Relationship between delivery with anesthesia and postpartum depression: The Japan Environment and Children’s Study (JECS)

Abstract Background Postpartum depression is one of the most commonly experienced psychological disorders for women after childbirth, usually occurring within year. This study aimed to clarify whether with delivery anesthesia, including epidural analgesia, spinal-epidural and paracervical block, had a decreased risk postpartum giving birth in Japan. Methods The Japan Environment Children’s Study (JECS) was prospective cohort that enrolled registered fetal records (n = 104,065) 15 regions nationwide Binomial logistic regression analyses were performed calculate adjusted odd ratios (aORs) association between mode or without anesthesia at one-, six- twelve-months childbirth. Results At six months vaginal associated higher (aOR: 1.233, 95% confidence interval: 1.079–1.409), compared analgesia. Nevertheless, dropped off year delivery. Among pregnant who requested 5.1% positive Kessler-6 scale (K6) score before first trimester ( p < 0.001), which significantly than proportions analgesia (3.5%). Conclusions Our data suggested childbirth tended be increased Requests continue relatively uncommon Japan, make such requests might more likely experience depressive symptoms because underlying maternal environmental statuses.