Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1397
11
1
gregorian
2019
2
1
33
1
online
1
fulltext
en
The relationship between maternal mental health during pregnancy and type of delivery in the suburbs of Bandar Abbas during 2017-2018
Epidemiology
Epidemiology
Original Research
Original Research
<strong>Background: </strong>The effect of maternal mental health during pregnancy on Cesarean section through implications of pre- and postnatal birth have narrowly been investigated. The aim of the present study was to investigate the effect of maternal mental health during pregnancy on the type of delivery in the suburbs of Bandar Abbas.<br>
<strong>Methods:</strong> This study used data of 200 mothers registered in a prospective cohort study on pregnant women in the suburbs of Bandar Abbas, South of Iran, during 2016-18. The presence of depression, anxiety, or stress in expecting mothers were measured by DASS-21 questionnaire and the outcome defined as having Cesarean section (Cesarean section) was measured at postpartum. The relative risk (95% CI) was calculated using Cox regression models. All analyses were performed using STATA statistical package, with a significance level of 5%.<br>
<strong>Results: </strong>Information of 196 mothers were collected (98% response rate); the mean age of the participants was 27.28 (±5.62) years. The prevalence of depression, anxiety, and stress was 13.8% (27), 40.4% (40), and 7.6% (15), respectively. Nearly 40% of mothers went through Cesarean section. Compared to mothers with good mental health, the risk of Cesarean section was 96% higher in depressed mothers (RR=2, 95% CI: 1.43–2.74) (p=0.001), 81% higher in anxious mothers (RR=1.81, 95% CI: 1.29-2.53) (p=0.003), and 75% higher in stressed mothers (RR=1.75, 95% CI: 0.86-3.56) (p=0.121).<br>
<strong>Conclusion:</strong> The findings of this study showed that poor mental health, especially anxiety and depression, during pregnancy could increase the risk of Cesarean section. Accordingly, screening protocols for mental health status and prenatal counseling sessions are suggested for pregnant mothers to increase their informed decision on types of delivery.<br>
Mental health, Cesarean section, Prospective studies, Cohort studies
645
651
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-4267-1&slc_lang=en&sid=1
Hossein
Moameri
hossein_moameri67@yahoo.com
200319475328460062396
200319475328460062396
No
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Shahrzad
Nematollahi
shrzd.nematollahi@outlook.com
200319475328460062397
200319475328460062397
No
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Mehdi
Yaseri
m.yaseri@gmail.com
200319475328460062398
200319475328460062398
No
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Hasan
Ahmadi Gharaee
h.ahmadi701@gmail.com
200319475328460062399
200319475328460062399
No
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Roya
Karimi
roya.karimi26@yahoo.com
200319475328460062400
200319475328460062400
No
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Kourosh
Holakouie-Naieni
holakoik@hotmail.com
200319475328460062401
200319475328460062401
Yes
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran & Bandar Abbas Health Research Station, Bandar Abbas, Iran