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Trial record 25 of 256 for:    postpartum | "Depression"

The Correlation Between Prelabor Analgesic Plan and Actual Labor Analgesia With Satisfaction, Postpartum Depression, and Breast Feeding Success

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ClinicalTrials.gov Identifier: NCT02495350
Recruitment Status : Completed
First Posted : July 13, 2015
Last Update Posted : November 17, 2017
Sponsor:
Information provided by (Responsible Party):
sharonorbach, Rabin Medical Center

Brief Summary:

In this study the investigators would like to evaluate how prelabor analgesic plan and actual labor analgesia effects the labor satisfaction, breastfeeding success, and whether or not it reduces postpartum depression.

Although postpartum depression has been researched and reviewed, there is little information on how satisfaction during labor affects postpartum outcomes. The relationship between epidural analgesia is also complex, and there has yet to be found a valid correlation between the two parameters.

In addition although an attempt has been made to evaluate relationship between breastfeeding and epidural analgesia, results are unclear and further research is needed.


Condition or disease Intervention/treatment
Depression, Postpartum Other: Questionarie

Detailed Description:

This is a prospective, single center study, which will be conducted at the Rabin Medical Center (Beilinson Campus), Petach Tikva, Israel, a tertiary university hospital.

All women undergoing vaginal delivery on the first day postpartum will be enrolled after filling out an informed consent.

They will be given out a labor satisfaction questionnaire detailing initial desire for epidural analgesia, final desire for epidural analgesia, adequacy of pain relief during labor and satisfaction with labor. (see appendix 1).

The investigators will evaluate breastfeeding success according to the latch scoring system in the first day postpartum which is routinely administered by nurses/ lactation consultants in the maternity ward.

According to their initial desire verses final analgesic choice they will be divided into four groups:

  1. Women who initially didn't want and didn't receive one.
  2. Initially didn't want and did receive one.
  3. Initially wanted an epidural and didn't received one
  4. Initially wanted an epidural and did receive one.

On the third day postoperatively the parturients will be called and assessed for mood and signs of postpartum depression using Edinborough Postnatal Depression scale validated into Hebrew (10) , and the investigators will assess whether or not they are breastfeeding.

At 6 weeks the investigators will follow-up to assess breastfeeding duration ,and postpartum depression using the Edinborough Postnatal Depression scale.

The investigators' comparison will include average pain scores, breast feeding success, and postpartum depression assessment.


Study Type : Observational
Actual Enrollment : 1954 participants
Observational Model: Other
Time Perspective: Prospective
Official Title: The Correlation Between Prelabor Analgesic Plan and Actual Labor Analgesia With Satisfaction, Postpartum Depression, and Breast Feeding Success
Actual Study Start Date : June 2015
Actual Primary Completion Date : August 2016
Actual Study Completion Date : September 2016

Resource links provided by the National Library of Medicine


Group/Cohort Intervention/treatment
Initially didn't want an epidural and didn't receive one.
Initially didn't want an epidural and did receive one.
Initially wanted an epidural and didn't received one Other: Questionarie

Parturients will be asked to fill out a labor satisfaction questionnaire detailing initial desire for epidural analgesia, final desire for epidural analgesia, adequacy of pain relief during labor and satisfaction with laborOn the third day postoperatively the parturients will be called and assessed for mood and signs of postpartum depression using Edinborough Postnatal Depression scale validated into Hebrew (10) , and we will assess whether or not they are breastfeeding.

At 6 weeks we will follow-up to assess breastfeeding duration ,and postpartum depression using the Edinborough Postnatal Depression scale.

Our comparison will include average pain scores, breast feeding success, and postpartum depression assessment.


Initially wanted an epidural and did receive one. Other: Questionarie

Parturients will be asked to fill out a labor satisfaction questionnaire detailing initial desire for epidural analgesia, final desire for epidural analgesia, adequacy of pain relief during labor and satisfaction with laborOn the third day postoperatively the parturients will be called and assessed for mood and signs of postpartum depression using Edinborough Postnatal Depression scale validated into Hebrew (10) , and we will assess whether or not they are breastfeeding.

At 6 weeks we will follow-up to assess breastfeeding duration ,and postpartum depression using the Edinborough Postnatal Depression scale.

Our comparison will include average pain scores, breast feeding success, and postpartum depression assessment.





Primary Outcome Measures :
  1. Assessment of postpartum depression using Edinborough Postnatal Depression scale [ Time Frame: One year ]

Secondary Outcome Measures :
  1. Assessment of breast feeding duration in women undergoing vaginal deliveries [ Time Frame: one year ]
  2. Increases in labor satisfaction defined as a vas (visual analog scale) satisfaction over 7 in women undergoing vaginal deliveries [ Time Frame: one year ]


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Ages Eligible for Study:   18 Years to 55 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Women above 18 undergoing vaginal delivery in Beilinson Hospital
Criteria

Inclusion Criteria:

  • Women above 18 undergoing vaginal delivery in Beilinson Hospital
  • following obtaining written informed consents
  • ability to comply with the study requirements will be included in the investigators' study

Exclusion Criteria:

  • Women undergoing cesareans sections.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02495350


Locations
Israel
Beilinson hospital
Petach tikvah, Israel
Sponsors and Collaborators
Rabin Medical Center

Publications:
Edinborough Hebrew Glasser S, Barell V. Harefuah 1999 136(0) 764-88

Responsible Party: sharonorbach, Dr. Sharon Orbach, Rabin Medical Center
ClinicalTrials.gov Identifier: NCT02495350     History of Changes
Other Study ID Numbers: 0666-14-RMC
First Posted: July 13, 2015    Key Record Dates
Last Update Posted: November 17, 2017
Last Verified: November 2017

Additional relevant MeSH terms:
Depression
Depressive Disorder
Depression, Postpartum
Puerperal Disorders
Behavioral Symptoms
Mood Disorders
Mental Disorders
Pregnancy Complications
Analgesics
Sensory System Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs