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Therapeutics
A midwife led debriefing session after operative childbirth did not reduce postpartum depression

https://doi.org/10.1136/ebm.6.3.74

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    (2000) BMJ 321, 1043. Small R, Lumley J, Donohue L, et al.. Randomised controlled trial of midwife led debriefing to reduce maternal depression after operative childbirth.. Oct 28;. :. –7..
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 QUESTION: In women who give birth by caesarean section, forceps, or vacuum extraction, is a debriefing session led by a midwife better than standard care for reducing maternal depression at 6 months postpartum?

    Design

    Randomised (allocation concealed*), unblinded,* controlled trial with 6 months of follow up.

    Setting

    A large maternity teaching hospital in Melbourne, Victoria, Australia.

    Patients

    1041 women who had operative deliveries. Exclusion criteria were women with stillbirths or babies weighing <1500 g, insufficient fluency in English, or ill mothers or ill babies. Follow up was 88% (62% were 25 to 34 y of age, 27% were ≥35 y of age).

    Intervention

    Women were …

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    Footnotes

    • Source of funding: Australian Commonwealth Department of Health, Housing, and Community Services.

    • For correspondence: Ms R Small, Centre for the Study of Mothers' and Children's Health, School of Public Health, La Trobe University, Carlton, Victoria 3053, Australia. Fax +61 3 8341 8555.

    • ↵* See glossary.