Obstetric anesthesia clinic childbirth course combined with labor epidural analgesia is associated with a decreased risk of postpartum depression : a prospective cohort study
Abstract Background Postpartum depression (PPD) is a serious complication commonly seen in postnatal women. In this paper, an investigation was conducted to see if obstetric anesthesia clinic childbirth course combined with labor epidural analgesia (LEA) was associated with a decreased risk of PPD....
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-12-01
|
| Series: | BMC Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12871-022-01931-y |
| _version_ | 1811291759867592704 |
|---|---|
| author | Shanshan Tong Chuanhua Rao Su Min Hua Li Dongqun Quan Daping Chen Yuanmao Zhu |
| author_facet | Shanshan Tong Chuanhua Rao Su Min Hua Li Dongqun Quan Daping Chen Yuanmao Zhu |
| author_sort | Shanshan Tong |
| collection | DOAJ |
| description | Abstract Background Postpartum depression (PPD) is a serious complication commonly seen in postnatal women. In this paper, an investigation was conducted to see if obstetric anesthesia clinic childbirth course combined with labor epidural analgesia (LEA) was associated with a decreased risk of PPD. Methods Six hundred fifty-five nulliparous women were enrolled in this prospective cohort study. The parturients were divided into 4 groups, with Group C being the control group, Group AC received the obstetric anesthesia clinic childbirth course only, Group LEA received LEA only, and Group AC + LEA received both the obstetric anesthesia clinic childbirth course and LEA. Maternal and neonatal variables in the perinatal period were recorded. PPD at 6 weeks was assessed using the Chinese version of the Edinburgh Postpartum Depression Scale (EPDS), where a score ≥ 10 is the threshold for PPD. Multivariate logistic regression analysis was performed to assess the association between obstetric anesthesia clinic childbirth course combined with LEA and postpartum depression. Results A total of 124 maternities had EPDS ≥10 points, the incidence of PPD was 18.9%。The incidence of PPD and EPDS scores were significantly lower in Group AC + LEA than in Group C (12.1% vs 26.8%, P < 0.05; 6 (5, 7) vs 7 (5, 11), P < 0.05). Received an anesthesia clinic childbirth course combined with LEA was associated with a decreased risk of PPD (OR 0.273, 95% CI, 0.100–0.743, P = 0.013). Multivariate logistic regression analysis identified 5 other independent factors for PPD, including maternal SAS score in the delivery room, W-DEQ score in the delivery room, living in a confinement center, EPDS score at 1st week postpartum and perinatal care satisfaction . Conclusions Received an obstetrics anesthesia clinic childbirth course combined with LEA for nulliparous women with a single term cephalic pregnancy was associated with a decreased risk of PPD at 6 weeks. Trial registration Chinese Clinical Trial Registry, ChiCTR2000039163. Registered on 20/10/2020. |
| first_indexed | 2024-04-13T04:34:17Z |
| format | Article |
| id | doaj.art-779a4a7a5fd2482092873c138413d107 |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-04-13T04:34:17Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-779a4a7a5fd2482092873c138413d1072022-12-22T03:02:13ZengBMCBMC Anesthesiology1471-22532022-12-0122111210.1186/s12871-022-01931-yObstetric anesthesia clinic childbirth course combined with labor epidural analgesia is associated with a decreased risk of postpartum depression : a prospective cohort studyShanshan Tong0Chuanhua Rao1Su Min2Hua Li3Dongqun Quan4Daping Chen5Yuanmao Zhu6Department of Anesthesiology, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Anesthesiology, Jiangjin Central Hospital of ChongqingDepartment of Anesthesiology, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Obstetrics, Jiangjin Central Hospital of ChongqingDepartment of Obstetrics, Jiangjin Central Hospital of ChongqingDepartment of Obstetrics, Jiangjin Central Hospital of ChongqingDepartment of Pain, Jiangjin Central Hospital of ChongqingAbstract Background Postpartum depression (PPD) is a serious complication commonly seen in postnatal women. In this paper, an investigation was conducted to see if obstetric anesthesia clinic childbirth course combined with labor epidural analgesia (LEA) was associated with a decreased risk of PPD. Methods Six hundred fifty-five nulliparous women were enrolled in this prospective cohort study. The parturients were divided into 4 groups, with Group C being the control group, Group AC received the obstetric anesthesia clinic childbirth course only, Group LEA received LEA only, and Group AC + LEA received both the obstetric anesthesia clinic childbirth course and LEA. Maternal and neonatal variables in the perinatal period were recorded. PPD at 6 weeks was assessed using the Chinese version of the Edinburgh Postpartum Depression Scale (EPDS), where a score ≥ 10 is the threshold for PPD. Multivariate logistic regression analysis was performed to assess the association between obstetric anesthesia clinic childbirth course combined with LEA and postpartum depression. Results A total of 124 maternities had EPDS ≥10 points, the incidence of PPD was 18.9%。