Impact of delivery method on postpartum mental health


Masoumeh Mangoli 1 , * , Fatemeh Zare Mobini 2 , Tahereh Ramezani 3

1 Instructor Department of Nursing, Islamic Azad University Shahr Babak Branch, Shahr Babak, Iran.

2 Instructor Department of Midwifery, Islamic Azad University Shahr Babak Branch, Shahr Babak, Iran.

3 Instructor Department of Nursing, Kerman University of Medical Sciences, Kerman, Iran.

How to Cite: Mangoli M, Zare Mobini F, Ramezani T. Impact of delivery method on postpartum mental health, Hormozgan Med J. 2011 ; 14(4):e88616.


Hormozgan Medical Journal: 14 (4); e88616
Published Online: November 01, 2010
Article Type: Research Article
Received: September 22, 2010
Accepted: November 01, 2010


Introduction: impaired mental health in post partum period could induce problems at
communication and social performance. The present study was done in order to determine
the influence of delivery method on mental health within postpartum period.
Methods: In this cohort study, data were collected by SCL-90-R scale and demographic
questionnaire on 227 nulliparous women (113 cesarean section and 114 vaginal delivery)
referred to health services centers in Shahr-e-Babak. The subjects were matched for age,
education, job, husband's job and education, planning pregnancy, pleasant baby sex,
familial support and mental health in terminal trimester during six-week upon delivery.
Chi-square, Mann-whiteny and Wilkcaxon tests were used for analysis.
Results: The results indicated that mothers who had cesarean delivery had significantly
higher scores of mental disorders in post partum period, (P<0.001) as well as in terminal
trimester of pregnancy (P<0.001).
Conclusion: Cesarean delivery induce psychological outcomes for mothers, infant and
family. Appropriate counselling to pregnant women by health-care providers is advised to
select proper delivery method.



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