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  Background and objective : Postpartum is a critical and stressful period accompanying by fatigue, mood changes and sleep disorders. The purpose of this study was to describe sleep during the second and sixth week of postpartum in the women with cesarean and those with vaginal delivery.

  Material and Methods: This cross-sectional study was conducted on 96 women in the second and sixth week of postpartum period (48 after cesarean and 48 after vaginal delivery).­ The instruments were demographic data sheet and Pittsburgh Sleep Quality Scale .

  Results: The Results show that the subjects are correlated with each other on the basis of both parents’ and neonates’ demographic characteristics.­­Variables such as subjective sleep quality, sleep latency, actual sleep time , sleep efficiency , sleep disturbance , and daily disfunctioning indicator are significantly different in two groups.­ ­The mean of Pittsburgh Sleep Quality Index for vaginal delivery is higher than that ­ of cesarean, which can be a good reason for better sleep quality of the women with vaginal delivery.

  Conclusion: Mothers with Cesarean have lower sleep quality than those with ­normal delivery therefore, they should be educated to select normal delivery and intervened for improving sleep quality in postpartum period.

 

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Background and objectives: During the postpartum period, mothers may experience physical and emotional changes. Postpartum Depression (PPD) may affect 10-15% of all women after delivery. In some studies, the type of delivery has been considered as a risk factor for postpartum depression. The present study was designed to investigate and compare the frequency of postpartum depression in women with normal and cesarean delivery.
Methods: This descriptive-analytic study was conducted on 300 women referring to the Sayad Shirazi Hospital. First the Women who had Beck depression inventory score>12 were excluded and then the participants were divided into two equal groups of normal (150) and cesarean (150) delivery. Two weeks after delivery, Beck depression inventory was filled out and data analysis was performed by SPSS software V.16 using, chi-square and Mann-Whitney test.
Results: Results showed that 13% of all participants 12.7% of the cases in normal and 13.3% in cesarean groups had postpartum depression. The severity of depression was higher in women with cesarean delivery compared to normal delivery and this difference was significant (mean rank 172.29 vs. 128.71, p<0.0001). There was no significant difference in the level of depression between two groups according to their age, job, parity, baby’s sex, marital satisfaction and wanted/unwanted pregnancy.
Conclusion: The prevalence of postpartum depression was higher in women with caesarian delivery compared to women with normal delivery