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A new US study presented at the 2018 annual meeting on anesthesia found that pain after childbirth, rather than pain during labor and delivery, may be related to the risk of depression postpartum of a woman.
Conducted by researchers at Brigham Hospital and Women's Hospital in Boston, the new study involved 4,327 mothers who delivered their first child vaginally or by caesarean section (Caesarean section) to the hospital.
The researchers compared the pain scores of mothers at different stages of the delivery process, from early work to discharge from the hospital, to their scores on the postnatal depression scale. Edinburgh (EPDS) one week after childbirth.
The results showed that postpartum depression was significantly associated with higher postpartum pain scores, with mothers with postpartum depression presenting more pain complaints during their convalescence, requiring more medications. pain and more likely to signal insufficient control of postpartum pain.
Women with postpartum depression were also more likely to have delivered by caesarean section.
Although previous research has already established a link between the pain of childbirth and an increased risk of postpartum depression, it was until now impossible to determine which part of the delivery process – before, during or after childbirth – was linked to this increased risk. The new study is the first to examine postpartum pain separately from labor and delivery-related pain and to consider it as a significant risk factor for postpartum depression.
In addition, the researchers found that a number of other factors also appeared to be associated with a higher risk of postpartum depression, including obesity or obesity, torn perineum (area adjacent to the vaginal opening), a history of depression, anxiety or chronic pain, and having smaller babies with lower Apgar scores, a scoring system used to assess the physical health of newborns a minute and five minutes after birth.
"For many years, we were concerned about how to manage the pain of work, but the pain of recovery after work and delivery is often overlooked," said Jie Zhou, MD, MBA, lead author of the study. "Our research suggests that we need to focus more on helping new mothers manage pain after the baby is born."
"Although ibuprofen and analog analgesics are considered adequate for pain control after delivery, some women clearly need additional help to manage pain," said the Dr. Zhou "We need to better identify those at risk of postpartum pain and ensure that they receive adequate postpartum care."
Postpartum depression affects about one in nine women, according to the Center for Disease Control and Prevention (CDC). Symptoms include extreme sadness, low energy, anxiety, crying episodes, irritability and changes in sleep or eating habits, and this condition can result in a reduction in the rates of Breastfeeding and a bad relationship with the baby.
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