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According to a new study, although the birth pain was linked to postpartum depression, the culprit might be the pain felt by the mother after delivery, rather than during the labor and birth process. ;delivery.
Previous research has shown that pain associated with childbirth may increase the risk of postpartum depression, but it has not specified what part of the work process – before, during, or after childbirth – could be at the root of the problem.
According to the researchers behind the new study, this is the first to differentiate postpartum pain from labor-related pain and childbirth and to identify it as a significant risk factor for postpartum depression.
"For many years, we have been concerned about how we manage the pain of work, but the pain of post-labor recovery and delivery is often overlooked," said Jie Zhou, MD, MBA, author Principal Investigator and Assistant Professor of Anesthesia at Brigham and Women's. Harvard Medical School and Hospital in Boston. "Our research suggests that we need to focus more on helping new mothers manage pain after the baby is born."
The symptoms of postpartum depression, including extreme sadness, low energy, anxiety, crying episodes, irritability and changes in sleep or eating habits affect about 1 in 9 women, according to the Center for Disease Control and Prevention (CDC). Postpartum depression can result in decreased breastfeeding rates and poor bonding with the baby.
In the study, Zhou's research group examined pain scores from early in the postpartum to hospital discharge for 4,327 new mothers who gave birth to a single child vaginally or cesarean section at Brigham and Women's Hospital on June 1, 2015. December 31, 2017.
They then compared the pain scores to Edinburgh's Postnatal Depression Scale (EPDS) scores one week after delivery.
The researchers found that postpartum depression was significantly associated with higher postpartum pain scores.
According to the findings of the study, mothers with postpartum depression had more pain complaints during their recovery and often needed additional pain medications.
The researchers noted that women in the postpartum depression group were more likely to have delivered by caesarean section. They also had more reports of inadequate postpartum pain control.
"While ibuprofen and similar pain relievers are considered adequate for pain control after childbirth, some women clearly need additional help to manage the pain," Zhou said. . "We need to do a better job of identifying people who are at risk for postpartum pain and ensuring they have adequate postpartum care."
The study was presented at the annual meeting of ANESTHESIOLOGY 2018.
Source: American Society of Anesthesiologists
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