Objective Women's levels of resilience and attitudes towards perineal lacerations vary greatly. Some women see them as part of the birthing process, while others react with anger, depressed mood or even thoughts of self-harm. A previous study has reported increased risk of postpartum depressive (PPD) symptoms in women with severe perineal lacerations. The aim of this study was to assess the association between severe obstetric perineal lacerations and PPD. A secondary objective was to assess this association among women with low resilience. Design Nested cohort study. Setting Uppsala, Sweden. Sample Vaginally delivered women with singleton pregnancies (n = 2990). Methods The main exposure was obstetric perineal lacerations. Resilience was assessed in gestational week 32 using the Swedish version of the Sense of Coherence Scale. A digital acyclic graph was used to identify possible confounders and mediators. Logistic regression was used to estimate odds ratios (OR) and 95% confidence intervals (CI). A sub-analysis was run after excluding women with normal or high resilience. Main outcome measures Postpartum depression, assessed with the Depression Self-Reporting Scale, completed at 6 weeks postpartum. Results There was no significant association between severe obstetric perineal lacerations and PPD at 6 weeks postpartum. However, a significant association was found between severe lacerations and PPD in women with low resilience (OR = 4.8, 95% CI 1.2-20), persisting even after adjusting for confounding factors. Conclusion Healthcare professionals might need to identify women with low resilience, as they are at increased risk for PPD after a severe perineal laceration. Tweetable abstract Severe perineal lacerations associated with postpartum depression in women with low resilience in a Swedish cohort.
机构:
Univ Illinois, Dept Women Children & Family Hlth Sci, 845 S Damen Ave,M-C 820, Chicago, IL 60612 USAUniv Illinois, Dept Women Children & Family Hlth Sci, 845 S Damen Ave,M-C 820, Chicago, IL 60612 USA
Bell, A. F.
Carter, C. S.
论文数: 0引用数: 0
h-index: 0
机构:
Indiana Univ, Kinsey Inst, Bloomington, IN 47405 USA
Indiana Univ, Dept Biol, Morrison Hall 13, Bloomington, IN 47405 USAUniv Illinois, Dept Women Children & Family Hlth Sci, 845 S Damen Ave,M-C 820, Chicago, IL 60612 USA
Carter, C. S.
Davis, J. M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Illinois, Dept Psychiat, 1601 W Taylor, Chicago, IL 60612 USAUniv Illinois, Dept Women Children & Family Hlth Sci, 845 S Damen Ave,M-C 820, Chicago, IL 60612 USA
Davis, J. M.
Golding, J.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Bristol, Sch Social & Community Med, Ctr Child & Adolescent Hlth, Oakfield House, Bristol BS8 2BN, Avon, EnglandUniv Illinois, Dept Women Children & Family Hlth Sci, 845 S Damen Ave,M-C 820, Chicago, IL 60612 USA
Golding, J.
Adejumo, O.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Illinois, Dept Women Children & Family Hlth Sci, 845 S Damen Ave,M-C 820, Chicago, IL 60612 USAUniv Illinois, Dept Women Children & Family Hlth Sci, 845 S Damen Ave,M-C 820, Chicago, IL 60612 USA
Adejumo, O.
Pyra, M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Illinois, Dept Psychiat, 912 S Wood St,M-C 913, Chicago, IL 60612 USAUniv Illinois, Dept Women Children & Family Hlth Sci, 845 S Damen Ave,M-C 820, Chicago, IL 60612 USA
Pyra, M.
Connelly, J. J.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Virginia, Dept Psychol, 102 Gilmer Hall,POB 400400, Charlottesville, VA 22904 USAUniv Illinois, Dept Women Children & Family Hlth Sci, 845 S Damen Ave,M-C 820, Chicago, IL 60612 USA
Connelly, J. J.
