Cesarean section and postpartum depression: a review of the evidence examining the link.

Abstract:

OBJECTIVE:The objective of this study was to examine the evidence for an association between cesarean section and postpartum depression. METHODS:Medline and PsychInfo databases were searched. All studies on cesarean section that evaluated maternal mood between 10 days and 1 year after delivery were reviewed. Nine methodologically superior studies, including the only randomized, controlled trial (RCT), were analyzed separately. The nine studies that provided adequate summary statistics were combined in a meta-analysis. RESULTS:Of the 24 studies that have examined the association between cesarean section and postpartum depression, five found a significant adverse association, 15 found no significant association, and four found mixed results. With only one exception, methodologically superior studies found either no significant association or mixed evidence for an association between cesarean section and postpartum depression. Meta-analyses of suitable studies failed to find evidence for a significant association between cesarean section and postpartum depression. Possible reasons why different studies have obtained different results are critically evaluated. CONCLUSION:A link between cesarean section and postpartum depression has not been established.

journal_name

Psychosom Med

journal_title

Psychosomatic medicine

authors

Carter FA,Frampton CM,Mulder RT

doi

10.1097/01.psy.0000204787.83768.0c

subject

Has Abstract

pub_date

2006-03-01 00:00:00

pages

321-30

issue

2

eissn

0033-3174

issn

1534-7796

pii

68/2/321

journal_volume

68

pub_type

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