{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:52:01Z","timestamp":1791179521588,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T00:00:00Z","timestamp":1755129600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T00:00:00Z","timestamp":1755129600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine the prevalence of abnormal scar formation after cesarean section and evaluate its effects on quality of life (QoL) and postpartum depression risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A nationwide cross\u2010sectional study of 991 women aged 18\u201345\u2009years at 6\u201318\u2009months post\u2010cesarean 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]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      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\u20132 vs median 0, interquartile range 0\u20131;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Women with keloid formation showed elevated EPDS scores, indicating higher depression risk.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70469","type":"journal-article","created":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T13:35:59Z","timestamp":1755178559000},"page":"1015-1022","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of abnormal cesarean section scar formation on quality of life and postpartum depression: A cross\u2010sectional study in Japan"],"prefix":"10.1002","volume":"172","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-8072-2676","authenticated-orcid":false,"given":"Yosuke","family":"Sugita","sequence":"first","affiliation":[{"name":"Japanese Red Cross Tokyo Katsushika Perinatal Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4507-6848","authenticated-orcid":false,"given":"Hiroaki","family":"Komatsu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Tottori University School of Medicine  Tottori Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8091-0001","authenticated-orcid":false,"given":"Chisato","family":"Kodera","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Sciences Kyushu University  Fukuoka 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