Clinical trial NCT05206552: The Correlation Between Maternal Infant Bonding, Pain and Postpartum Depression
Official title: The Correlation Between Maternal Infant Bonding , Pain and Postpartum Depression a Prospective Observational Cohort Study
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Maternal Care Patterns
Lead sponsor: Rabin Medical Center
Sponsor class: OTHER
First posted: 2022-01-25
Enrollment: 200
Sex: FEMALE
Minimum age (years): 18
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Women whom are the day after labor, who are above the age 18, have given birth to a healthy neonate from 37 weeks of gestation and are able to comply with study requirments

Brief summary: 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: 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,

Eligibility criteria: 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

Primary outcomes:
measure: Pain verbal numerical score after labor and maternal infant bonding.
timeFrame: 24 hours after labor
Secondary outcomes:
measure: Pain verbal numerical score after labor and postpartum depression
timeFrame: 6 weeks after labor
Other outcomes:
Locations:
city: Petach tikvah
country: Israel
facility: Beilinson hospital
Study officials:
affiliation: Rabin Medical Center
name: sharon orbach-zinger
role: PRINCIPAL_INVESTIGATOR
References: