An Examination of Mode of Birth, Maternal Postpartum Mental Health, and Childhood Behavioural Problems

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dc.contributor.advisorLetourneau, Nicole
dc.contributor.authorGrisbrook, Marie-Andrée
dc.contributor.committeememberDewey, Deborah
dc.contributor.committeememberCuthbert, Colleen
dc.contributor.committeememberMcDonald, Sheila
dc.date2024-05
dc.date.accessioned2024-01-29T19:43:11Z
dc.date.available2024-01-29T19:43:11Z
dc.date.issued2024-01-26
dc.description.abstractCesarean section (C-section) deliveries account for 21% of all deliveries worldwide (Betran, Ye, Moller, Souza, & Zhang, 2021). They are frequently considered a medical necessity in labour dystocia, placenta previa, and malpresentation (Caughey, Cahill, Guise, & Rouse, 2014). However, delivery via C-section has been associated with an increased risk of internalizing (anxiousness, depressiveness, withdrawal) and externalizing (aggression, hyperactivity) behavioural problems among children (Rutayisire et al., 2018; Sirvinskiene, Zemaitiene, Jusiene, & Markuniene, 2016). Research evaluating the link between C-section and child behaviour is inconclusive and limited. Delivery via an emergency C-section is the strongest factor linked to a negative perception of the birth experience (Waldenstrom & Schytt, 2009). A negative perception of the birth experience is strongly associated with postpartum post-traumatic stress disorder (PTSD) (Dekel, Ein-Dor, et al., 2019; Soderquist, Wijma, & Wijma, 2002; Verreault et al., 2012), which may be comorbid with postpartum depression (PPD) (Soderquist, Wijma, & Wijma, 2006). Therefore, it is hypothesized that the relationship between C-section and child behaviour depends on the type of C-section, and postpartum PTSD and PPD mediate this association. This manuscript-based dissertation is comprised of five papers. The first and second manuscripts include a review protocol and systematic review outlining the procedures and current evidence regarding the association between C-section delivery and child externalizing and internalizing behavioural problems. The third manuscript presents results regarding the association between C-section delivery and maternal PPD and the role of maternal PTSD in mediating this association. The fourth manuscript presents the study findings on the association between C-section delivery and child behavioural problems and the role of maternal postpartum PTSD and PPD as mediating factors. The final manuscript reviews the current landscape of maternal postpartum mental health screening in Canada and suggests improvements for screening. The dissertation concludes with implications for nursing practice, policy, education, and research.
dc.identifier.citationGrisbrook, M.-A. (2024). An examination of mode of birth, maternal postpartum mental health, and childhood behavioural problems (Doctoral thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.
dc.identifier.urihttps://hdl.handle.net/1880/118115
dc.language.isoen
dc.publisher.facultyGraduate Studies
dc.publisher.institutionUniversity of Calgary
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.
dc.subjectcesarean section
dc.subjectpostpartum depression
dc.subjectpost-traumatic stress disorder
dc.subjectchild behaviour
dc.subject.classificationEducation--Health
dc.subject.classificationNursing
dc.subject.classificationMental Health
dc.subject.classificationPublic Health
dc.titleAn Examination of Mode of Birth, Maternal Postpartum Mental Health, and Childhood Behavioural Problems
dc.typedoctoral thesis
thesis.degree.disciplineNursing
thesis.degree.grantorUniversity of Calgary
thesis.degree.nameDoctor of Philosophy (PhD)
ucalgary.thesis.accesssetbystudentI do not require a thesis withhold – my thesis will have open access and can be viewed and downloaded publicly as soon as possible.
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