Write your message
Volume 3, Issue 3 (Summer 2018)                   J Obstet Gynecol Cancer Res 2018, 3(3): 93-97 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Pourfathi H, Farzin H. Effect of Painless Labor on Postpartum Depression. J Obstet Gynecol Cancer Res. 2018; 3 (3) :93-97
URL: http://jogcr.com/article-1-206-en.html
1- Anesthesiology Department, Medicine Faculty, Tabriz University of Medical Sciences, Iran
2- Anesthesiology Department, Medicine Faculty, Tabriz University of Medical Sciences, Iran , farzin.haleh@gmail.com
Abstract:   (2011 Views)
Aims: Postpartum depression is a common event after delivery. Among some possible causes, pain is an important contributing factor which can play role in increasing psychiatric disease. The aim of the present study was to assess the effect of neuraxial analgesia methods on reducing incidence of postpartum depression.
Materials & Methods: 280 pregnant women (140 cases, 140 controls) without depression history who referred for vaginal delivery in the maternity ward of Taleghani teaching hospital, from February 2016 until February 2017 were participated in this randomized clinical trial. Samples were selected by random sampling method. Depression risk was assessed by Edinburgh Postnatal Depression Scale (EPDS) and the pain was measured by Visual Analogue Scale (VAS). Data were analyzed by SPSS 22 using Mann-whitney test and independent t-test for comparing of quantitative mean values. The association between qualitative variables was assessed by Chi square and exact Fisher tests.
Findings: Postpartum depression occurred in the painless delivery group and natural delivery group. There was statistically significant difference between them (p=0.04). It means that depression rate in painless delivery group was lower than natural delivery group. High Edinburg score was associated with high risk of depression.
Conclusion: Postpartum depression in women with painless delivery is lower comparison to women with natural delivery.
Full-Text [PDF 394 kb]   (498 Downloads)    
Systematic Review: Original Research | Subject: Obstetrics and Gynecology
Received: 2018/03/17 | Accepted: 2018/05/17 | Published: 2018/09/22

