COMPARISON OF THE MENTAL HEALTH POST ABORTION AND POST PARTUM (NORMAL VAGINAL DELIVERY AND CESARIAN SECTION)

Objectives: to assess and compare mental health after spontaneous abortion, normal vaginal delivery (NVD) and cesarian section (C/S).Materials and Method: This prospective analytical descriptive study was carried out in university-affiliated teaching hospitals in Tehran city, Iran.. The specific questionnaire (PANAS & SCL-90) was applied in this study. The sample population of this study included 48 women during their post abortion period as well as 48 women after NVD and 48 women after C/S. The subjectsʹ mental changes and disorders have been measured. It has been followed by interview and completing the questionnaires at first 24 hours and the weeks of 6th and 12th.Results: The negative emotional change in the first 24 hours showed no significant differences between abortion and delivery (P=0/002) but on the week 6th and 12th after abortion and delivery the ANOVA test showed significant differences between (NVD & C/S) and abortion (P=0/00). The frequency of mental disorders in the first 24th in the case and control groups were 33.3% and 10.3% respectively and the difference was statistically significant (P=0/00). The severity of emotional changes after spontaneous abortion was more than NVD and in the C/S was more than the rate in NVD.Conclusion: The statistics reveals that abortion and delivery threaten womenʹs psychological well-being and through the time the intensity of negative mental changes and disorders in all three mentioned groups was decreasing.