Different Anesthesia Methods on Development of Postnatal Depression After Cesarean Delivery
Condition: Pregnancy Related
MeSH terms: Depression, Postpartum; Depression
Study type: Interventional

Summary: 
      Childbirth is one of the most painful experiences for a woman. Labor and period of pregnancy
      is associated with an increased risk of psychiatric disorders for a woman. The demands of
      pregnancy and childbirth make patients vulnerable to psychiatric disorders such as postpartum
      depression (PPD), anxiety, and stress disorders. Women with postpartum psychiatric disorders
      have high mortality rates. The most common postpartum psychiatric disorder is PPD. PPD occurs
      any time in pregnancy or in the first four weeks after delivery. It may lead to complications
      such as emotional lability in the mother. This situation may also effect the child.
    

Detailed description: 
      Childbirth is one of the most painful experiences for a woman. Labor and period of pregnancy
      is associated with an increased risk of psychiatric disorders for a woman. The demands of
      pregnancy and childbirth make patients vulnerable to psychiatric disorders such as postpartum
      depression (PPD), anxiety, and stress disorders. Women with postpartum psychiatric disorders
      have high mortality rates. The most common postpartum psychiatric disorder is PPD. PPD occurs
      any time in pregnancy or in the first four weeks after delivery. It may lead to complications
      such as emotional lability in the mother. This situation may also effect the child.

      Postpartum depression (PD) has become the most frequent complication of childbirth. Its
      prevalence has been estimated as 10%-15% and its formation is affected by several factors
      such as lack of social support, previous history of depression, and personal vulnerability.
      There are several studies about PD in the literature, some discuss about the relation of pain
      and PD, some discuss about the relation of epidural anesthesia and PD. However, there is no
      study that compares different anesthesia methods (general anesthesia vs spinal anesthesia) on
      development of postnatal depression after cesarean delivery.

      The aim of this study is to compare the different anesthesia methods (general anesthesia vs
      spinal anesthesia) on development of postnatal depression after cesarean delivery. The
      secondary aim is to decrease the ratio of postnatal depression after cesarean delivery.
    

Intervention name(s): Grup I= General anesthesia group; Grup II= Spinal anesthesia group
Intervention type(s): Other; Other
Intervention description(s): Preoperative and postoperative evaluation Pre-operative data will be collected 1 to 2 hrs before operation. Preoperative anxiety level will be assessed by the Hospital Anxiety and Depression Scale (HADS) and Amsterdam Preoperative Anxiety and Information Scale.
Patients will be asked to complete the Edinburgh Postnatal Depression Scale (EPDS) on the morning of discharge, 1 months and 3 months days after delivery. An online survey will be conducted post-Cesarean delivery to investigate the primary outcome of PND using EPDS, and those will not complete the online survey received phone calls to conduct the follow-up surveys.; Preoperative and postoperative evaluation Pre-operative data will be collected 1 to 2 hrs before operation. Preoperative anxiety level will be assessed by the Hospital Anxiety and Depression Scale (HADS) and Amsterdam Preoperative Anxiety and Information Scale.
Patients will be asked to complete the Edinburgh Postnatal Depression Scale (EPDS) on the morning of discharge, 1 months and 3 months days after delivery. An online survey will be conducted post-Cesarean delivery to investigate the primary outcome of PND using EPDS, and those will not complete the online survey received phone calls to conduct the follow-up surveys.
Intervention MeSH terms: Anesthetics
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: There are two models for this study. The first group is general anesthesia group. The second one is spinal anesthesia group
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Anesthesia; Postnatal depression; Cesarean delivery