EFFECT OF PAIN RELIEF IN DELIVERY ON THE FREQUENCY OF POSTPARTUM DEPRESSION IN NEW MOTHERS

Abstract

The article evaluates the effect of various anesthetic techniques in delivery on the frequency of postpartum depression in new mothers. Materials and methods. 209 women were enrolled into the study, medium age made 31 years and gestation period made 39.4 weeks. All patients were divided into 4 groups: groups 1 and 2 had vaginal delivery; continuous epidural anesthesia was used in group 1, 0.08% solution of ropivacaine hydrochloride was used as a local anesthetic. No pain relief was used in group 2. Cesarean section with intraspinal anesthesia was performed in groups 3 and 4; transversus abdominis plane block with parenteral administration of non-steroidal anti-inflammatory agents was used in group 3. Only system narcotic analgesics and non-steroidal anti-inflammatory agents were used for anesthetic purposes in group 4. Specific features of postpartum depression were searched for within the following time periods: in 6 hours, 3 days and 6 weeks after the delivery. Results of the study. It has been found out that using continuous epidural anesthesia for pain relief purposes during vaginal delivery results in no reduction of postpartum depression frequency in 6 weeks after the delivery compared to the patients who had no anesthesia during delivery. No effect of delivery type on postpartum depression frequency has been observed. The reduction of postpartum blues has been noted when transversus abdominis plane block was used as a part of multi-modal pain relief. No effect of transversus abdominis plane block on the postpartum depression development in 6 weeks after delivery has been observed.

Keywords

• postpartum depression
• baby-blues
• epidural anesthesia
• transversus abdominis plane block
• cesarean section