Evaluation Of Postpartum Depression Scores Of Elective And Emergency Cesarean Section Patients

Abstract Purpose This study aims to provide early diagnosis of postpartum depression by investigating the relationship between the emergency situation and pre-operative anxiety of women, who had elective and emergency cesarean. Methods The study was conducted on 103 people in total, 51 of which were elective and 52 of which were emergency cesarean section cases. Right before the surgery the patients filled State Trait Anxiety Inventory (STAI) and a form surveying the anesthesia concerns. Their anxiety levels were determined. Edinburg postpartum depression scale was applied two weeks after delivery. The impact of these results and the anxiety levels in preoperative period on postoperative depression were analyzed. Hemoglobin and biochemical values in preoperative period were analyzed in terms of their correlation with anxiety state. Results State anxiety level of 60.2% of group 1 and 74.6% of group 2 were higher than average in STAI-1; whereas in STAI-2 state anxiety levels were 4.1% of group 1 and 90.3% of group 2 were higher than average. Edinburg depression scale detected minor depression in 4% of the elective and 13.45 of the emergency cesarean patients. There was no linear relationship between blood parameters and anxiety levels. Conclusion Both groups had high state and trait anxiety but postpartum depression rate in emergency patients was higher. Thus, it is significant to provide necessary psychological support to the patients with high pre-operative anxiety and provide early treatment to the ones with higher tendency of depression in postpartum period.