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Vol 89, No 11 (2018)
Research paper
Published online: 2018-11-30
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An exploratory study of the effect of labor pain management on postpartum depression among Chinese women

Yao Zhang12, Linda Johnston3, Dongmei Ma4, Fang Wang4, Xiaolong Zheng4, Xinfen Xu45
DOI: 10.5603/GP.a2018.0107
·
Pubmed: 30508215
·
Ginekol Pol 2018;89(11):627-636.
Affiliations
  1. Department of Nursing, School of Medicine, Zhejiang University, Hangzhou, China
  2. Department of Midwifery, School of Nursing, Zhejiang Chinese Medical University, Hangzhou, China
  3. Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada
  4. Department of Nursing, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou, China
  5. Department of Nursing, Haining Maternal and Child Health Care Hospital, Haining, China

open access

Vol 89, No 11 (2018)
ORIGINAL PAPERS Obstetrics
Published online: 2018-11-30

Abstract

Objectives: The purpose of this study was to investigate the effects of pain relief during labor on the occurrence of potential postpartum depression in early postpartum among Chinese women.
Material and methods: A quasi-experimental study used, with a convenience sample of 565 women who delivered at the Women’s Hospital, School of Medicine. Three types of pain relief were administered based on the women’s preference (doula, n = 301; transcutaneous electrical nerve stimulation, n = 51; epidural analgesia, n = 213). Pain scores of participants were assessed using a 10-point visual analog scale during labor. The Edinburgh Postnatal Depression Scale was administered in person and by phone at three days and two to four weeks after delivery, respectively. All data were analyzed using SPSS 20.0.
Results: Visual analog scale pain scores in the epidural analgesia group decreased significantly during labor compared to those of the other two groups. The occurrence of potential postpartum depression at three days was 6.6% in the epidural analgesia group, 1.3% in the doula group, and 2% in the transcutaneous electrical nerve stimulation group (P = 0.04). Furthermore, potential postpartum depression occurred at two to four weeks after childbirth in 16% (34/213) of the participants in the epidural analgesia group, 7.3% (22/301) of those who received doula support, and in 7.8% (4/51) of those in the transcutaneous electrical nerve stimulation group (P = 0.006).
Conclusions: The results indicated that epidural analgesia was an effective pain relief method during labor. However, it did not reduce the occurrence of potential postpartum depression and was associated with higher postnatal depression scores.

Abstract

Objectives: The purpose of this study was to investigate the effects of pain relief during labor on the occurrence of potential postpartum depression in early postpartum among Chinese women.
Material and methods: A quasi-experimental study used, with a convenience sample of 565 women who delivered at the Women’s Hospital, School of Medicine. Three types of pain relief were administered based on the women’s preference (doula, n = 301; transcutaneous electrical nerve stimulation, n = 51; epidural analgesia, n = 213). Pain scores of participants were assessed using a 10-point visual analog scale during labor. The Edinburgh Postnatal Depression Scale was administered in person and by phone at three days and two to four weeks after delivery, respectively. All data were analyzed using SPSS 20.0.
Results: Visual analog scale pain scores in the epidural analgesia group decreased significantly during labor compared to those of the other two groups. The occurrence of potential postpartum depression at three days was 6.6% in the epidural analgesia group, 1.3% in the doula group, and 2% in the transcutaneous electrical nerve stimulation group (P = 0.04). Furthermore, potential postpartum depression occurred at two to four weeks after childbirth in 16% (34/213) of the participants in the epidural analgesia group, 7.3% (22/301) of those who received doula support, and in 7.8% (4/51) of those in the transcutaneous electrical nerve stimulation group (P = 0.006).
Conclusions: The results indicated that epidural analgesia was an effective pain relief method during labor. However, it did not reduce the occurrence of potential postpartum depression and was associated with higher postnatal depression scores.

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Keywords

labour pain management; labour analgesia; postpartum depression; edinburgh postpartum depression scale

About this article
Title

An exploratory study of the effect of labor pain management on postpartum depression among Chinese women

Journal

Ginekologia Polska

Issue

Vol 89, No 11 (2018)

Article type

Research paper

Pages

627-636

Published online

2018-11-30

Page views

3795

Article views/downloads

2539

DOI

10.5603/GP.a2018.0107

Pubmed

30508215

Bibliographic record

Ginekol Pol 2018;89(11):627-636.

Keywords

labour pain management
labour analgesia
postpartum depression
edinburgh postpartum depression scale

Authors

Yao Zhang
Linda Johnston
Dongmei Ma
Fang Wang
Xiaolong Zheng
Xinfen Xu

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