Depression, Postpartum Clinical Trial
Official title:
The Correlation Between Prelabor Analgesic Plan and Actual Labor Analgesia With Satisfaction, Postpartum Depression, and Breast Feeding Success
In this study the investigators would like to evaluate how prelabor analgesic plan and actual
labor analgesia effects the labor satisfaction, breastfeeding success, and whether or not it
reduces postpartum depression.
Although postpartum depression has been researched and reviewed, there is little information
on how satisfaction during labor affects postpartum outcomes. The relationship between
epidural analgesia is also complex, and there has yet to be found a valid correlation between
the two parameters.
In addition although an attempt has been made to evaluate relationship between breastfeeding
and epidural analgesia, results are unclear and further research is needed.
This is a prospective, single center study, which will be conducted at the Rabin Medical
Center (Beilinson Campus), Petach Tikva, Israel, a tertiary university hospital.
All women undergoing vaginal delivery on the first day postpartum will be enrolled after
filling out an informed consent.
They will be given out a labor satisfaction questionnaire detailing initial desire for
epidural analgesia, final desire for epidural analgesia, adequacy of pain relief during labor
and satisfaction with labor. (see appendix 1).
The investigators will evaluate breastfeeding success according to the latch scoring system
in the first day postpartum which is routinely administered by nurses/ lactation consultants
in the maternity ward.
According to their initial desire verses final analgesic choice they will be divided into
four groups:
1. Women who initially didn't want and didn't receive one.
2. Initially didn't want and did receive one.
3. Initially wanted an epidural and didn't received one
4. Initially wanted an epidural and did receive one.
On the third day postoperatively the parturients will be called and assessed for mood and
signs of postpartum depression using Edinborough Postnatal Depression scale validated into
Hebrew (10) , and the investigators will assess whether or not they are breastfeeding.
At 6 weeks the investigators will follow-up to assess breastfeeding duration ,and postpartum
depression using the Edinborough Postnatal Depression scale.
The investigators' comparison will include average pain scores, breast feeding success, and
postpartum depression assessment.
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