In their article, the authors of the study mentioned that every year in Russia at least 300 thousand women face postpartum depression. This is largely due to the fact that the domestic obstetric practice, based on ethics and the support of women, is still in its infancy. The child motherhood support system still follows an outdated conservative approach.
The study involved 190 women aged 19 to 46 who attended courses for expectant mothers. Two months after the birth of the child, they filled out questionnaires in which they answered questions about how much their expectations from childbirth corresponded to real experience, how they assess the severity of their childbirth and their well-being now. The researchers also collected data on the socio-demographic characteristics of the participants, including the number of children, gestational age, type of delivery, place and time of birth.
In assessing the results, the authors of the study used various methods, including the Russian adapted version of the Edinburgh Postpartum Depression Scale. More than a third of the participants (34.3%) had significant symptoms of depression. The highest rates were found in women who rate their childbirth experience negatively. First of all, these are participants who have undergone a cesarean section, especially an emergency one.
At the same time, women who gave birth accompanied by a partner or a doula (helpers in childbirth) were much less likely to suffer from postpartum depression and, in general, had a more positive assessment of their experience of childbirth. It is noteworthy that partner childbirth for many of the participants took place in Europe or Israel, and not in Russia.
“These results support previous research showing that psychologically and physically traumatic childbirth is a significant risk factor for postpartum depression. They are also consistent with evidence that persistent pain after childbirth increases the likelihood of depression in women, ”the scientists wrote.