Rubin, L. H.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Illinois, Dept Psychiat, 912 S Wood St,M-C 913, Chicago, IL 60612 USAUniv Illinois, Dept Women Children & Family Hlth Sci, 845 S Damen Ave,M-C 820, Chicago, IL 60612 USA
机构:
Sun Yet San Univ, Affiliated Hosp 8, Shenzhen, Peoples R China
Guangzhou Univ Chinese Med, Clin Coll 2, Guangzhou, Peoples R ChinaSun Yet San Univ, Affiliated Hosp 8, Shenzhen, Peoples R China
He, Jiangshan
Li, Yang
论文数: 0引用数: 0
h-index: 0
机构:
Matern & Children Hlth Care Hosp Luohu Dist, Shenzhen, Peoples R ChinaSun Yet San Univ, Affiliated Hosp 8, Shenzhen, Peoples R China
Li, Yang
Chen, Ling
论文数: 0引用数: 0
h-index: 0
机构:
Guangzhou Univ Chinese Med, Clin Coll 2, Guangzhou, Peoples R ChinaSun Yet San Univ, Affiliated Hosp 8, Shenzhen, Peoples R China
Chen, Ling
Zhang, Ying
论文数: 0引用数: 0
h-index: 0
机构:
China Acad Chinese Med Sci, Xiyuan Hosp, Natl Clin Res Ctr Chinese Med Cardiol, Beijing, Peoples R ChinaSun Yet San Univ, Affiliated Hosp 8, Shenzhen, Peoples R China
机构:
Shri Guru Ram Rai Inst Med & Hlth Sci, Dept Psychiat, Dehardun, Uttarakhand, IndiaShri Guru Ram Rai Inst Med & Hlth Sci, Dept Psychiat, Dehardun, Uttarakhand, India
Pandey, Eshani
Mehta, Sumit
论文数: 0引用数: 0
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Shri Guru Ram Rai Inst Med & Hlth Sci, Dept Psychiat, Dehardun, Uttarakhand, IndiaShri Guru Ram Rai Inst Med & Hlth Sci, Dept Psychiat, Dehardun, Uttarakhand, India
Mehta, Sumit
Garg, Shobit
论文数: 0引用数: 0
h-index: 0
机构:
Shri Guru Ram Rai Inst Med & Hlth Sci, Dept Psychiat, Dehardun, Uttarakhand, IndiaShri Guru Ram Rai Inst Med & Hlth Sci, Dept Psychiat, Dehardun, Uttarakhand, India
Garg, Shobit
Panigrahi, Sanjibani
论文数: 0引用数: 0
h-index: 0
机构:
Shri Guru Ram Rai Inst Med & Hlth Sci, Dept Psychiat, Dehardun, Uttarakhand, IndiaShri Guru Ram Rai Inst Med & Hlth Sci, Dept Psychiat, Dehardun, Uttarakhand, India
Panigrahi, Sanjibani
Suneja, Anmol
论文数: 0引用数: 0
h-index: 0
机构:
Jawahar Lal Med Coll, Dept Orthoped, Wardha, Maharashtra, IndiaShri Guru Ram Rai Inst Med & Hlth Sci, Dept Psychiat, Dehardun, Uttarakhand, India
机构:
Catholic Univ Korea, Coll Med, Dept Prevent Med, Seoul, South KoreaCatholic Univ Korea, Coll Med, Dept Prevent Med, Seoul, South Korea
Lee, Mi-Sun
Lee, Jung Jae
论文数: 0引用数: 0
h-index: 0
机构:
Dankook Univ Hosp, Dept Psychiat, Cheonan, South Korea
Dankook Univ, Coll Med, Dept Psychiat, Cheonan, South Korea
Chungcheongnam do Mental Hlth Welf Ctr, Hongseong, South KoreaCatholic Univ Korea, Coll Med, Dept Prevent Med, Seoul, South Korea
Lee, Jung Jae
Park, Soyeon
论文数: 0引用数: 0
h-index: 0
机构:
Korea Human Resource Dev Inst Hlth & Welf, Seoul, South KoreaCatholic Univ Korea, Coll Med, Dept Prevent Med, Seoul, South Korea
Park, Soyeon
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机构:
Kim, Seongju
Lee, Hooyeon
论文数: 0引用数: 0
h-index: 0
机构:
Catholic Univ Korea, Coll Med, Dept Prevent Med, Seoul, South Korea
Catholic Univ Korea, Coll Med, Dept Prevent Med, Seoul 06591, South KoreaCatholic Univ Korea, Coll Med, Dept Prevent Med, Seoul, South Korea
机构:
Oslo Univ Hosp, Dept Res & Dev, Div Emergencies & Crit Care, Oslo, Norway
