EFFECTS OF UMBILICAL CORD CLAMPING TIME AFTER BIRTH ON RISK OF POSTPARTUM DEPRESSION DOĞUM SONRASI GÖBEK KORDONU KLEMPLEME ZAMANININ POSTPARTUM DEPRESYON RİSKİ ÜZERİNDEKİ ETKİLERİ


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UZUN A.

Ankara Medical Journal, cilt.20, sa.3, ss.719-729, 2020 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 20 Sayı: 3
  • Basım Tarihi: 2020
  • Doi Numarası: 10.5505/amj.2020.04875
  • Dergi Adı: Ankara Medical Journal
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.719-729
  • Anahtar Kelimeler: delivery, Depression, obstetric, postpartum, umbilical cord
  • İstanbul Medipol Üniversitesi Adresli: Evet

Özet

Objectives: To assess the effects of umbilical cord clamping time on the risk of postpartum depression. Materials and Methods: The study included pregnant cases giving birth after 36 weeks from 24 January 2020 to 01 April 2020 in our clinic. Those with previous depression history, chronic disease, multiple pregnancies, puerperal women with impaired hemodynamics after birth, and neonates with poor Apgar score after birth or who required resuscitation were not included. The postpartum umbilical cord clamping time was classified according to the World Health Organization as of late 1 minute or more and early under 1 minute. Patients were evaluated in two groups according to this grouping. During the follow-up examination performed in the postpartum 1 month, the risks in terms of postpartum depression were evaluated with the Edinburgh Postpartum Depression Scale given to the patients in the outpatient clinic. Results: The study included 176 pregnant cases with birth after 36 weeks. Both groups were not observed to be different in terms of sociodemographic characteristics, obstetric history, and birth information. In both groups, mean EPDS points were identified as 11.07±1.97 in the late clamping group and 13.23±1.61 in the early clamping group and this was statistically significant (OR=6.36; p<0.001). Conclusion: With our study results, we identified that cases with late clamping of the umbilical cord had a lower risk of postpartum depression.