Abstract | OBJECTIVES: DESIGN: Double-blind randomised placebo-controlled trial. SETTING: A tertiary care hospital in Johannesburg, South Africa. POPULATION Postnatal women using a non-hormonal method of contraception (n = 180). METHODS: MAIN OUTCOME MEASURES: Depression scores in the three months postpartum as rated by the Montgomery-Asberg Depression Rating Scale (MADRS) and the Edinburgh Postnatal Depression Scale (EPDS); 2. serum 17beta-oestradiol, progesterone, testosterone and the 17beta- oestradiol: progesterone ratio at six weeks postpartum. RESULTS: There was a chance excess of caesarean section deliveries in the progestogen group. Mean depression scores were significantly higher in the progestogen group than in the placebo group at six weeks postpartum (mean MADRS score 8.3 vs 4.9; P = 0.0111; mean EPDS score 10.6 vs 7.5; P = 0.0022). Mean serum 17beta-oestradiol and progesterone concentrations were significantly lower in the progestogen group compared with the placebo group at six weeks postpartum. There were no correlations between any of the hormone parameters and depression at six weeks except in the formula feeding subgroup of the placebo group, where formula feeding and 17beta-oestradiol concentrations were positively associated with depression. CONCLUSIONS:
|
Authors | T A Lawrie, G J Hofmeyr, M De Jager, M Berk, J Paiker, E Viljoen |
Journal | British journal of obstetrics and gynaecology
(Br J Obstet Gynaecol)
Vol. 105
Issue 10
Pg. 1082-90
(Oct 1998)
ISSN: 0306-5456 [Print] England |
PMID | 9800931
(Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
|
Chemical References |
- Contraceptives, Oral, Synthetic
- Testosterone
- Progesterone
- Estradiol
- norethindrone enanthate
- Norethindrone
|
Topics |
- Adult
- Contraceptives, Oral, Synthetic
(adverse effects)
- Depression, Postpartum
(blood, chemically induced)
- Double-Blind Method
- Estradiol
(blood)
- Female
- Humans
- Norethindrone
(adverse effects, analogs & derivatives)
- Postnatal Care
(methods)
- Pregnancy
- Progesterone
(blood)
- Prognosis
- Risk Factors
- Testosterone
(blood)
- Uterine Hemorrhage
(etiology)
|