Univ Oslo, Inst Clin Med, Oslo, NorwayUniv Oslo, Fac Social Sci, Dept Psychol, Oslo, Norway
Rosseland, Leiv Arne
Reme, Silje Endresen
论文数: 0引用数: 0
h-index: 0
机构:
Univ Oslo, Fac Social Sci, Dept Psychol, Oslo, Norway
Oslo Univ Hosp, Dept Pain Management & Res, Div Emergencies & Crit Care, Oslo, NorwayUniv Oslo, Fac Social Sci, Dept Psychol, Oslo, Norway
Reme, Silje Endresen
Simonsen, Tone Breines
论文数: 0引用数: 0
h-index: 0
机构:
Akershus Univ Hosp, Hlth Serv Res Unit, Lorenskog, Norway
Akershus Univ Hosp, Dept Obstet & Gynecol, Lorenskog, NorwayUniv Oslo, Fac Social Sci, Dept Psychol, Oslo, Norway
Simonsen, Tone Breines
Thoresen, Magne
论文数: 0引用数: 0
h-index: 0
机构:
Univ Oslo, Fac Med, Oslo Ctr Biostat & Epidemiol, Oslo, NorwayUniv Oslo, Fac Social Sci, Dept Psychol, Oslo, Norway
Thoresen, Magne
Nielsen, Christopher Sivert
论文数: 0引用数: 0
h-index: 0
机构:
Oslo Univ Hosp, Dept Pain Management & Res, Div Emergencies & Crit Care, Oslo, Norway
Natl Inst Publ Hlth, Dept Chron Dis & Ageing, Oslo, NorwayUniv Oslo, Fac Social Sci, Dept Psychol, Oslo, Norway
Nielsen, Christopher Sivert
Gran, Malin Eberhard
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h-index: 0
机构:
Univ Oslo, Inst Clin Med, Oslo, Norway
Akershus Univ Hosp, Hlth Serv Res Unit, Lorenskog, Norway
Reg Ctr Child & Adolescent Mental Hlth, Dept Infant Mental Hlth, Oslo, NorwayUniv Oslo, Fac Social Sci, Dept Psychol, Oslo, Norway
机构:
Kerman Univ Med Sci, Kerman, IranKerman Univ Med Sci, Kerman, Iran
Malekmohammadi, Neda
Torkian, Samaneh
论文数: 0引用数: 0
h-index: 0
机构:
Kerman Univ Med Sci, Student Res Comm, Kerman, IranKerman Univ Med Sci, Kerman, Iran
Torkian, Samaneh
Rohina, Zahra
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Kerman Univ Med Sci, Student Res Comm, Kerman, IranKerman Univ Med Sci, Kerman, Iran
Rohina, Zahra
Shahesmaeili, Armita
论文数: 0引用数: 0
h-index: 0
机构:
Kerman Univ Med Sci, HIV STI Surveillance Res Ctr, Inst Futures Studies Hlth, Kerman, Iran
Kerman Univ Med Sci, WHO Collaborating Ctr HIV Surveillance, Inst Futures Studies Hlth, Kerman, IranKerman Univ Med Sci, Kerman, Iran
机构:
Univ Illinois, Dept Women Children & Family Hlth Sci, 845 S Damen Ave,M-C 820, Chicago, IL 60612 USAUniv Illinois, Dept Women Children & Family Hlth Sci, 845 S Damen Ave,M-C 820, Chicago, IL 60612 USA
Bell, A. F.
Carter, C. S.
论文数: 0引用数: 0
h-index: 0
机构:
Indiana Univ, Kinsey Inst, Bloomington, IN 47405 USA
Indiana Univ, Dept Biol, Morrison Hall 13, Bloomington, IN 47405 USAUniv Illinois, Dept Women Children & Family Hlth Sci, 845 S Damen Ave,M-C 820, Chicago, IL 60612 USA
Carter, C. S.
Davis, J. M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Illinois, Dept Psychiat, 1601 W Taylor, Chicago, IL 60612 USAUniv Illinois, Dept Women Children & Family Hlth Sci, 845 S Damen Ave,M-C 820, Chicago, IL 60612 USA
Davis, J. M.
Golding, J.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Bristol, Sch Social & Community Med, Ctr Child & Adolescent Hlth, Oakfield House, Bristol BS8 2BN, Avon, EnglandUniv Illinois, Dept Women Children & Family Hlth Sci, 845 S Damen Ave,M-C 820, Chicago, IL 60612 USA
Golding, J.
