morbidity and mortality. To reduce perinatal morbidity and mortality, cesarean section definitely helps, but it poses many health risks to the mother. In the present study, we aimed to study the primary cesarean rate, its complications, and the indications for primary cesarean sections in a tertiary care center. Material and Methods: This was an observational study conducted at a tertiary care teaching hospital.All the primiparous women delivering between October 2018 to May 2020 were included, and the cesarean rates, indications and complications were studied. were calculated. The data was taken from labor room register where details about every delivering woman is kept and the women are classified into different mutually exclusive groups based on Robson's Ten Group classification. Results: Among the delivering women enrolled during the study period, 42.55% of women delivered by cesarean section, and 54.97 % delivered vaginally. The primiparous cesarean rate was 40.9%. Conclusion: The study identifies a significant number of primiparous women undergoing cesarean section and suggests the need for appropriate labor care and regular audits.

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“…For this reason, it is clear that (at first) AAPT is only possible when the fetus has left the maternal womb through a cesarean. Every cesarean comes with accompanying maternal health risks, physical as well as mental ( 18 , 19 ). Moreover, a cesarean comes with increasing risks in eventual subsequent pregnancies ( 18 ).…”

Section: Ethical Development Of Aapt Toward the First In-human Trialmentioning

confidence: 99%

Ethical Development of Artificial Amniotic Sac and Placenta Technology: A Roadmap

et al. 2021

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In this paper we present an initial roadmap for the ethical development and eventual implementation of artificial amniotic sac and placenta technology in clinical practice. We consider four elements of attention: (1) framing and societal dialogue; (2) value sensitive design, (3) research ethics and (4) ethical and legal research resulting in the development of an adequate moral and legal framework. Attention to all elements is a necessary requirement for ethically responsible development of this technology. The first element concerns the importance of framing and societal dialogue. This should involve all relevant stakeholders as well as the general public. We also identify the need to consider carefully the use of terminology and how this influences the understanding of the technology. Second, we elaborate on value sensitive design: the technology should be designed based upon the principles and values that emerge in the first step: societal dialogue. Third, research ethics deserves attention: for proceeding with first-in-human research with the technology, the process of recruiting and counseling eventual study participants and assuring their informed consent deserves careful attention. Fourth, ethical and legal research should concern the status of the subject in the AAPT. An eventual robust moral and legal framework for developing and implementing the technology in a research setting should combine all previous elements. With this roadmap, we emphasize the importance of stakeholder engagement throughout the process of developing and implementing the technology; this will contribute to ethically and responsibly innovating health care.

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Assessment of difference in postpartum depression among caesarean and vaginally delivered women at 6-week follow-up in hospitals in Pune District, India: an observational cohort study

Cited by 14 publications

References 45 publications

Prevalence and associated risk factors of postpartum depression in India: A comprehensive review

Prevalence and associated risk factors of postpartum depression in India: A comprehensive review

Profile of cesarean sections among primiparous women at a tertiary care hospital

Ethical Development of Artificial Amniotic Sac and Placenta Technology: A Roadmap

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