Post-natal functional abilities and its association with depression following cesarean section: a cross-sectional study

Seah, Yi Shean (2024) Post-natal functional abilities and its association with depression following cesarean section: a cross-sectional study. Final Year Project, UTAR.

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Abstract

Background: Postpartum depression (PPD) is common among postnatal women. The prevalence of PPD is higher in cesarean section compared with vaginal delivery. Although PPD has various causes, there is insufficient research on how functional abilities after delivery and its association of the development of PPD following cesarean section. Most of the studies were conducted separately about the prevalence of postpartum depression and the prevalence of functional disabilities in postpartum women. Thus, it is crucial to explore the association between a woman's functional capabilities during this time and the prevalence of experiencing depression following cesarean section. Objective: This study is aimed to investigate the association between woman's functional abilities after giving birth and the prevalence of experiencing postpartum depression following cesarean section. Method: The sample size of 384 is calculated using openepi. The participants are required to fill up the Postpartum Functional Assessment Questionnaire for assessing functional ability and the Edinburgh Postnatal Depression Scale to screen the PPD. The demographic data is analysed using descriptive analysis whereas the association between postnatal functional abilities and prevalence of postpartum depression following caesarean section is analysed by Spearman’s Correlation. Results: 339 participants were recruited in this study. The study found that the prevalence of PPD in the participants is 39.5%. Functional abilities are prevalent among postpartum women with the most challenging part is child care. A significant moderate positive correlation exists between postnatal functional ability and postpartum depression (r=0.432) (p<0.05). This indicates that the women who have more functional limitations tend to have higher EPDS scores. Conclusion: There is a moderate association between postnatal functional ability and postpartum depression following cesarean section. Incorporating physical rehabilitation and mental health assistance into postpartum care protocols may increase women well-being and recovery achievements. Keywords: Functional Abilities, Postpartum Depression, Postpartum Women, Cesarean Section

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