Correlation between the use of anesthesia during delivery and frequency of postpartum depression

  • Оксана Владимировна Рязанова Saint-Petersburg State Pediatric Medical University 194100, Saint-Petersburg, Litovskaya str., 2
Keywords:
послеродовая депрессия беби-блюз эпидуральная анальгезия родоразрешение через естественные родовые пути кесарево сечение блокада поперечного пространства живота postpartum depression baby blues epidural analgesia delivery through the natural birth canal cesarean section blockade of the transverse abdominal space

Abstract

The article is devoted to the influence of anesthesia for vaginal birth canal, as well as postoperative analgesia in caesarean section on the incidence of postpartum depression. Materials and methods. We studied 638 patients, of whom 296 women after vaginal delivery. 142 women received epidural analgesia, 154 gave birth without anesthetic. 342 patients had surgery Caesarean section routinely. Postoperatively puerpera 170 as part of a multimodal analgesia used blockade cross abdominal space. 172-m to patients for the purpose of post-operative analgesia perfalgan applied in combination with NAIDs. Results of the study. The incidence of depression after 6 weeks after delivery was 3,9% in women who received epidural analgesia during delivery, compared with 6,34% - without anesthesia, but this difference was not statistically significant.6 weeks after cesarean postpartum depression recorded at 15,29% women in childbirth, which was used in the postoperative period cross-belly space blockade compared to 16.86% of the women who have been anesthetized by intravenous administration perfalgan in combination with NAIDs. Conclusion. The use of continuous epidural analgesia during delivery through the birth canal, and the use of cross-blockade belly space as a part of multimodal analgesia in the postoperative period for cesarean section insignificantly affect the incidence of postpartum depression.

Author Biography

Оксана Владимировна Рязанова, Saint-Petersburg State Pediatric Medical University 194100, Saint-Petersburg, Litovskaya str., 2
Contact Information. Oksana V. Riazanova - Head of the Department of Anesthesiology and Intensive Care. St. Petersburg State Pediatric Medical University of the Ministry of Health of Russia.

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