Labor pain relief and postpartum depression. Is there a correlation?

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Abstract


The article is dedicated to the evaluation of the effect of labor pain relief by using epidural analgesia during vaginal delivery on the frequency of postpartum depression. Materials and methods. 159 women were included in the study. The average age of the patients was 29 years, the average gestation period was 39.7 weeks. In the first group, in order to relief the pain while vaginal birth, an epidural analgesia was administered. A continuous patient-controlled infusion was used along with 0.08% solution of ropivacaine hydrochloride in the capacity of a local anesthetic. Patients of the second group gave birth without any anesthesia. Evaluation of the depression progress was carried out several times: before birth, 6 hours after delivery, 3 days and 6 weeks after delivery. Results of the study. Usage of epidural analgesia during vaginal delivery leads to a significant pain syndrome relief, but does not reduce the probably of postpartum depression.


Oksana V. Riazanova

Author for correspondence.
oksanaryazanova@mail.ru
St Petersburg State Pediatric Medical University
Russian Federation, Saint Petersburg

Candidate of Medical Sciences, Associate Professor of Anesthesiology, Intensive Care and Emergency Pediatrics Department. Chair of the Departament of Obstetric and Anesthesia

Yury S. Aleksandrovich

jalex1963@mail.ru
St Petersburg State Pediatric Medical University
Russian Federation, Saint Petersburg

Doctor of Medical Sciences, Professor of Anesthesiology, Intensive Care and Emergency Pediatrics Department within Professional Development Unit

Vitaly A. Reznik

vitaliy-reznik@mail.ru
St Petersburg State Pediatric Medical University
Russian Federation, Saint Petersburg

Candidate of Medical Sciences, Associate Professor of Obstetrics and Gynecology

Irina A. Gorkovaya

iralgork@mail.ru
St Petersburg State Pediatric Medical University
Russian Federation, Saint Petersburg

Doctor of Psychological Sciences, Professor, Head of Psychosomatic Medicine and Behavioral Therapy Department

Maria A. Korgozha

korgozha_m.a@mail.ru
St Petersburg State Pediatric Medical University
Russian Federation, Saint Petersburg

Psychologist, Assistant of Clinical Psychology Department

Aleksander Ioskovich

aioscovich@gmail.com
Shaare Zedek Medical Center
Israel, Jerusalem

Chair of the Departament of Obstetric and Ambulatory Anesthesia

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