Evidence map›Paper›PMID 40676707›Full record

ArticleBMC psychology2025

Risk factors associated to a positive screening for Postpartum Depression in Mexican women with elective cesarean delivery: an analytical cross-sectional study during the early postoperative stage.

Adrián Enrique Hernández-Muñoz, Ana Lilia Fletes-Rayas, José de Jesús López-Jiménez, Gloria Noemi Cuevas-Gómez, Melva Guadalupe Herrera-Godina, Carlos Enrique Cabrera Pivaral, Miguel A Rangel

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Article in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Adrián Enrique Hernández-MuñozFaculty of Medicine, Autonomous University of Querétaro, Queretaro, Mexico.
Ana Lilia Fletes-RayasUniversity Center of Health Sciences, University of Guadalajara, Sierra Mojada 950, Independencia Oriente. P.C., Guadalajara, Jalisco, 44340, México. lilia.fletes@academicos.udg.mx.
José de Jesús López-JiménezUniversity Center of Health Sciences, University of Guadalajara, Sierra Mojada 950, Independencia Oriente. P.C., Guadalajara, Jalisco, 44340, México.
Gloria Noemi Cuevas-GómezUniversity Center of Health Sciences, University of Guadalajara, Sierra Mojada 950, Independencia Oriente. P.C., Guadalajara, Jalisco, 44340, México.
Melva Guadalupe Herrera-GodinaUniversity Center of Health Sciences, University of Guadalajara, Sierra Mojada 950, Independencia Oriente. P.C., Guadalajara, Jalisco, 44340, México.
Carlos Enrique Cabrera PivaralFaculty of Chemistry, Benito Juárez Autonomous University of Oaxaca, Oaxaca, Mexico.
Miguel A RangelFaculty of Medicine, Autonomous University of Querétaro, Queretaro, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt has been reported that the Postpartum Depression (PPD)'s symptomatology increases during the first 72 h after delivery. Although PPD's screening is recommended during this period, there is few evidence about the associated Risk Factors (RF) that determine this disorder in women who exclusively underwent an Elective Cesarean Delivery (ECD). Hence, our objective was to determine the RF for PPD's positive screening in the early postoperative stage after an ECD.

methodsAn analytical cross-sectional study was conducted in 123 women, rooming-in at Guadalajara's Civil Hospital Fray Antonio Alcalde, during the average hospital length of stay after an ECD (2.1 ± 1.02 days). To screen the PPD's symptomatology, we applied the Edinburgh Postpartum Depression Scale (EPDS). To identify possible RF, we checked the women's sociodemographic characteristics, obstetric/pregnancy complications, and neonatal comorbidities in their Medical Records. Subsequently, we carried out Odds Ratio (OR) analysis, followed by logistic regression that determined adjusted OR (aOR) and 95% Confidence Intervals (95% CI).

resultsBy applying the EPDS, we identified 32.5% of PPD's positive screening, associated with miscarriages (OR 2.6, 95% CI: 1.06-6.30), and multiparity (OR 2.6, 95% CI: 1.08-6.43) and age ≥ 30 years (OR 2.3, 95% CI: 1.04-5.20). Other associations were with fewer prenatal visits (OR 2.4, 95% CI: 1.10-5.35), unplanned pregnancy (OR 2.7, 95%CI: 1.29-5.98), newborn comorbidities (OR 2.7, 95% CI: 1.18-6.03), and obstetric complications (OR 3.1, 95% CI: 1.37-7.07). Nevertheless, the logistic regression determined that the history of miscarriages (aOR 4.8, 95% CI: 1.14-9.01), previous history of depression (aOR 6.0, 95% CI: 1.24-10.25), obstetric complications (aOR 7.2, 95% CI: 1.40-8.41), and newborn comorbidities (aOR 8.1, 95% CI: 1.58-12.52) were RF for PPD.

conclusionsNewborn and obstetric complications, along with previous depression and possibly miscarriages, were main causes for the presence of depressive symptoms in women with an ECD. By considering not only the latter, but also that the PPD's prevalence that we found was higher than national report's results, we suggest that surgical and health professionals seek these RF -Specifically during this early postoperative period- in order to prevent any negative long-term effects on the mother's mental well-being.

Indexed as

Cesarean SectionDepression, PostpartumElective Surgical ProceduresAdultCross-Sectional StudiesFemaleHumansMexicoPostoperative PeriodPregnancyPsychiatric Status Rating ScalesRisk FactorsYoung AdultCesareanCross-sectional studiesDepressionOdds ratioPostpartumRisk factors

Identifiers

PMID40676707
PMCPMC12273199

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LicenceCC BY-NC-ND
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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.