Psyche: The 5th 'P' and its Associated Impact on the Second Stage of Labor.

Autor: Gimovsky AC; Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, Providence, RI., Rasiah SS; Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, Providence, RI., Vergara-Lopez C; Center for Behavioral and Preventive Medicine, The Miriam Hospital; Department of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University, Providence, RI., Has P; Lifespan Biostatistics, Epidemiology and Research Design, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, RI., Ayala NK; Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, Providence, RI., Stroud LR; Center for Behavioral and Preventive Medicine, The Miriam Hospital; Department of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University, Providence, RI.
Jazyk: angličtina
Zdroj: Rhode Island medical journal (2013) [R I Med J (2013)] 2024 Jan 04; Vol. 107 (1), pp. 37-44. Date of Electronic Publication: 2024 Jan 04.
Abstrakt: Objective: Patients with depression during labor display dysregulated patterns of oxytocin release and this may impact second stage of labor. The objective of this study was to evaluate the association between maternal preconception and antenatal depressive disorders on the duration of second stage of labor and perinatal outcomes.
Study Design: Secondary analysis of patients enrolled in the Behavioral and Mood in Mothers, Behavior in Infants study who reached the second stage of labor. Participants were assigned to: pre-conception only major depressive disorder (MDD), prenatal major depressive disorder, and non-depressed controls. Primary outcome was prolonged second stage of labor. Secondary outcomes included perinatal morbidities.
Results: 172 patients were included. 24.4% (42/172) participants had preconception-only MDD, 42.4% (73/172) patients had prenatal MDD, and 33.1% (57/172) patients had as non-depressed controls. The adjusted pair-wise analysis between groups showed no significant difference in the duration of second stage. No statistically significant differences were noted between groups for adverse neonatal outcomes.
Conclusion: Maternal depressive disorders did not impact length of second stage of labor or immediate perinatal outcomes.
Databáze: MEDLINE
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