Share

Birthing fears predict postpartum depression

iStock
Expectant women with prenatally diagnosed fear of childbirth are at an increased risk of postpartum depression, according to a study of over 500 000 mothers in Finland.

Women with a history of depression are at the highest risk of postpartum depression.

Read: Know the signs of postpartum depression

The fact that fear of childbirth puts women without a history of depression at an approximately three times higher risk of postpartum depression is a new observation which may help health care professionals in recognising postpartum depression. The results were published recently in BMJ Open.

In Finland, postpartum depression was diagnosed in 0.3% of all mothers delivering a singleton birth in 2002–2010.

The risk of postpartum depression is highest after the first childbirth. Postpartum depression was diagnosed in 5.3% of women with a history of depression, while approximately one-third of women experiencing postpartum depression had no history of depression.

Risk factors

In these women, physician-diagnosed fear of childbirth during pregnancy was discovered to nearly triple the risk of postpartum depression. Other risk factors included Caesarean section, pre-term birth and major congenital anomaly.

Read more on postpartum depression:

•    How poor sleep increases postpartum depression
•    How fish oil fights postpartum depression
•    Why winter may be linked to postpartum depression

Giving birth is a powerful experience both physically and mentally, and a variety of emotions are present.

As much as 50–80% of women suffer from baby blues after birth, and some women develop postpartum depression, the severity of which may range from minor symptoms to psychotic depression.

The consequences of postpartum depression may be severe. For example, postpartum depression may affect the mother's abilities and skills to engage in delicate interaction with the child, and thus impair the development of an attachment relationship – possibly affecting the child's later development and well-being.

Women with a history of depression are known to be at a higher risk of postpartum depression, but it has been difficult to predict the risk of women not belonging to this risk group.

 According to the researchers, the observed link between fear of childbirth and postpartum depression may help health care professionals in recognising postpartum depression.

The study provides strong evidence, as it relies on diagnosis-based data on postpartum depression.

Read more about fear of childbirth:

•    How fear of childbirth increases choice of C-section
•    Why women who fear childbirth endure longer labour


We live in a world where facts and fiction get blurred
Who we choose to trust can have a profound impact on our lives. Join thousands of devoted South Africans who look to News24 to bring them news they can trust every day. As we celebrate 25 years, become a News24 subscriber as we strive to keep you informed, inspired and empowered.
Join News24 today
heading
description
username
Show Comments ()
Editorial feedback and complaints

Contact the public editor with feedback for our journalists, complaints, queries or suggestions about articles on News24.

LEARN MORE