Maternal Expectations on Labor Analgesia and Risk of Postpartum Depression: An Observational Study
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Epidural analgesia, Spinal analgesia for labour pain, No neuraxial analgesia.
- Who it may be relevant to
- Registry conditions: Postpartum Depression (PPD), Labor Analgesia, Expectations. Basic parameters: from 18 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Italy
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
Postpartum Depression (PPD) is defined as the development of depression at any time during the first year after childbirth¹. Its prevalence ranges from 15% to 20%. It can manifest with symptoms such as depressed mood, loss of interest and energy, insomnia, anxiety, and may even lead to suicidal ideation. The consequences are numerous, both physical and psychological, with long-term repercussions on the mother-infant bond, family dysfunction, and the development of emotional and cognitive disorders in children. The etiology of PPD is multifactorial, but numerous recent studies have focused on the role of labor pain and its management with labor analgesia techniques. The aim of the present study is therefore to assess whether there is a difference in the incidence of PPD between parturients whose expectations regarding labor analgesia were met ('expectations met' group) versus those whose expectations were unmet.
Interventions
- Procedure Epidural analgesia
Analgesia via epidural catheter using local anesthetic ± opioid, administered on patient request during labor. - Procedure Spinal analgesia for labour pain
Single-shot spinal analgesia - Other No neuraxial analgesia
Patients did not received spinal or epidural labour analgesia
Primary outcome measures
- incidence of postpartum depression [Time frame: 6 months since labour]
Secondary outcome measures (3)
- Early depressive symptoms [Time frame: from 24 to 48 hours since labour]
- Effect of Analgesia Within Expectations-Unmet Group [Time frame: six months since labour]
- Pain Intensity and Maternal Expectations [Time frame: At delivery/birth]
Eligibility criteria
Inclusion criteria
- Signed informed consent
- Planned vaginal delivery (spontaneous or induced)
- Pregnancy
- Age > 18 years
Exclusion criteria
- Allergy to local anesthetics
- Language barrier
- Contraindications to labor analgesia
- Delivery by Cesarean section
- Known history of psychiatric disorders (including major depression)
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
Italy · 1 center
- University Hospital of Padova — Padova
Identifiers
NCT: NCT07292649 · 6311/AO/25 · AOP 3794