References
1. Ding T, Wang DX, Qu Y, Chen Q, Zhu SN. Epidural labor analgesia is associated with a decreased risk of postpartum depression: a prospective cohort study. Anesth Analg. 2014;119(2):383-92. [DOI:10.1213/ANE.0000000000000107] [PMID]
2. Gaillard A, Le Strat Y, Mandelbrot L, Keïta H, Dubertret C. Predictors of postpartum depression: Prospective study of 264 women followed during pregnancy and postpartum. Psychiatry Re. 2014;215(2):341-6. [DOI:10.1016/j.psychres.2013.10.003] [PMID]
3. Gaynes BN, Gavin N, Meltzer-Brody S, Lohr KN, Swinson T, Gartlehner G, et al. Perinatal depression: Prevalence, screening accuracy, and screening outcomes. Evid Rep Technol Assess (Summ). 2005;(119):1-8. [DOI:10.1037/e439372005-001] [PMCID]
4. Stewart D.E. Psychiatric symptoms following attempted natural childbirth. Can Med Assoc J. 1982;127(8):713-16
5. Melzack R. The myth of painless childbirth ( the John J. Bonica lecture). Pain. 1984;19(4):321-37. [DOI:10.1016/0304-3959(84)90079-4]
6. Brownridge P. The nature and consequences of childbirth pain. Eur J Obstet Gynecol Reprod Biol. 1995;59:S9-S15. [DOI:10.1016/0028-2243(95)02058-Z]
7. Melzack R. Labour pain as a model of acute pain. Pain. 1993;53(2):117-20. [DOI:10.1016/0304-3959(93)90071-V]
8. Kwok S.C, Moo D, Sia S.T, Razak A.S, Sng B.L. Childbirth pain and postpartum depression. Trends Anaesth Crit Care. 2015;5(4):95-100. [DOI:10.1016/j.tacc.2015.04.003]
9. Boudou M, Teissedre F, Walburg V, Chabrol H. Association between the intensity of childbirth pain and the intensity of postpartum blues. Encephale. 2007;33(5):805-10. [DOI:10.1016/j.encep.2006.10.002] [PMID]
10. Eisenach JC, Pan PH, Smiley R, Lavand'homme P, Landau R, Houle TT. Severity of acute pain after childbirth, but not type of delivery, predicts persistent pain and postpartum depression. Pain. 2008;140(1):87-94. [DOI:10.1016/j.pain.2008.07.011] [PMID] [PMCID]
11. Leeuw M, Goossens ME, Linton SJ, Crombez G, Boersma K, Vlaeyen JW. The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. J Behav Med. 2007;30(1):77-94. [DOI:10.1007/s10865-006-9085-0] [PMID]
12. Hewitt C, Gilbody S, Brealey S, Paulden M, Palmer S, Mann R, et al. Methods to identify postnatal depression in primary care: an integrated evidence synthesis and value of information analysis. Health Technol Assess. 2009;13(36):1-145. [DOI:10.3310/hta13360] [PMID]
13. Bird SB, Dickson EW. Clinically significant changes in pain along the visual analog scale. Ann Emerg Med. 2001;38(6):639-43. [DOI:10.1067/mem.2001.118012] [PMID]
14. Pettersson FD, Hellgren C, Nyberg F, Åkerud H, Sundström-Poromaa I. Depressed mood, anxiety, and the use of labor analgesia. Arch Womens Ment Health. 2016;19(1):11-6. [DOI:10.1007/s00737-015-0572-6] [PMID]
15. Theme Filha MM, Ayers S, da Gama SG, Leal Mdo C. Factors associated with postpartum depressive symptomatology in Brazil: the Birth in Brazil national research study, 2011/2012. J Affect Disord. 2016;194:159-67. [DOI:10.1016/j.jad.2016.01.020] [PMID]
16. Kettunen P, Koistinen E, Hintikka J. The Connections of Pregnancy-, Delivery-, and Infant-Related Risk Factors and Negative Life Events on Postpartum Depression and Their Role in First and Recurrent Depression. Depress Res Treat. 2016;2016. [DOI:10.1155/2016/2514317] [PMID] [PMCID]
17. Trehan G, Gonzalez MN, Kamel I. Pain Management During Labor Part 2: Techniques for Labor Analgesia. Top Obstet Gynecol. 2016;36(12):1-9.
18. Waldenström U, Hildingsson I, Rubertsson C, Rådestad I. A negative birth experience: prevalence and risk factors in a national sample. Birth. 2004;31(1):17-27. [DOI:10.1111/j.0730-7659.2004.0270.x] [PMID]
19. van Haaren-Ten Haken TM, Hendrix MJ, Nieuwenhuijze MJ, de Vries RG, Nijhuis JG. Birth place preferences and women's expectations and experiences regarding duration and pain of labor. J Psychosom Obstet & Gynecol. 2018;39(1):19-28. [DOI:10.1080/0167482X.2017.1285900] [PMID]
20. Zaers S, Waschke M, Ehlert U. Depressive symptoms and symptoms of post-traumatic stress disorder in women after childbirth. J Psychosom Obstet Gynecol. 2008;29(1):61-71. [DOI:10.1080/01674820701804324] [PMID]
21. Breivik H. Pain relief during childbirth: Efficacy and safety of prolonging labour-analgesia with morphine directly into the lumbar cerebro-spinal-fluid (CSF). Scandinavian J Pain. 2016;13:138-9. [DOI:10.1016/j.sjpain.2016.09.006] [PMID]
22. Madabushi R, Agarwal A. Recent advances in labour analgesia. Cent J ISA. 2017;1(1):8-14.
23. Tobin C, Wilson S, Hebbar L, Roberts L, Wolf B, et al. Labor Epidural Analgesia and Postpartum Depression. Arch Depress Anxiety. 2016;2(1):044-6. [DOI:10.17352/2455-5460.000014] [PMID] [PMCID]
24. Creedy DK, Shochet IM, Horsfall J. Childbirth and the development of acute trauma symptoms: incidence and contributing factors. Birth. 2000;27(2):104-11. [DOI:10.1046/j.1523-536x.2000.00104.x] [PMID]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License Journal of Obstetrics, Gynecology and Cancer Research by Farname Inc is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. Based on a work at http://jogcr.com/.

© 2021 CC BY-NC 4.0 | Journal of Obstetrics, Gynecology and Cancer Research (JOGCR)

Designed & Developed by : Yektaweb | Piblisher: Farname Inc.