The Correlation Between Maternal Infant Bonding, Pain and Postpartum Depression

Study Overview
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Brief Summary
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The delivery process can be associated with significant maternal pain. which has many long and short term affects. The aim of our study is to assess whether pain during and after childbirth negatively impacts a mother's attachment to her baby (maternal bonding) and the increases the incidence of postpartum depression.

Detailed Description
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Delivery is a process that is correlated with maternal pain. The maternal pain can have signifcant long term and short term maternal and neontal impact. The most common method for pain reilef during delivery is epidural analgesia. Few studies have examined the assocaition between use of epidural analgesia and postpartum depression, with some studies showing a postive correlation and other condricting so. Maternal bonding is defined as her's emotional state, including maternal feelings towards the infant, it has proven to be the basis for the child's later attachment and sense of self. A stable and strong bond between mother and child is associated with positive parental behavior and of the child's cognitive and behavioral development, while a unstable maternal infant bond can may lead to long term matenal and infant complications. The aim of our study is to assess whether pain during and after childbirth negatively impacts a mother's attachment to her baby (maternal bonding) and the increases the incidence of postpartum depression. In this study women the day after labor will be approched , following obtaining consent will be requested to fill out a the PBO vailadited maternal bonding questtionanire , the valadited EPDS (endinbough postpartum depression questionnaire) and a general questionnaire detailing their demographic , obstetric history and pain levels. At six weeks postpartum a member of the research team will call the study participant and ask the PBO and EPDS questionnaires to asses the correlation between delivery pain , maternal bonding and postpartum depression,

Official Title
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The Correlation Between Maternal Infant Bonding , Pain and Postpartum Depression a Prospective Observational Cohort Study

Conditions
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Maternal Care Patterns

Intervention / Treatment
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* Other: Questionnaire


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: *Women whom have given birth at rabin medical center with the ability to follow study requirements. Exclusion Criteria: Women given birth to twins Women who's baby was hospitalized Women who were treated with magnesium Women who's babies were born with congenital malformations

Ages Eligible for Study
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Minimum Age: 18 Months

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Parturients above the age of 18<br>Study participants will include women after labour whom gave birth to a healthy neonate at 37 weeks with the ability to comply with study requirments | Other: Questionnaire<br>* Maternal - Infant bonding questionnaire. EPDS - Postpartum depression questionnaire<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain verbal numerical score after labor and maternal infant bonding. | pain levels graded from one to ten will be correlated with maternal infant bonding | 24 hours after labor | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain verbal numerical score after labor and postpartum depression | pain levels graded from one to ten will be correlated with postpartum depression defined as a score of above 10 on the edinbough postpartum depression score questionnaire | 6 weeks after labor |