Emergency caesareans put new mothers at higher risk of developing postnatal depression

pregnancy
Credit: CC0 Public Domain

A new study has revealed first-time mothers who give birth via unplanned caesarean section are 15 percent more likely to experience postnatal depression.

The author of the study is calling for more mental support for women whose babies are delivered via emergency caesarean section, or C-section – a surgical procedure usually carried out because of complications during labour.

The major new study, from the University of York, provides new evidence that emergency C-sections put at greater risk of experiencing after giving birth.

Dramatic increase

The numbers of C-sections performed world-wide have increased dramatically in many developed countries over the past few decades.

Out of the 165,000 births in England each year, there are currently around 25,000 unplanned caesarean deliveries.

Author of the study, Dr. Valentina Tonei from the Department of Economics at the University of York, said: "The findings of this study are striking because they provide evidence of a causal relationship between emergency C-sections and postnatal depression.

"This has important implications for public health policy, with new who give birth this way in need of increased support.

Negative effect

"The effects of postnatal depression can be far reaching, with previous studies suggesting that it can have a , not just on the health of the mother and her relationships with her partner and family members, but also on the baby's development. Mothers who experience are also less likely to go on to have more children."

While previous studies have often been based on small sample sizes from single hospitals, the study looked at data from 5,000 first-time mothers from the UK Millennium Cohort Study, a representative sample of the UK population.

The study isolated the effects of emergency C-section on mothers' psychological well-being in the first nine months after delivery by taking other factors, such as differences in the resource and staffing levels in hospitals and the mental health history of the mothers, into account.

By focusing on first-time mothers, the effects of previous birthing experiences were also eliminated.

Hidden cost

Dr. Tonei added: "Unplanned caesareans may have a particularly negative psychological impact on mothers because they are unexpected, usually mentally and physically stressful and associated with a loss of control and unmatched expectations.

"While the financial costs associated with this are well recognised, there has been less focus on the hidden health costs borne by mothers and their families. We hope this new evidence brings the impact on mothers' mental health into the spotlight."


Explore further

Men get postnatal depression too, and as the mother's main support, they need help

More information: Valentina Tonei. Mother's mental health after childbirth: Does the delivery method matter?, Journal of Health Economics (2018). DOI: 10.1016/j.jhealeco.2018.11.006
Journal information: Journal of Health Economics

Provided by University of York
Citation: Emergency caesareans put new mothers at higher risk of developing postnatal depression (2019, January 23) retrieved 14 November 2019 from https://medicalxpress.com/news/2019-01-emergency-caesareans-mothers-higher-postnatal.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
4 shares

Feedback to editors

User comments