Pain, stress, analgesia and postpartum depression: Revisiting the controversy with a randomized controlled trial.
APGAR score
VAS score
epidural anesthesia
postpartum depression
Journal
Saudi journal of anaesthesia
ISSN: 1658-354X
Titre abrégé: Saudi J Anaesth
Pays: India
ID NLM: 101500601
Informations de publication
Date de publication:
Historique:
received:
26
12
2019
revised:
27
01
2020
accepted:
27
01
2020
entrez:
15
1
2021
pubmed:
16
1
2021
medline:
16
1
2021
Statut:
ppublish
Résumé
Pain and depression are associated, but it is uncertain if effective pain relief during labor by labor analgesia reduces the incidence of postpartum depression (PPD). This randomized, controlled study assessed whether combined spinal-epidural (CSE) labor analgesia is associated with a decreased risk of PPD. Other reported risk factors for PPD were also assessed. Parturients were randomly assigned to either CSE labor analgesia or normal vaginal delivery ( Incidence of PPD was 22.3%. The difference in incidence of PPD between the CSE group vs. control group was not significant (27.7% vs. 16.9%; Fisher's exact CSE analgesia in laboring parturients does not reduce PPD at 6 weeks. Instead, perceived high stress during pregnancy appears to be the most important factor.
Sections du résumé
BACKGROUND
BACKGROUND
Pain and depression are associated, but it is uncertain if effective pain relief during labor by labor analgesia reduces the incidence of postpartum depression (PPD). This randomized, controlled study assessed whether combined spinal-epidural (CSE) labor analgesia is associated with a decreased risk of PPD. Other reported risk factors for PPD were also assessed.
MATERIALS AND METHODS
METHODS
Parturients were randomly assigned to either CSE labor analgesia or normal vaginal delivery (
RESULTS
RESULTS
Incidence of PPD was 22.3%. The difference in incidence of PPD between the CSE group vs. control group was not significant (27.7% vs. 16.9%; Fisher's exact
CONCLUSION
CONCLUSIONS
CSE analgesia in laboring parturients does not reduce PPD at 6 weeks. Instead, perceived high stress during pregnancy appears to be the most important factor.
Identifiants
pubmed: 33447189
doi: 10.4103/sja.SJA_814_19
pii: SJA-14-473
pmc: PMC7796742
doi:
Types de publication
Journal Article
Langues
eng
Pagination
473-479Informations de copyright
Copyright: © 2020 Saudi Journal of Anesthesia.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
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