Adejumo, O.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Illinois, Dept Women Children & Family Hlth Sci, 845 S Damen Ave,M-C 820, Chicago, IL 60612 USAUniv Illinois, Dept Women Children & Family Hlth Sci, 845 S Damen Ave,M-C 820, Chicago, IL 60612 USA
Adejumo, O.
Pyra, M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Illinois, Dept Psychiat, 912 S Wood St,M-C 913, Chicago, IL 60612 USAUniv Illinois, Dept Women Children & Family Hlth Sci, 845 S Damen Ave,M-C 820, Chicago, IL 60612 USA
Pyra, M.
Connelly, J. J.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Virginia, Dept Psychol, 102 Gilmer Hall,POB 400400, Charlottesville, VA 22904 USAUniv Illinois, Dept Women Children & Family Hlth Sci, 845 S Damen Ave,M-C 820, Chicago, IL 60612 USA
Connelly, J. J.
Rubin, L. H.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Illinois, Dept Psychiat, 912 S Wood St,M-C 913, Chicago, IL 60612 USAUniv Illinois, Dept Women Children & Family Hlth Sci, 845 S Damen Ave,M-C 820, Chicago, IL 60612 USA
机构:
Sun Yet San Univ, Affiliated Hosp 8, Shenzhen, Peoples R China
Guangzhou Univ Chinese Med, Clin Coll 2, Guangzhou, Peoples R ChinaSun Yet San Univ, Affiliated Hosp 8, Shenzhen, Peoples R China
He, Jiangshan
Li, Yang
论文数: 0引用数: 0
h-index: 0
机构:
Matern & Children Hlth Care Hosp Luohu Dist, Shenzhen, Peoples R ChinaSun Yet San Univ, Affiliated Hosp 8, Shenzhen, Peoples R China
Li, Yang
Chen, Ling
论文数: 0引用数: 0
h-index: 0
机构:
Guangzhou Univ Chinese Med, Clin Coll 2, Guangzhou, Peoples R ChinaSun Yet San Univ, Affiliated Hosp 8, Shenzhen, Peoples R China
Chen, Ling
Zhang, Ying
论文数: 0引用数: 0
h-index: 0
机构:
China Acad Chinese Med Sci, Xiyuan Hosp, Natl Clin Res Ctr Chinese Med Cardiol, Beijing, Peoples R ChinaSun Yet San Univ, Affiliated Hosp 8, Shenzhen, Peoples R China
机构:
Shri Guru Ram Rai Inst Med & Hlth Sci, Dept Psychiat, Dehardun, Uttarakhand, IndiaShri Guru Ram Rai Inst Med & Hlth Sci, Dept Psychiat, Dehardun, Uttarakhand, India
Pandey, Eshani
Mehta, Sumit
论文数: 0引用数: 0
h-index: 0
机构:
Shri Guru Ram Rai Inst Med & Hlth Sci, Dept Psychiat, Dehardun, Uttarakhand, IndiaShri Guru Ram Rai Inst Med & Hlth Sci, Dept Psychiat, Dehardun, Uttarakhand, India
Mehta, Sumit
Garg, Shobit
论文数: 0引用数: 0
h-index: 0
机构:
Shri Guru Ram Rai Inst Med & Hlth Sci, Dept Psychiat, Dehardun, Uttarakhand, IndiaShri Guru Ram Rai Inst Med & Hlth Sci, Dept Psychiat, Dehardun, Uttarakhand, India
Garg, Shobit
Panigrahi, Sanjibani
论文数: 0引用数: 0
h-index: 0
机构:
Shri Guru Ram Rai Inst Med & Hlth Sci, Dept Psychiat, Dehardun, Uttarakhand, IndiaShri Guru Ram Rai Inst Med & Hlth Sci, Dept Psychiat, Dehardun, Uttarakhand, India
Panigrahi, Sanjibani
Suneja, Anmol
论文数: 0引用数: 0
h-index: 0
机构:
Jawahar Lal Med Coll, Dept Orthoped, Wardha, Maharashtra, IndiaShri Guru Ram Rai Inst Med & Hlth Sci, Dept Psychiat, Dehardun, Uttarakhand, India
机构:
Catholic Univ Korea, Coll Med, Dept Prevent Med, Seoul, South KoreaCatholic Univ Korea, Coll Med, Dept Prevent Med, Seoul, South Korea
