Assessment of peripartum psychological disturbances in relation to modes of delivery

Background:Anxiety disorders are common during peripartum period.This study aimed to identify which mode of delivery was more prone to develop psychological disturbances.Methods:This prospective cohort study conducted among 541 pregnant women presented for spontaneous labour, induction o...

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Main Authors: Al-Ani, Ali Sabri Radeef, Al-Kubaisi, Muna Khaleel Dheyab, John, Akbar B, Abu Ishak, Nurkhairulnisa
Format: Article
Language:English
English
Published: Universitas Indonesia 2019
Subjects:
Online Access:http://irep.iium.edu.my/71927/
http://irep.iium.edu.my/71927/7/71927_Assessment%20of%20Peripartum%20Psychological%20Disturbances%20in%20Relation%20to%20Modes%20of%20Delivery_wos.pdf
http://irep.iium.edu.my/71927/13/71927_Assessment%20of%20peripartum%20psychological.pdf
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author Al-Ani, Ali Sabri Radeef
Al-Kubaisi, Muna Khaleel Dheyab
John, Akbar B
Abu Ishak, Nurkhairulnisa
author_facet Al-Ani, Ali Sabri Radeef
Al-Kubaisi, Muna Khaleel Dheyab
John, Akbar B
Abu Ishak, Nurkhairulnisa
author_sort Al-Ani, Ali Sabri Radeef
building IIUM Repository
collection Online Access
description Background:Anxiety disorders are common during peripartum period.This study aimed to identify which mode of delivery was more prone to develop psychological disturbances.Methods:This prospective cohort study conducted among 541 pregnant women presented for spontaneous labour, induction or elective caesarean section in a Malaysian hospital. The severity of depression, anxiety and stress symptoms are assessed by using self-rated depression anxiety and stress scales in four different occasions; pre-labour/operation, 24 hours postnatal, 2 weeks,and at 6weeks.Results:In the prenatal period, there was no statistically significant difference in the mean score of depression between women coming for labour (4.17 ±5.28) and elective CS (4.21 ±5.87). During puerperium; at 24 hours postnatal, 2weeks and 6weeks assessments there was no significant difference in depression score among patients with different modes of delivery. The overall scores were (4.23 ±5.46, 3.26 ±4.85, 0.78 ±2.37, 0.18 ±0.93) for patients going through vaginal delivery, instrumentation, emergency or elective CS. The same trend was found when anxiety and stress were analysed. Conclusions:The most prominent peripartum psychological disturbances symptom is anxiety. Minority of patients will experience persistence anxiety by the end of 6 weeks postpartum. The caesarean section and induction of labour does not increase the psychological impact.
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publishDate 2019
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spelling iium-719272020-06-12T01:04:57Z http://irep.iium.edu.my/71927/ Assessment of peripartum psychological disturbances in relation to modes of delivery Al-Ani, Ali Sabri Radeef Al-Kubaisi, Muna Khaleel Dheyab John, Akbar B Abu Ishak, Nurkhairulnisa RG551 Pregnancy RZ400 Mental healing Background:Anxiety disorders are common during peripartum period.This study aimed to identify which mode of delivery was more prone to develop psychological disturbances.Methods:This prospective cohort study conducted among 541 pregnant women presented for spontaneous labour, induction or elective caesarean section in a Malaysian hospital. The severity of depression, anxiety and stress symptoms are assessed by using self-rated depression anxiety and stress scales in four different occasions; pre-labour/operation, 24 hours postnatal, 2 weeks,and at 6weeks.Results:In the prenatal period, there was no statistically significant difference in the mean score of depression between women coming for labour (4.17 ±5.28) and elective CS (4.21 ±5.87). During puerperium; at 24 hours postnatal, 2weeks and 6weeks assessments there was no significant difference in depression score among patients with different modes of delivery. The overall scores were (4.23 ±5.46, 3.26 ±4.85, 0.78 ±2.37, 0.18 ±0.93) for patients going through vaginal delivery, instrumentation, emergency or elective CS. The same trend was found when anxiety and stress were analysed. Conclusions:The most prominent peripartum psychological disturbances symptom is anxiety. Minority of patients will experience persistence anxiety by the end of 6 weeks postpartum. The caesarean section and induction of labour does not increase the psychological impact. Universitas Indonesia 2019-04 Article PeerReviewed application/pdf en http://irep.iium.edu.my/71927/7/71927_Assessment%20of%20Peripartum%20Psychological%20Disturbances%20in%20Relation%20to%20Modes%20of%20Delivery_wos.pdf application/pdf en http://irep.iium.edu.my/71927/13/71927_Assessment%20of%20peripartum%20psychological.pdf Al-Ani, Ali Sabri Radeef and Al-Kubaisi, Muna Khaleel Dheyab and John, Akbar B and Abu Ishak, Nurkhairulnisa (2019) Assessment of peripartum psychological disturbances in relation to modes of delivery. Makara Journal of Health research, 23 (1). pp. 1-6. ISSN 2356-3664 E-ISSN 2356-3656 http://journal.ui.ac.id/index.php/health/article/view/9773/pdf 10.7454/msk.v23i1.9773
spellingShingle RG551 Pregnancy
RZ400 Mental healing
Al-Ani, Ali Sabri Radeef
Al-Kubaisi, Muna Khaleel Dheyab
John, Akbar B
Abu Ishak, Nurkhairulnisa
Assessment of peripartum psychological disturbances in relation to modes of delivery
title Assessment of peripartum psychological disturbances in relation to modes of delivery
title_full Assessment of peripartum psychological disturbances in relation to modes of delivery
title_fullStr Assessment of peripartum psychological disturbances in relation to modes of delivery
title_full_unstemmed Assessment of peripartum psychological disturbances in relation to modes of delivery
title_short Assessment of peripartum psychological disturbances in relation to modes of delivery
title_sort assessment of peripartum psychological disturbances in relation to modes of delivery
topic RG551 Pregnancy
RZ400 Mental healing
url http://irep.iium.edu.my/71927/
http://irep.iium.edu.my/71927/
http://irep.iium.edu.my/71927/
http://irep.iium.edu.my/71927/7/71927_Assessment%20of%20Peripartum%20Psychological%20Disturbances%20in%20Relation%20to%20Modes%20of%20Delivery_wos.pdf
http://irep.iium.edu.my/71927/13/71927_Assessment%20of%20peripartum%20psychological.pdf