Blues and depression during early puerperium : home versus hospital deliveries.
Objective To investigate whether women who give birth at home are less prone to mood disturbances during the early puerperium than those who give birth in hospital.
Design A prospective study of 303 pregnant women who registered for antenatal care.
Setting The antenatal clinic at St Joseph's Hospital, Veldhoven, The Netherlands, and five antenatal consultation programmes of local midwives working in the surrounding region.
Subjects Three hundred and eighty-two consecutive caucasian women registering for antenatal care were approached.
Of these, 303 consented to participate and 293 completed the study.
Main outcome measure The predictor variable was the way in which the women gave birth : spontaneous vaginal parturition at home or in hospital.
The outcome variables were blues and depression.
The occurrence of blues was assessed at 4 weeks postpartum, using Pitt's criteria.
The occurrence of depression was assessed at 4 weeks postpartum using the Research Diagnostic Criteria.
The possible confounding effects of a set of obstetrical and psycho-social variables relating to the early puerperium were investigated using logistic regression analysis.
Results Of the 293 women who completed the study, 52% gave birth at home.
Significantly more nullipara gave birth in hospital.
Conclusions Women who give birth in hospital are no more prone to postpartum mood disturbances, such as blues and depression, than women who give birth at home.
Mots-clés Pascal : Psychopathologie, Epidémiologie, Homme, Femelle, Etude comparative, Précoce, Postpartum, Postpartum pathologie, Hôpital, Ambulatoire, Trouble humeur, Etat dépressif, A domicile, Pays Bas, Europe
Mots-clés Pascal anglais : Psychopathology, Epidemiology, Human, Female, Comparative study, Early, Puerperium, Puerperal disorders, Hospital, Ambulatory, Mood disorder, Depression, At home, Netherlands, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0495215
Code Inist : 002B20G03. Création : 01/03/1996.