Postpartum Fatigue and Pain Versus Nutritional Status, With Epidural Analgesia
Condition: Vaginal Delivery
MeSH terms: Fatigue
Study type: Observational

Summary: 
      The objective of this preliminary observational study is to evaluate, in the patient, a
      correlation between a food habit and nutritional status score of the parturient and a
      postpartum fatigue (FSS) and pain (ENA) score on day 1, 3 and 7.
    

Detailed description: 
      Several studies, focusing on nutrition during pregnancy, show that a healthy diet during
      pregnancy promotes fetal growth and development and has been associated with lower risks of
      complications, while unhealthy diets, undernutrition and overeating have been associated with
      adverse effects. Indeed, the FIGO initiative developed in 2015 a short nutritional
      questionnaire on adolescent nutrition, preconception and mothers. The FIGO Nutrition
      Checklist is an acceptable, potentially feasible, and validated clinical practice tool that
      can identify regular consumption of unhealthy diets or other nutrition and weight-related
      issues.

      Studies have shown that exhaustion, fatigue and pain are commonly experienced by the mother
      during the postpartum period and can impact daily functioning, mental health and parenting
      practices.

      Currently, the link between nutritional status, eating habits and postpartum pain and fatigue
      has not yet been clearly studied. Recognizing patients at risk of pain and fatigue, due to
      their nutritional status, could make it possible to adapt and anticipate their treatment, in
      particular analgesics, and to consider multidisciplinary management.

      The objective of this preliminary observational study is to evaluate, in the patient, a
      correlation between a score of eating habits and nutritional status of the parturient and a
      score of fatigue and postpartum pain at D 1, 3. and 7.

      After obtaining written consent, 60 patients, having given birth vaginally under an epidural,
      will be recruited at the maternity ward. The exclusion criteria will be the patient's
      refusal, the absence of communication in French, the impossibility of giving free and
      informed consent, surgery under anesthesia during hospitalization.

      Questionnaires adapted to assess the nutritional score and the PNNS-GS 2 eating habits of the
      patients will be completed by the doctor, at the maternity ward on D 1 postpartum. To do
      this, a typical 24-hour food day will be harvested and then extrapolated to a week. Age,
      lifestyle, sports habits, vitamin intake before and during pregnancy, weight before and
      during pregnancy, height, BMI, ASA status, history, duration of labour, complications during
      pregnancy, complications during childbirth, tears of the perineum, biology data and analgesic
      treatments will be collected in the medical file. A fatigue and pain score, FSS score and ENA
      score, respectively at rest and in motion, will be completed by the doctor on D1, D3 and D7
      postpartum, either at the maternity ward or by telephone contact. The differences between the
      scores of days 1, 3 and 7 will be calculated.
    

Intervention name(s): nutritional score
Intervention type(s): Other
Intervention description(s): correlation between a food habit and nutritional status score of the parturient and a postpartum fatigue (FSS) and pain (ENA) score
Observational model: Cohort
Time perspective: Prospective
Sampling method: Non-Probability Sample
Study population: 
        Female population of age to carry a pregnancy to term, with an uncomplicated vaginal
        delivery under epidural analgesia