Wednesday, October 26, 2016

Easing labor pain may help reduce postpartum depression in some women, early research suggests

Pain causes an increase in stress hormones, which can affect the brain.

https://www.eurekalert.org/pub_releases/2016-10/asoa-elp101816.php

Public Release: 26-Oct-2016
Easing labor pain may help reduce postpartum depression in some women, early research suggests
American Society of Anesthesiologists

Epidural anesthesia may do more than relieve pain during labor; in some women it may decrease the likelihood of postpartum depression, suggests a preliminary study presented at the ANESTHESIOLOGY® 2016 annual meeting.

"Labor pain matters more than just for the birth experience. It may be psychologically harmful for some women and play a significant role in the development of postpartum depression," said Grace Lim, M.D., director of obstetric anesthesiology at Magee Women's Hospital of the University of Pittsburgh Medical Center and lead investigator on the study. "We found that certain women who experience good pain relief from epidural analgesia are less likely to exhibit depressive symptoms in the postpartum period."

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"Although we found an association between women who experience less pain during labor and lower risk for postpartum depression, we do not know if effective pain control with epidural analgesia will assure avoidance of the condition," said Dr. Lim. "Postpartum depression can develop from a number of things including hormonal changes, psychological adjustment to motherhood, social support, and a history of psychiatric disorders."

Labor pain may be more problematic for some women than others, the authors note. Additional research is needed to identify which women are more likely to experience severe labor pain and who would benefit the most from effective labor pain-control strategies to help reduce the risk and affect of pain on postpartum recovery.

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