Relation entre l’intensité de la douleur de l’accouchement et celle du postpartum blues

Boudou, Mathilde; Teissèdre, F.; Walburg, V.; Chabrol, Henri

doi:10.1016/j.encep.2006.10.002

Cited by 53 publications

(22 citation statements)

References 19 publications

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“…Soet et al 14 described pain during labor was correlated with the development of posttraumatic stress disorder. Studies evaluating the severity of labor pain in the early postpartum period also found the correlation with postpartum blues 15 and PPD. 11 An earlier study by Hiltunen et al 16 found that females who received epidural or paracervical block during their labor had lower depressive scores in the initial week after delivery compared with having no analgesia at all (odds ratio [OR] 0.25, 95% confidence interval [CI] 0.09–0.72).…”

Section: Introductionmentioning

confidence: 91%

Investigating analgesic and psychological factors associated with risk of postpartum depression development: a case–control study

Suhitharan¹,

Pham²,

Chen³

et al. 2016

NDT

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AimThe aim of this study was to investigate the role of peripartum analgesic and psychological factors that may be related to postpartum depression (PPD).MethodsThis case–control study was conducted in pregnant females who delivered at KK Women’s and Children’s Hospital from November 2010 to October 2013 and had postpartum psychological assessment. Demographic, medical, and postpartum psychological status assessments, intrapartum data including method of induction of labor, mode of labor analgesia, duration of first and second stages of labor, mode of delivery, and pain intensity on hospital admission and after delivery were collected. PPD was assessed using the Edinburgh Postnatal Depression Scale and clinical assessment by the psychiatrist.ResultsThere were 62 cases of PPD and 417 controls after childbirth within 4–8 weeks. The odds of PPD was significantly lower (33 of 329 [10.0%]) in females who received epidural analgesia for labor compared with those who chose nonepidural analgesia (29 of 150 [19.3%]) ([odds ratio] 0.47 (0.27–0.8), P=0.0078). The multivariate analysis showed that absence of labor epidural analgesia, increasing age, family history of depression, history of depression, and previous history of PPD were independent risk factors for development of PPD.ConclusionThe absence of labor epidural analgesia remained as an independent risk factor for development of PPD when adjusted for psychiatric predictors of PPD such as history of depression or PPD and family history of depression.

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Section: Introductionmentioning

confidence: 91%

Investigating analgesic and psychological factors associated with risk of postpartum depression development: a case–control study

Suhitharan¹,

Pham²,

Chen³

et al. 2016

NDT

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“…Secondly, we suspected that excessive pain experienced by women after delivery may have caused midwives to erroneously attribute the symptoms to an increased risk of depression because of the discomfort and the complaint. Furthermore, midwives may also have known that the intensity of childbirth pain was shown to be associated with other mood disorders, such as PP blues [12]. Thus as a secondary objective of the study we analysed false-positives by the maternityunit midwives in the routine early clinical PND screening.…”

Section: Introductionmentioning

confidence: 99%

Pain as a confounding factor in postnatal depression screening

Jardri

Maron

Delion

et al. 2010

Journal of Psychosomatic Obstetrics & Gynecology

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Multivariate risk analysis showed no statistical link between physical pain shortly after childbirth and subsequent PND diagnosis at 8 weeks PP. However, VAS measurements for pain were significantly higher for women that the midwives estimated to be at risk for PND (|Z| = 2.78, p = 0.005), suggesting the routine clinical screening for PND is susceptible for false-positives. Psychiatrists should encourage midwives to have an empathetic approach, to increase the detection as well as treatment of mental and physical suffering in early postpartum. At the same time, adequate education programmes for early PND screening should be proposed to non-psychiatric staffs to demonstrate that women at risk of PND often show minimal physical symptoms.

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“…For most women, labor is inevitably accompanied by intense pain and stress [28]. ere were some studies which reported a correlation of the level of labor pain and the risk of PPD [14,15]. Moreover, the labor pain evaluated in the early postpartum period (from 36 hours to 3 days postpartum) was found to be associated with PPD [14,15].…”

Section: Discussionmentioning

confidence: 99%

“…ere were some studies which reported a correlation of the level of labor pain and the risk of PPD [14,15]. Moreover, the labor pain evaluated in the early postpartum period (from 36 hours to 3 days postpartum) was found to be associated with PPD [14,15]. In our study, the labor pain was evaluated during labor at 5 stages and the pain scores were significantly lower in parturients who received epidural analgesia than those who did not (Table 2), and corresponding incidence rate of PPD is relatively lower.…”

Section: Discussionmentioning

confidence: 99%

“…But, the etiology of PPD is complex of which the main risk factors include a history of psychiatric illnesses, mood instability during pregnancy, marital disharmony, poor social support, and stressful life events. Specifically to parturients, the intensity of labor pain was also a factor related to mood disorder in the early postpartum period [14]. e study of Eisenach et al also confirmed that the severity of acute postpartum pain predicted the occurrence of PPD [15].…”

Section: Introductionmentioning

confidence: 88%

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Epidural Labor Analgesia Is Associated with a Decreased Risk of the Edinburgh Postnatal Depression Scale in Trial of Labor after Cesarean: A Multicenter, Prospective Cohort Study

Sun

Xiao

Zou

et al. 2020

BioMed Research International

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Postpartum depression is a disabling mental disorder commonly seen in parturients under trial of labor after cesarean, which causes serious harm to the parturients. The etiology is unclear. We hypothesized that epidural labor analgesia can reduce the incidence rate of postpartum depression. Enrolled multiparas were divided into the epidural labor analgesia group (n = 263) or nonanalgesia group (n = 160) according to their own request. Edinburgh Postnatal Depression Scale was used to assess their mental status at 48 hours and 42 days after delivery. Relative perinatal variables were collected and further analyzed using univariate analysis and multivariate logistic regression analysis to assess the relation of epidural analgesia with the occurrence of postpartum depression under trial of labor after cesarean. The Edinburgh Postnatal Depression Scale score 48 hours ≥ 10 in the no epidural analgesia group was 26.42% while the epidural analgesia group was 8.49% (OR, 0.209; 95% CI, 0.096–0.429; P<0.001). The Edinburgh Postnatal Depression Scale score 42 day ≥ 10 in the no epidural analgesia group was 25.16% while the epidural analgesia group was 6.59% (OR, 0.235; 95% CI, 0.113–0.469; P<0.001). The incidence of postpartum depression was significantly lower in the epidural labor analgesia group at 48 hours and 42 days. There was also a significant relation between the Edinburgh Postnatal Depression Scale scores at 48 hours and 42 days after delivery. Epidural analgesia, discomfort within 42 days, and self-rating anxiety scale are independent predictors of postpartum depression for trial of labor after cesarean in 42 days. Epidural labor analgesia is associated with a decreased risk of postpartum depression. Further study with a large sample size and more centers is needed to evaluate the impact of epidural analgesia on the occurrence of postpartum depression. Chinese Clinical Trial Register, ChiCTR-ONC-17010654.

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Relation entre l’intensité de la douleur de l’accouchement et celle du postpartum blues

Cited by 53 publications

References 19 publications

Investigating analgesic and psychological factors associated with risk of postpartum depression development: a case–control study

Investigating analgesic and psychological factors associated with risk of postpartum depression development: a case–control study

Pain as a confounding factor in postnatal depression screening

Epidural Labor Analgesia Is Associated with a Decreased Risk of the Edinburgh Postnatal Depression Scale in Trial of Labor after Cesarean: A Multicenter, Prospective Cohort Study

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Relation entre l’intensité de la douleur de l’accouchement et celle du postpartum blues

Cited by 53 publications

References 19 publications

Investigating analgesic and psychological factors associated with risk of postpartum depression development: a case&ndash;control study

Investigating analgesic and psychological factors associated with risk of postpartum depression development: a case&ndash;control study

Pain as a confounding factor in postnatal depression screening

Epidural Labor Analgesia Is Associated with a Decreased Risk of the Edinburgh Postnatal Depression Scale in Trial of Labor after Cesarean: A Multicenter, Prospective Cohort Study

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Investigating analgesic and psychological factors associated with risk of postpartum depression development: a case–control study

Investigating analgesic and psychological factors associated with risk of postpartum depression development: a case–control study