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| ID | Type | Description | Link |
|---|---|---|---|
| AOP 3794 | Other Identifier | University Hospital of Padua, Italy |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Expectations met (Intended = Received) | Participants whose prenatal intention regarding labor analgesia matched what they received (includes Intention Yes/Received Yes and Intention No/Received No). |
| |
| Expectations unmet (Intended ≠ Received) | Participants whose prenatal intention did not match the analgesia actually received (includes Intention Yes/Received No and Intention No/Received Yes). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Epidural analgesia | Procedure | Analgesia via epidural catheter using local anesthetic ± opioid, administered on patient request during labor. |
|
| Measure | Description | Time Frame |
|---|---|---|
| incidence of postpartum depression | To assess whether there is a statistically significant difference in the incidence of postpartum depression (PPD), defined as an Edinburgh Postnatal Depression Scale (EPDS) score ≥ 10 at 6 months postpartum, between parturients whose expectations regarding labor analgesia were met ('expectations met' group) versus those whose expectations were unmet. | 6 months since labour |
| Measure | Description | Time Frame |
|---|---|---|
| Early depressive symptoms | To assess whether there is a statistically significant difference in the incidence of postpartum depression (PPD), defined as an Edinburgh Postnatal Depression Scale (EPDS) score ≥ 10 at 6 months postpartum, between parturients whose expectations regarding labor analgesia were met ('expectations met' group) versus those whose expectations were unmet. | from 24 to 48 hours since labour |
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Inclusion Criteria:
Exclusion Criteria:
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The study population consists of patients undergoing a spontaneous or induced vaginal delivery, regardless of whether they request epidural analgesia.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Fabrizia Calabrese, MD | Contact | +39 0498213090 | fabrizia.calabrese@aopd.veneto.it | |
| Giulia Faccioli, MD | Contact | giuliafdg@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital of Padova | Recruiting | Padova | Veneto | 35127 | Italy |
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| ID | Term |
|---|---|
| D019052 | Depression, Postpartum |
| ID | Term |
|---|---|
| D011644 | Puerperal Disorders |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| ID | Term |
|---|---|
| D015360 | Analgesia, Epidural |
| ID | Term |
|---|---|
| D000698 | Analgesia |
| D000760 | Anesthesia and Analgesia |
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| Spinal analgesia for labour pain | Procedure | Single-shot spinal analgesia |
|
| No neuraxial analgesia | Other | Patients did not received spinal or epidural labour analgesia |
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| Effect of Analgesia Within Expectations-Unmet Group | To compare the incidence of postpartum depression (EPDS ≥ 10 at 6 months) within the "Expectations unmet" group, stratified by actual receipt of neuraxial labor analgesia (epidural or spinal) versus no neuraxial analgesia | six months since labour |
| Pain Intensity and Maternal Expectations | To assess the association between intrapartum pain intensity (measured by Visual Analog Scale, VAS) and group allocation ("Expectations met" vs "Expectations unmet"). | At delivery/birth |
| D003866 | Depressive Disorder |
| D019964 | Mood Disorders |
| D001523 | Mental Disorders |