Effect of labor analgesia on development of postpartum depression

VernacularTitle:分娩镇痛对产后抑郁症发生的影响
Author: Yue SU ; Jie SUN ; Mingjun XU ; Xiangming CHE
Publication Type:Journal Article
Keywords: Analgesia,obstetrical; Depression,postpartum
From: Chinese Journal of Anesthesiology 2015;35(3):317-319
CountryChina
Language:Chinese
Abstract: Objective To evaluate the effect of labor analgesia on the development of postpartum depression.Methods Seventy nulliparous parturients who were at full term with a singleton fetus in vertex presentation,aged 20-35 yr,with body mass index＜27 kg/m2,at 38-41 weeks of gestation,of ASA physical status Ⅰ,were enrolled and divided into 2 groups (n =35 each) using a random number table:vaginal delivery group (group VD) and labor analgesia group (group LA).In LA group,the epidural catheter was placed at L2,3 interspace for combined spinal-epidural analgesia when their cervical dilations were in 2-3 cm.VAS score was maintained below 3 after the analgesia.Parturients completed Edinburgh Postnatal Depression Scale questionnaires 42 days after the labor.The development of depression was recorded.Results The incidence of postnatal depression was significantly lower in LA group (17％) than in VD group (40％).Conclusion Labor analgesia can decrease the development of postpartum depression.