The incidence of PPD and EPDS scores were significantly lower in Group AC + LEA than in Group C (12.1% vs 26.8%, P < 0.05; 6 (5, 7) vs 7 (5, 11), P < 0.05). Received an anesthesia clinic childbirth course combined with LEA was associated with a decreased risk of PPD (OR 0.273, 95% CI, 0.100–0.743, P = 0.013). Multivariate logistic regression analysis identified 5 other independent factors for PPD, including maternal SAS score in the delivery room, W-DEQ score in the delivery room, living in a confinement center, EPDS score at 1st week postpartum and perinatal care satisfaction . Conclusions Received an obstetrics anesthesia clinic childbirth course combined with LEA for nulliparous women with a single term cephalic pregnancy was associated with a decreased risk of PPD at 6 weeks. Trial registration Chinese Clinical Trial Registry, ChiCTR2000039163. Registered on 20/10/2020.https://doi.org/10.1186/s12871-022-01931-yPostpartum depression (PPD)Labor epidural analgesiaChildbirth courseEdinburgh postpartum depression scale (EPDS) |
| spellingShingle | Shanshan Tong Chuanhua Rao Su Min Hua Li Dongqun Quan Daping Chen Yuanmao Zhu Obstetric anesthesia clinic childbirth course combined with labor epidural analgesia is associated with a decreased risk of postpartum depression : a prospective cohort study BMC Anesthesiology Postpartum depression (PPD) Labor epidural analgesia Childbirth course Edinburgh postpartum depression scale (EPDS) |
| title | Obstetric anesthesia clinic childbirth course combined with labor epidural analgesia is associated with a decreased risk of postpartum depression : a prospective cohort study |
| title_full | Obstetric anesthesia clinic childbirth course combined with labor epidural analgesia is associated with a decreased risk of postpartum depression : a prospective cohort study |
| title_fullStr | Obstetric anesthesia clinic childbirth course combined with labor epidural analgesia is associated with a decreased risk of postpartum depression : a prospective cohort study |
| title_full_unstemmed | Obstetric anesthesia clinic childbirth course combined with labor epidural analgesia is associated with a decreased risk of postpartum depression : a prospective cohort study |
| title_short | Obstetric anesthesia clinic childbirth course combined with labor epidural analgesia is associated with a decreased risk of postpartum depression : a prospective cohort study |
| title_sort | obstetric anesthesia clinic childbirth course combined with labor epidural analgesia is associated with a decreased risk of postpartum depression a prospective cohort study |
| topic | Postpartum depression (PPD) Labor epidural analgesia Childbirth course Edinburgh postpartum depression scale (EPDS) |
| url | https://doi.org/10.1186/s12871-022-01931-y |
| work_keys_str_mv | AT shanshantong obstetricanesthesiaclinicchildbirthcoursecombinedwithlaborepiduralanalgesiaisassociatedwithadecreasedriskofpostpartumdepressionaprospectivecohortstudy AT chuanhuarao obstetricanesthesiaclinicchildbirthcoursecombinedwithlaborepiduralanalgesiaisassociatedwithadecreasedriskofpostpartumdepressionaprospectivecohortstudy AT sumin obstetricanesthesiaclinicchildbirthcoursecombinedwithlaborepiduralanalgesiaisassociatedwithadecreasedriskofpostpartumdepressionaprospectivecohortstudy AT huali obstetricanesthesiaclinicchildbirthcoursecombinedwithlaborepiduralanalgesiaisassociatedwithadecreasedriskofpostpartumdepressionaprospectivecohortstudy AT dongqunquan obstetricanesthesiaclinicchildbirthcoursecombinedwithlaborepiduralanalgesiaisassociatedwithadecreasedriskofpostpartumdepressionaprospectivecohortstudy AT dapingchen obstetricanesthesiaclinicchildbirthcoursecombinedwithlaborepiduralanalgesiaisassociatedwithadecreasedriskofpostpartumdepressionaprospectivecohortstudy AT yuanmaozhu obstetricanesthesiaclinicchildbirthcoursecombinedwithlaborepiduralanalgesiaisassociatedwithadecreasedriskofpostpartumdepressionaprospectivecohortstudy |