A relação entre as formas de nascimento, a percepção de trauma durante o parto, a escolha materna e a depressão pósparto

• Ano de defesa: 2018
• Autor(a) principal: Christiane Carvalho Ribeiro
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Minas Gerais; UFMG
• Palavras-chave em Português: Depressão pós-parto; Tipo de parto; Trauma psicológico; Gravidez; Depressão Pós-Parto; Medicina; Parto; Trauma Psicológico
• Link de acesso: http://hdl.handle.net/1843/FRSS-BB3GCS

Postpartum depression (PPD) is a serious mental health problem, which is associated with maternal distress and negative effects on their children. Most of the predictors of PPD are biological, like genetic vulnerability or psychosocial but very little is known about obstetrical factors, as physical and psychological trauma during delivery. Purpose: The aim of this study was to investigate the association between delivery mode preference, type of delivery (vaginal or Cesarean section), psychological trauma during labor, and the risk of developing PPD. Methods: Five hundred and seventy one patients were interviewed about sociodemographic variables such as maternal age, education, pregnancy planning, history of abortion, complications during delivery, marital relationship, psychological trauma during labor and the type of delivery. Depressive symptoms were examined with the validated Brazilian version of the Edinburgh Postnatal Depression Scale. The Mini Plus, 5.0 version, was applied to screen for psychiatric disorders. Results: We found a significant association between postpartumdepression and psychological trauma during delivery. Moreover, PPD was significantly related to a higher pregnancy risk, unplanned pregnancy, multiparity, abortion wishes, history of PPD and major depression during life. However, no relationship between PPD and delivery mode preference and type of delivery could be demonstrated. Conclusion: There is no relationship between PPD, delivery mode preference and type of delivery. When considering the type of delivery, the future mother and the obstetrician should weight risks and benefits and choose the best alternative. Clinicians should take into consideration pregnancy risk, unplanned pregnancy, abortion wishes, history of previous PPD and major depression during life, once they are related to postpartum depression.Keywords: Postpartum depression. Pregnancy. Type of delivery. Psychological trauma.