0110/2026 - ASSOCIAÇÃO DE PRÁTICAS OBSTÉTRICAS COM SINTOMAS DEPRESSIVOS NO PÓS-PARTO: DADOS DA PESQUISA NACIONAL DE SAÚDE, 2019 ASSOCIATION OF OBSTETRIC PRACTICES WITH POSTPARTUM DEPRESSIVE SYMPTOMS: DATA FROM THE BRAZILIAN NATIONAL HEALTH SURVEY, 2019
Objetivo: Avaliar associação entre via de parto, práticas obstétricas e motivo de cesariana com sintomas depressivos em puérperas até um ano pós-parto. Métodos: Estudo transversal, com dados da Pesquisa Nacional de Saúde 2019, incluindo mulheres >15 anos, até 12 meses pós-parto. Variáveis: tipo de parto, intervenções obstétricas, motivos de cesariana e sintomas depressivos pós-parto. Sintomas depressivos foram avaliados pelo Patient Health Questionnaire-9 (PHQ-9 >4 sintomas de depressão leve e ?9 como grave). Para as análises, utilizou-se STATA 15.0, com apoio de Gráficos Acíclicos Direcionados para variáveis confundidoras. Resultados: Foram analisadas 986 puérperas. A prevalência de sintomas depressivos moderados/graves foi 13,1%. Do total, 54,8% realizaram cesariana, sendo 65,3% sem indicação adequada. Não houve associação entre tipo de parto e depressão, nem entre práticas obstétricas no parto normal e depressão. A chance de sintomas de depressão leves (PHQ-9 >4) foi maior quando a cesariana foi escolha do médico no pré-natal (OR=2,08; IC95%:1,08-3,97; p=0,026) comparadas às cesarianas indicadas por complicações. Conclusão: Cesarianas desnecessárias podem aumentar a vulnerabilidade psicológica materna. Ressalta-se a importância do pré-natal voltado ao preparo da mulher, com respeito às suas decisões.
Palavras-chave:
Parto normal; Cesariana; Depressão pós-parto; Período pós-parto.
Abstract:
Objective: To evaluate the association between mode of delivery, obstetric practices, and reason for cesarean section with depressive symptoms in postpartum women up to one year postpartum. Methods: Cross-sectional study using data from the 2019 National Health Survey, including women aged >15 years and up to 12 months postpartum. Variables: mode of delivery, obstetric interventions, reasons for cesarean section, and postpartum depressive symptoms. Depressive symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9 >4 symptoms of mild depression and ≥9 as severe). STATA 15.0 was used for the analyses, with Directed Acyclic Graphs supporting confounding variables. Results: A total of 986 postpartum women were analyzed. The prevalence of severe depressive symptoms was 13.1%. Of the total, 54.8% underwent cesarean section, 65.3% without appropriate indication. There was no association between type of delivery and depression, nor between obstetric practices during vaginal delivery and depression. The odds of mild depression symptoms (PHQ-9 >4) were higher when cesarean section was the physician's choice during prenatal care (OR=2.08; 95% CI: 1.08-3.97; p=0.026) compared with cesarean sections indicated due to complications. Conclusion: Unnecessary cesarean sections may increase maternal psychological vulnerability. The importance of prenatal care focused on preparing women to make their decisions is emphasized.
ASSOCIATION OF OBSTETRIC PRACTICES WITH POSTPARTUM DEPRESSIVE SYMPTOMS: DATA FROM THE BRAZILIAN NATIONAL HEALTH SURVEY, 2019
Resumo (abstract):
Objective: To evaluate the association between mode of delivery, obstetric practices, and reason for cesarean section with depressive symptoms in postpartum women up to one year postpartum. Methods: Cross-sectional study using data from the 2019 National Health Survey, including women aged >15 years and up to 12 months postpartum. Variables: mode of delivery, obstetric interventions, reasons for cesarean section, and postpartum depressive symptoms. Depressive symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9 >4 symptoms of mild depression and ≥9 as severe). STATA 15.0 was used for the analyses, with Directed Acyclic Graphs supporting confounding variables. Results: A total of 986 postpartum women were analyzed. The prevalence of severe depressive symptoms was 13.1%. Of the total, 54.8% underwent cesarean section, 65.3% without appropriate indication. There was no association between type of delivery and depression, nor between obstetric practices during vaginal delivery and depression. The odds of mild depression symptoms (PHQ-9 >4) were higher when cesarean section was the physician's choice during prenatal care (OR=2.08; 95% CI: 1.08-3.97; p=0.026) compared with cesarean sections indicated due to complications. Conclusion: Unnecessary cesarean sections may increase maternal psychological vulnerability. The importance of prenatal care focused on preparing women to make their decisions is emphasized.
Salvo, GM, Moura, CO, Ribas, MTN, Teixeira, TBM, Marano, D, Farias, DR, Rebelo, F. ASSOCIAÇÃO DE PRÁTICAS OBSTÉTRICAS COM SINTOMAS DEPRESSIVOS NO PÓS-PARTO: DADOS DA PESQUISA NACIONAL DE SAÚDE, 2019. Cien Saude Colet [periódico na internet] (2026/mai). [Citado em 12/09/2026].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/associacao-de-praticas-obstetricas-com-sintomas-depressivos-no-posparto-dados-da-pesquisa-nacional-de-saude-2019/20008?id=20008
