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