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Risk factors of maternity blues after caesarean section in Yaounde, Cameroon: a case-control analysis

Pascal Foumane, Jean Pierre Kamga Olen, Jeanne Hortense Fouedjio, Georges Pius Kamsu Moyo, Christiane Nsahlai, Emile Mboudou.

Background: Maternity blues is the most precocious and common mental derangement of the puerperium. Our objective was to identify its risk factors in women delivered by cesarean section.
Methods: This was a case-control study carried out from January 10th to April 10th 2015 in two referral hospitals of Yaoundé, Cameroon, involving 321 women delivered by cesarean section, 107 of which presented maternity blues.
Results: After multivariate analysis, independent risk factors for maternity blues after cesarean section were: low socio-economic level (OR=3.62; CI=1.35-9.70), personal history of depression (OR=4.36; CI=1.13-16.81), difficulties caring for the baby (OR=3.40; CI=1.12-10.27) and having felt depressed or anxious during pregnancy (OR=6.61; CI=3.05-14.31).
Conclusions: Women with identifiable risk factors for maternity blues should be followed up closely after cesarean deliveries.

Key words: Cameroon, Depression, Maternity blues, Postpartum, Risk factors

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