Lasting Childbirth Pain Tied to Postpartum Depress -

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January 17, 2022 4:11 am


Published on November 30, 2016 at 7:32 am

Lasting Childbirth Pain Tied to Postpartum Depress


A new study suggests that women who continue to feel pain from childbirth one month after delivering a baby may be more prone to develop postpartum depression.Some of the researchers found that women in Singapore who had pain that continued longer than four weeks after they gave delivered the baby had a higher risk for postpartum depression as per the tests. The study was conducted by comparing those mothers who had no pain following a delivery and those mothers who had pain even after delivery.

As per the findings, Dr Ban Leong Sng, who is the senior author of the study and the deputy head of the department of women’s anaesthesia at KK Women’s and Children’s Hospital in Singapore, found that tenacious childbirth pain in women is associated with a greater risk for postpartum depression.Sng said that the mechanisms to explain the connection between postpartum depression and persistent childbirth pain are still being reviewed. Genetics, an association between psychological vulnerability to both depression and suffering or hormonal influences may be the possible reasons for the condition.
The researchers gathered data from around 200 healthy women in Singapore who were giving birth for the first time. All of the women took an epidural for pain relief during their labour. The women made tests so as to rate their observed level of stress and responsiveness to pain during their delivery. Each woman was interviewed by phone so as to assess her level of stress and also to decide whether she was undergoing childbirth-related pain and evaluate her chance of postpartum depression. This interview was conducted within six to eight weeks after their delivery.
The researchers observed that around 5.8 percent of the women in the research reported having indications four weeks after giving birth that implied that they were at risk for postnatal depression.

Chen opines that this moderate rate of postpartum depression may have occurred because they did not sample women in general. But rather the sample comprised of healthy women who had undergone epidural pain relief. Sng says that the research verdicts support the necessity to address pain comprehensively to reduce a woman’s risk of developing postpartum depression. So as to do this, anesthesiologists can better approach childbirth pain through their treatment and evaluations of the state during and after the labour and delivery.
Sng also adds that the women should receive a pain evaluation along with screening for postpartum depression so as to ensure their physical and emotional well-being.

Getting a good start
Dr Katherine Wisner, who is a perinatal psychiatrist who directs the Asher Center for the Study and Treatment of Depressive Disorders at the Northwestern University Feinberg School of Medicine in Chicago says that the connection between postpartum depression and pain during and after childbirth is an area which is neglected by research.The latest and most interesting piece of data produced by this study involved the Edinburgh Postnatal Depression Scale (EPDS) score. It is a screening tool which is accepted worldwide so as to measure a woman’s risk for postpartum depression. Wisner says that this scale was seen to be closely linked to the duration of a woman’s childbirth pain.

On the other hand, the researchers also showed that the longer a woman’s pain went on after delivery, the higher was her risk of having a greater score on this screening exam for postpartum depression.Wisner also added that the study shows that it is imperative to get women off to a good start after they give birth. A good start helps a woman to gain more self-confidence and develop her sense as a mother.

Wisner stated that it is detrimental to think that it is normal to have pain that lasts even after delivery.
Most women do well with patterned pain management after giving birth, so if you speak up about feeling.uncomfortable can improve you to get your pain under control earlier.Wisner asserts that control of childbirth pain is one of the modifiable factors that can decrease the risk for postpartum depression and hence more care should be given. She also opined that more studies of tenacious childbirth pain are required so as to check if some of these women go on to produce constant pain.