Relationship Between Postpartum Mood Disorders and Delivery Experience

Relationship Between Postpartum Mood Disorders and Delivery Experience

The purpose of this study is to evaluate potential risk factors for developing postpartum depression or posttraumatic stress disorder during the first year postpartum in patients who have no preexisting history of PTSD or PPD.

It is theorized that poor pain control during labor and cesarean delivery, non-elective inductions, unplanned surgeries such as urgent/emergent cesarean delivery or operating room management of postpartum hemorrhage, and opioid abuse/addiction are risk factors for developing postpartum depression (PPD) or post-traumatic stress disorder (PTSD) after delivery. This study will, through questionnaires, interviews, and examination of the medical record, seek to identify whether and how strongly such correlations exist during the first year postpartum in patients who have no preexisting history of these conditions.

Inclusion Criteria:

• Woman planning on giving birth at the University of Michigan
• Speaks English without translator
• Live pregnancy not desiring termination
• Smartphone owner
• Woman whose delivery date is >28 weeks gestational age

Exclusion Criteria:

• History of previous postpartum depression (PPD) or posttraumatic stress disorder (PTSD) from a birth experience
• Non-English speaker requiring a translator
• Patients who have a fetus with major fetal anomalies
• Positive screening at 28 weeks antepartum for Edinburgh Postnatal Depression Scale (EPDS) or Primary Care PTSD (PC-PTSD) screen