Key clinical point: The odds of developing postpartum depression increased significantly among women who experienced disrespect and abuse during childbirth in facility settings.
Major finding: Women who self-reported disrespect and abuse, including physical abuse, verbal abuse, denial of care, and undesired procedures, scored significantly higher on the Edinburgh Postnatal Depression Scale 3 months after delivery. In addition, three or more types of mistreatment increased the odds of moderate and marked/severe postpartum depression (odds ratios, 2.90 and 3.86, respectively).
Study details: The data come from a population-based study called the 2015 Pelotas (Brazil) Cohort. Researchers assessed 3,065 mothers during pregnancy and at 3 months after delivery.
Disclosures: The study was supported by the Wellcome Trust, the Brazilian National Research Council, and the Coordination for the Improvement of Higher Education Personnel. The researchers had no financial conflicts.
Silveira MF et al. J Affect Disord. 2019. doi: 10.1016/j.jad.2019.06.016.