ArticleInternational journal of environmental research and public health2022
Associations among Caesarean Section Birth, Post-Traumatic Stress, and Postpartum Depression Symptoms.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07290127 (Effects of a Computer Game on Postpartum Mental Health After Emergency Cesarean Birth), which is not on this map. Cited by 53 papers, 4 of them syntheses that pooled it.
What it found
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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.
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.
Effects of a Computer Game on Postpartum Mental Health After Emergency Cesarean Birth: a Feasibility Randomized Controlled Trial
Who cites it
53 citing papers in PubMed, 4 syntheses or guidelines pooled it, 81 citations in OpenAlex.
- Prevalence and correlates of postpartum PTSD following emergency cesarean sections: implications for perinatal mental health care: a systematic review and meta-analysis.BMC psychology · 2025Pooled it
- Identification of risk loci for postpartum depression in a genome-wide association study.Psychiatry and clinical neurosciences · 2024Pooled it
- Pooled it
- Posttraumatic stress disorder prevalence and childbirth: update meta-analysis after the introduction of the DSM-5 and COVID-19 pandemic.Archives of women's mental health · 2024Pooled it
- Problem-solving model guided by stimulus-organism-response theory: State of mind and coping styles of depressed mothers after cesarean delivery.World journal of psychiatry · 2024Trial
- Adult Post-operative Mental Health Outcomes Following Abdominal and Orthopedic Surgeries: A Scoping Review.Cureus · 2026Review
- Delivery mode and maternal health conditions before and after childbirth: A population-based cohort study from Estonia.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Article
- Psychological reflections of guilt among mothers of infants hospitalized in the neonatal intensive care unit: a multiple moderator effect analysis.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Impact of placenta accreta spectrum and cesarean hysterectomy on quality of life and postpartum depression: a case-control study in Shiraz, Iran.BMC pregnancy and childbirth · 2026Article
- Beyond the scar: a qualitative study on the physical, psychosocial and economic impacts of caesarean section in Keonjhar District of Odisha.BMC pregnancy and childbirth · 2026Article
- Risk and Protective Factors of Perinatal Depression in Perinatal Latinas: a Systematic Review.Journal of racial and ethnic health disparities · 2026Review
- Adverse pregnancy outcomes as predictors of postpartum psychiatric illness: a retrospective cohort study.Archives of women's mental health · 2026Observational
- Scars of birth: caesarean delivery and fertility intentions among women of reproductive age in sub-Saharan Africa.Reproductive health · 2026Article
- Prevalence of Postpartum Depression Among Women Attending Primary Care in Southern Mexico: A Cross-Sectional Study.Cureus · 2026Article
- Risk of postpartum depression in women with cesarean delivery after previous vaginal birth: a retrospective observational study.BMC pregnancy and childbirth · 2026Observational
- Construction and validation of multiple machine learning models for influencing factors of postpartum post-traumatic stress disorder in primiparas.Frontiers in psychiatry · 2026Article
- The impact of disrespectful care during childbirth on maternal mental health: postpartum depression and suicidal ideation 6-9 months after birth.Frontiers in global women's health · 2026Article
- Structured psychological nursing and postpartum psychological outcomes in primiparous women: a retrospective temporal cohort study.Frontiers in psychiatry · 2026Article
- Association between perinatal mood and anxiety disorder diagnosis and primary cesarean delivery among national Medicaid enrollees, 2017-2022.Frontiers in psychiatry · 2026Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
Caesarean section (C-section) deliveries account for nearly 30% of births annually with emergency C-sections accounting for 7-9% of all births. Studies have linked C-sections to postpartum depression (PPD). PPD is linked to reduced quality of parent-child interaction, and adverse effects on maternal and child health. New mothers' perceptions of more negative childbirth experiences, such as unplanned/emergency C-sections, are linked to post-traumatic stress disorder (PTSD), which in turn is related to PPD. Our objectives were to determine: (1) the association between C-section type (unplanned/emergency vs. planned) and PPD symptoms, and (2) if postnatal PTSD symptoms mediate this association. Employing secondary analysis of prospectively collected data from 354 mother-child dyads between 2009 and 2013 from the Alberta Pregnancy Outcomes and Nutrition (APrON) study, conditional process modeling was employed. The Edinburgh Postnatal Depression Scale (EPDS) and the Psychiatric Diagnostic Screening Questionnaire (PDSQ) were administered at three months postpartum, to assess for postpartum depressive and post-traumatic stress symptoms. The direct effect of emergency C-section on PPD symptoms was non-significant in adjusted and non-adjusted models; however, the indirect effect of emergency C-section on PPD symptoms with PTSD symptoms as a mediator was significant after controlling for prenatal depression symptoms, social support, and SES (β = 0.17 (
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Registered trials
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.