Impact of Postpartum Hemorrhage in Postpartum Depressive and Anxiety Symptoms in Twin Delivery: A Retrospective Cohort Study

: In twin pregnancies, postpartum hemorrhage is an independent risk factor for postpartum depressive symptoms, but not for anxiety symptoms. These findings highlight the critical need for targeted and enhanced postpartum mental health screening and follow-up care for mothers of twins who experience PPH to facilitate early detection and intervention for depression.