Does pain after delivery increase the risk of postpartum depression?



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New research examines the situation of postpartum women and their risk of postpartum depression

It has recently been proven that pain during and after delivery can affect the risk of depression of the new mother . Getty Images

Researchers have known for a long time that childbirth pain can increase the risk of postpartum depression in women.

Up to now, however, research has focused primarily on the pain felt by women during labor and delivery. But a new study suggests that postpartum pain could be an even bigger problem.

The pain felt after delivery, rather than during, could contribute significantly to postpartum depression, according to new research presented at the Anesthesiology 2018 annual meeting.

] To measure l & # 39; Impact of postpartum pain on new mothers, researchers from Brigham Hospital and Women's Boston Hospital have studied pain scores of 4,327 women from early childbirth to the exit from the hospital.

Participants were novice mothers giving birth badlly or by cesarean section, commonly referred to as caesarean section.

The research team then compared pain scores to Edinburgh's postnatal depression scale scores of mothers one week after delivery.

People with higher postnatal pain scores were more likely to have postnatal depression. People with postpartum depression had more pain-related problems during their recovery and needed more medications to relieve it.

In addition, women delivered by caesarean section were more prone to postpartum depression and had more cases of insufficient pain control. The researchers also determined that women who were overweight or had a history of depression or anxiety were more likely to develop postpartum depression, as well as those whose babies were born more small and had lower scores than Apgar. It is a measurement system used to badess the health of newborns one to five minutes after birth.

It is quite normal to feel a certain "baby blues", a mixture of anxiety, loneliness and lethargy that new mothers usually feel after giving birth. But if negative feelings persist or worsen, it could very well be a result of postpartum depression.

Postpartum depression affects up to 1 in 7 women and is a very serious mood disorder that causes excessive irritability, feelings of guilt and worthlessness, lack of interest in the health.

"Untreated, postpartum depression can have harmful consequences for the mother and the baby."

"New mothers with depression often feel they do not deserve to be a child. mother because she feels sad and disappointed at a time when she is "supposed to feel" exalted, happy and celebrate the baby's birth, "said Dr. Mayra Mendez, a registered psychotherapist at the Child Development Center and from the Providence family in Saint John, Santa Monica, California, told Healthline.

Postpartum depression can reduce badfeeding rates and interrupt the relationship with the baby. In addition, previous research suggests that children whose mothers have had postpartum depression are more likely to develop mental health issues later in life, such as ADHD and autism.

According to Mendez, the phase of attachment or attachment of life is a critical period. development and socio-emotional regulation. Postpartum depression can hinder the mother's ability to care for her baby and, therefore, impair her development during this time.

"Depression limits the mother's ability to demonstrate reciprocity with her baby and her back and back. The four types of interaction are disrupted and the secure attachment is compromised, "Mendez said.

Postpartum pain can be extremely debilitating for many women.

Its length and severity vary from one woman to another. While some may have cramps and constipation, others may suffer from painful convalescence by caesarean section or badl pain.

Because recovery-related pain can be quite severe and persistent for some, many health experts are not surprised that postpartum pain has a major role to play. postpartum depression.

"Pain during the postpartum period can be more insidious, harbading and occurs in the context of the care of a newborn," said Dr. Daniel Kort, an endocrinologist specializing in breeding at Neway Fertility.

The absolute amount of pain may be less than during labor and delivery, so it makes sense that experiencing widespread pain or discomfort immediately after giving birth would increase the risk of patient depression. added Kort.

on postpartum depression – regardless of when and how the woman experienced it – this is the first study to isolate postpartum pain as a factor in significant risk of postpartum depression.

For the future, physicians need to focus more on screening for those at risk in the postpartum period. pain and provide women with the necessary care after childbirth.

While Ibuprofen and Analgesic Analgesics Have Always Been Used to Treat Women's Pain Finally, it is clear that some women need additional support to manage their pain, researchers said in a statement. a statement.

"This study clearly shows that in addition to the pain of labor and delivery, it is essential that health care providers evaluate and properly treat postpartum pain," said Kort. "More broadly, this shows the potential benefits of reducing pain, such as trying to limit perineal tears and treat pain earlier and more aggressively."

If doctors can overcome the pain pain, they may very well be able to intervene and intervene before postpartum depression sets in.

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