Postpartum Depression in the Covid-19 Pandemic and the Impact of Anaesthesia

Study Overview
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Brief Summary
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The aim of this multicenter prospective study is to evaluate the association between the Covid-19 pandemic maternal psychological distress with the postpartum depression, demographic and anaesthesiologic variables

Official Title
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Postpartum Depression in the Covid-19 Pandemic and the Impact of Anaesthesia

Conditions
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Postpartum Depression, Psychological Stress, Maternal Distress

Intervention / Treatment
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* Other: PHQ-9 (Patient Health Questionnaire) Depression Scale
* Other: GAD-7 (General Anxiety Disorder) scale
* Other: 38 questions questionnaire
* Other: EPDS (Edinburgh Postnatal Depression Scale)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All pregnant women over the age of 18 that present for labour (vaginal delivery or caesarean section) Exclusion Criteria: Not eligible in writing and reading in Greek Drug abuse

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Maternal Group<br>Pregnant women in labour (vaginal delivery or caesarean section) that are admitted to the hospital. Pre-labour 3 different questionnaires are administered to evaluate depression, general anxiety disorder and the association to the covid-19 pandemic. 40 days post delivery via telephone contact 2 questionnaires are administered, one in order to assess the postpartum disorder the other to assess depression. | Other: PHQ-9 (Patient Health Questionnaire) Depression Scale<br>* 9 question questionnaire for assessment of depression<br>Other: GAD-7 (General Anxiety Disorder) scale<br>* 7 question questionnaire for assessment of General Anxiety Disorder<br>Other: 38 questions questionnaire<br>* 38 questions questionnaire<br>Other: EPDS (Edinburgh Postnatal Depression Scale)<br>* 10 questions scale for detection of postpartum depression<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Correlation between the Covid-19 pandemic and postpartum depression with EPDS scale (Edinburgh postnatal depression scale) | Prevalence of postpartum depression during the Covid-19 pandemic with EPDS scale (Edinburgh postnatal depression scale) | 40 days postpartum | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Correlation between the Covid-19 pandemic, postpartum depression and type of anaesthesia (general, epidural, spinal, combined, epidural analgesia for vaginal delivery) | Association between the Covid-19 pandemic, postpartum depression and type of anaesthesia (general, epidural, spinal, combined, epidural analgesia for vaginal delivery) | 10 minutes postpartum | 
| Correlation between the Covid-19 pandemic, postpartum depression and postpartum pain | Association between the Covid-19 pandemic, postpartum depression and postpartum pain assessed during postanesthesia care unit stay assessed by Numeric Pain Rating Scale (Scale 0-10 where 0 equals no pain and 10 maximum possible pain) | 2 minutes prior to discharge from the Postanaesthesia care unit | 
| Correlation between the Covid-19 pandemic, postpartum depression and postpartum pain | Association between the Covid-19 pandemic, postpartum depression and postpartum pain assessed during postanesthesia care unit stay assessed by Numeric Pain Rating Scale (Scale 0-10 where 0 equals no pain and 10 maximum possible pain) | 2 minutes after admission to the Postanaesthesia care unit | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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postpartum depression, Covid-19 pandemic, anaesthesia