Lee, Mi-Sun
Lee, Jung Jae
论文数: 0引用数: 0
h-index: 0
机构:
Dankook Univ Hosp, Dept Psychiat, Cheonan, South Korea
Dankook Univ, Coll Med, Dept Psychiat, Cheonan, South Korea
Chungcheongnam do Mental Hlth Welf Ctr, Hongseong, South KoreaCatholic Univ Korea, Coll Med, Dept Prevent Med, Seoul, South Korea
Lee, Jung Jae
Park, Soyeon
论文数: 0引用数: 0
h-index: 0
机构:
Korea Human Resource Dev Inst Hlth & Welf, Seoul, South KoreaCatholic Univ Korea, Coll Med, Dept Prevent Med, Seoul, South Korea
Park, Soyeon
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机构:
Kim, Seongju
Lee, Hooyeon
论文数: 0引用数: 0
h-index: 0
机构:
Catholic Univ Korea, Coll Med, Dept Prevent Med, Seoul, South Korea
Catholic Univ Korea, Coll Med, Dept Prevent Med, Seoul 06591, South KoreaCatholic Univ Korea, Coll Med, Dept Prevent Med, Seoul, South Korea
机构:
Oslo Univ Hosp, Dept Res & Dev, Div Emergencies & Crit Care, Oslo, Norway
Univ Oslo, Inst Clin Med, Oslo, NorwayUniv Oslo, Fac Social Sci, Dept Psychol, Oslo, Norway
Rosseland, Leiv Arne
Reme, Silje Endresen
论文数: 0引用数: 0
h-index: 0
机构:
Univ Oslo, Fac Social Sci, Dept Psychol, Oslo, Norway
Oslo Univ Hosp, Dept Pain Management & Res, Div Emergencies & Crit Care, Oslo, NorwayUniv Oslo, Fac Social Sci, Dept Psychol, Oslo, Norway
Reme, Silje Endresen
Simonsen, Tone Breines
论文数: 0引用数: 0
h-index: 0
机构:
Akershus Univ Hosp, Hlth Serv Res Unit, Lorenskog, Norway
Akershus Univ Hosp, Dept Obstet & Gynecol, Lorenskog, NorwayUniv Oslo, Fac Social Sci, Dept Psychol, Oslo, Norway
Simonsen, Tone Breines
Thoresen, Magne
论文数: 0引用数: 0
h-index: 0
机构:
Univ Oslo, Fac Med, Oslo Ctr Biostat & Epidemiol, Oslo, NorwayUniv Oslo, Fac Social Sci, Dept Psychol, Oslo, Norway
Thoresen, Magne
Nielsen, Christopher Sivert
论文数: 0引用数: 0
h-index: 0
机构:
Oslo Univ Hosp, Dept Pain Management & Res, Div Emergencies & Crit Care, Oslo, Norway
Natl Inst Publ Hlth, Dept Chron Dis & Ageing, Oslo, NorwayUniv Oslo, Fac Social Sci, Dept Psychol, Oslo, Norway
Nielsen, Christopher Sivert
Gran, Malin Eberhard
论文数: 0引用数: 0
h-index: 0
机构:
Univ Oslo, Inst Clin Med, Oslo, Norway
Akershus Univ Hosp, Hlth Serv Res Unit, Lorenskog, Norway
Reg Ctr Child & Adolescent Mental Hlth, Dept Infant Mental Hlth, Oslo, NorwayUniv Oslo, Fac Social Sci, Dept Psychol, Oslo, Norway
机构:
Kerman Univ Med Sci, Kerman, IranKerman Univ Med Sci, Kerman, Iran
Malekmohammadi, Neda
Torkian, Samaneh
论文数: 0引用数: 0
h-index: 0
机构:
Kerman Univ Med Sci, Student Res Comm, Kerman, IranKerman Univ Med Sci, Kerman, Iran
Torkian, Samaneh
Rohina, Zahra
论文数: 0引用数: 0
h-index: 0
机构:
Kerman Univ Med Sci, Student Res Comm, Kerman, IranKerman Univ Med Sci, Kerman, Iran
Rohina, Zahra
Shahesmaeili, Armita
论文数: 0引用数: 0
h-index: 0
机构:
Kerman Univ Med Sci, HIV STI Surveillance Res Ctr, Inst Futures Studies Hlth, Kerman, Iran
Kerman Univ Med Sci, WHO Collaborating Ctr HIV Surveillance, Inst Futures Studies Hlth, Kerman, IranKerman Univ Med Sci, Kerman, Iran