Postpartum Depression in women with and without labor Epidural Analgesia: A prospective cohort study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 196
- 试验地点
- 1
- 主要终点
- To assess the association between the use of labour Epidural Analgesia and the incidence of Postpartum Depression as measured by the Edinburgh Postnatal
研究概览
简要总结
This thesis presents a prospective cohort study investigating the association between labor epidural analgesia and the incidence of postpartum depression (PPD) in women delivering at Naruvi Hospitals, Vellore. The research will enroll women aged 18–35 years with term singleton pregnancies, dividing them into epidural and non-epidural groups by patient choice. Outcomes including maternal, neonatal, and PPD rates measured by the Edinburgh Postnatal Depression Scale at 2 & 6 weeks postpartum will be compared. The study aims to clarify whether pain relief during labor through epidural analgesia can reduce PPD risk and to identify related clinical and sociodemographic factors
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 35.00 Year(s)（—）
- 性别
- Female
入选标准
- •1.Mothers willing to participate in the study 2.Primigravida / Multigravida 3.Singleton, term pregnancies with vertex presentation.
排除标准
- •1.Mothers unwilling to participate in the study 2.Multiple gestation.
- •3.Elective caesarean section.
- •4.History of cognitive or psychiatric disturbances during pregnancy/past.
- •5.Thyroid and seizure disorders.
- •Intra Uterine Fetal Demise.
结局指标
主要结局
To assess the association between the use of labour Epidural Analgesia and the incidence of Postpartum Depression as measured by the Edinburgh Postnatal
时间窗: 2 & 6 weeks postpartum
Depression Scale (EPDS).
时间窗: 2 & 6 weeks postpartum
次要结局
- To assess the association between the level of pain relief during labour (using VAS score) and postpartum depression.(2 & 6 weeks postpartum)
- To evaluate the influence of other potential confounding factors (maternal age, parity,(socio economic status, mode of delivery) on the development of postpartum depression.)
- To assess neonatal outcomes (Apgar score, NICU admission) in relation to the use of labour epidural analgesia.(Immediate post delivery)
- To study the incidence of immediate postpartum complications (e.g., fever, urinary retention, blood loss, prolonged second stage of labour) in women who received epidural analgesia and their association with postpartum depression.(Immediate, 2 & 6 weeks postpartum)
研究者
Dr Maramreddy Sravani
Naruvi Hospitals, Vellore