Evidence map›Paper›PMID 31041603›Full record

ArticleArchives of women's mental health2019

Delivery mode is associated with maternal mental health following childbirth.

Sharon Dekel, Tsachi Ein-Dor, Zohar Berman, Ida S Barsoumian, Sonika Agarwal, Roger K Pitman

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of women's mental health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

86 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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26 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sharon DekelDepartment of Psychiatry, Massachusetts General Hospital, Building 120- 2nd Avenue, Charlestown, MA, 02129, USA. sdekel@mgh.harvard.edu.
Tsachi Ein-DorInterdisciplinary Center, Kanfei Nesharim, 4610101, Herzliya, Israel.
Zohar BermanDepartment of Psychiatry, Massachusetts General Hospital, Building 120- 2nd Avenue, Charlestown, MA, 02129, USA.
Ida S BarsoumianDepartment of Psychiatry, Massachusetts General Hospital, Building 120- 2nd Avenue, Charlestown, MA, 02129, USA.
Sonika AgarwalDepartment of Psychiatry, Massachusetts General Hospital, Building 120- 2nd Avenue, Charlestown, MA, 02129, USA.
Roger K PitmanDepartment of Psychiatry, Massachusetts General Hospital, Building 120- 2nd Avenue, Charlestown, MA, 02129, USA.

Funding

Intranasal oxytocin as a means to enhance mother-infant bonding in the early postpartum periodR21HD090396 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI DEKEL, SHARON · 2018 to 2019
$463k
NICHD NIH HHS R21 HD090396
6 · The paper itself

Abstract

Childbirth is a life-transforming event often followed by a time of heightened psychological vulnerability in the mother. There is a growing recognition of the importance of obstetrics aspects in maternal well-being with the way of labor potentially influencing psychological adjustment following parturition or failure thereof. Empirical scrutiny on the association between mode of delivery and postpartum well-being remains limited. We studied 685 women who were on average 3 months following childbirth and collected information concerning mode of delivery and pre- and postpartum mental health. Analysis of variance revealed that women who had cesarean section or vaginal instrumental delivery had higher somatization, obsessive compulsive, depression, and anxiety symptom levels than those who had natural or vaginal delivery as well as overall general distress, controlling for premorbid mental health, maternal age, education, primiparity, and medical complication in newborn. Women who underwent unplanned cesarean also had higher levels of childbirth-related PTSD symptoms excluding those with vaginal instrumental. The risk for endorsing psychiatric symptoms reflecting clinically relevant cases increased by twofold following unplanned cesarean and was threefold for probable childbirth-related PTSD. Maternal well-being following childbirth is associated with the experienced mode of delivery. Increasing awareness in routine care of the implications of operative delivery and obstetric interventions in delivery on a woman's mental health is needed. Screening at-risk women could improve the quality of care and prevent enduring symptoms. Research is warranted on the psychological and biological factors implicated in the mode of delivery and their role in postpartum adjustment.

Indexed as

Maternal HealthAdultCesarean SectionDelivery, ObstetricFemaleHumansMental DisordersPostpartum PeriodStress Disorders, Post-TraumaticChildbirthDelivery modeMental healthPostpartum depressionPostpartum PTSD

Identifiers

PMID31041603
PMCPMC6821585

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.