International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
Impact of abnormal cesarean section scar formation on quality of life and postpartum depression: A cross-sectional study in Japan.
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Sugita Yosuke, Komatsu Hiroaki, Kodera Chisato, Urushiyama Daichi, Enomoto Naosuke, Nagasaki Sumito, Odai Tamami, Suemitsu Tokumasa, Onodera Yohei, Hosokawa Yoshihiko, Ogawa Rei
Аннотация
OBJECTIVE: To determine the prevalence of abnormal scar formation after cesarean section and evaluate its effects on quality of life (QoL) and postpartum depression risk.
METHODS: A nationwide cross-sectional study of 991 women aged 18-45 years at 6-18 months post-cesarean section was conducted in Japan. Participants completed validated measures of scar assessment (Dermatology Life Quality Index [DLQI]) and postpartum depression risk (Edinburgh Postnatal Depression Scale [EPDS]).
RESULTS: Among participants, 66.0% Abnormal scarring has been reported to occur more frequently in Asian and Black populations than in White populations, consistent with previous epidemiological studies. (654/991) developed abnormal scars (64.4% hypertrophic, 1.6% keloid). The abnormal scar group showed significantly higher DLQI scores, indicating worse QoL (median 1, interquartile range 0-2 vs median 0, interquartile range 0-1; P < 0.001). Women with keloid formation showed elevated EPDS scores, indicating higher depression risk.
CONCLUSION: Abnormal scar formation is highly prevalent, abnormal scars impair maternal quality of life, and keloid formation is linked to an increased risk of postpartum depression.
METHODS: A nationwide cross-sectional study of 991 women aged 18-45 years at 6-18 months post-cesarean section was conducted in Japan. Participants completed validated measures of scar assessment (Dermatology Life Quality Index [DLQI]) and postpartum depression risk (Edinburgh Postnatal Depression Scale [EPDS]).
RESULTS: Among participants, 66.0% Abnormal scarring has been reported to occur more frequently in Asian and Black populations than in White populations, consistent with previous epidemiological studies. (654/991) developed abnormal scars (64.4% hypertrophic, 1.6% keloid). The abnormal scar group showed significantly higher DLQI scores, indicating worse QoL (median 1, interquartile range 0-2 vs median 0, interquartile range 0-1; P < 0.001). Women with keloid formation showed elevated EPDS scores, indicating higher depression risk.
CONCLUSION: Abnormal scar formation is highly prevalent, abnormal scars impair maternal quality of life, and keloid formation is linked to an increased risk of postpartum depression.