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2 results

  • 3 - Motherhood Moralities

  • Damien W. Riggs, Flinders University of South Australia, Clare Bartholomaeus, Flinders University of South Australia
  • Book:
    First-Time Parenting Journeys
    Published online:
    02 March 2023
    Print publication:
    09 March 2023, pp 41-59

  • Summary

    In Chapter 3, we focus on the women we interviewed, specifically paying attention to their expectations about first-time motherhood as compared to the reality of motherhood after the birth of their child. To do this, we explore three areas that for many of the women provided a stark contrast between expectation and reality. The first pertained to conceiving a child, with this being more difficult for some women. The second pertained to navigating breastfeeding, with some women experiencing significant challenges. Third, we focus on experiences of postnatal mental health issues, and how this related to idealised expectations about new motherhood. As a whole, these three areas speak to normative moral claims that are often associated with new motherhood, and how the women we interviewed grappled with these.

  • Planned mode of birth after previous caesarean section and women's use of psychotropic medication in the first year postpartum: a population-based record linkage cohort study

  • Kathryn E. Fitzpatrick, Maria A. Quigley, Daniel J. Smith, Jennifer J. Kurinczuk
  • Journal:
    Psychological Medicine / Volume 52 / Issue 14 / October 2022
    Published online by Cambridge University Press:
    28 January 2021, pp. 3210-3221
    • Article
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      • Open access
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  • Background

    Policy in many high-income settings supports giving pregnant women with previous caesarean section a choice between an elective repeat caesarean section (ERCS) or planning a vaginal birth after previous caesarean (VBAC), provided they have no contraindications to VBAC. Despite the potential for this choice to influence women's mental health, evidence about the associated effect to counsel women and identify potential targets for intervention is limited. This study investigated the association between planned mode of birth after previous caesarean and women's subsequent use of psychotropic medications.

    Methods

    A population-based cohort study of 31 131 women with one or more previous caesarean sections who gave birth to a term singleton in Scotland between 2010 and 2015 with no prior psychotropic medications in the year before birth was conducted using linked Scottish national datasets. Cox regression was used to investigate the association between planned mode of birth and being dispensed psychotropic medications in the first year postpartum adjusted for socio-demographic, medical, pregnancy-related factors and breastfeeding.

    Results

    Planned VBAC (n = 10 220) compared to ERCS (n = 20 911) was associated with a reduced risk of the mother being dispensed any psychotropic medication [adjusted hazard ratio (aHR) 0.85, 95% confidence interval (CI) 0.78–0.92], an antidepressant (aHR 0.83, 95% CI 0.76–0.90), and at least two consecutive antidepressants (aHR 0.83, 95% CI 0.75–0.91) in the first year postpartum.

    Conclusions

    Women giving birth by ERCS were more likely than those having a planned VBAC to be dispensed psychotropic medication including antidepressants in the first year postpartum. Further research is needed to establish the reasons behind this new finding.