| Popis: |
Purpose The objective of this study was to evaluate the impact of maternal preconception and antenatal depressive disorders on the duration of the second stage of labor and subsequent perinatal outcomes. Methods This is retrospective study of patients who reached the second stage of labor. Patients with a non-anomalous, singleton gestation in cephalic presentation were included. Participants were assigned to one of three groups: pre-conception only major depressive disorder (MDD), prenatal major depressive disorder, and non-depressed controls. The primary outcome was prolonged second stage of labor. Secondary outcomes included maternal and neonatal morbidities. Results 172 patients were included. 24.4% (42/172) participants had preconception-only MDD, 42.4% (73/172) patients were categorized as having prenatal MDD, and 33.1% (57/172) patients were categorized as non-depressed controls. The second stage was prolonged in 13.8% (4/29) of the preconception MDD group, 8.3% (4/48) of the prenatal MDD group, and 10.0% (4/40) of the control group (p = 0.69). The adjusted pair-wise analysis between groups showed no significant difference in the duration of the second stage. There were significantly more cesarean births due to arrest of descent in the control group and prenatal MDD group compared to the pre-conception MDD group. No statistically significant differences were noted between the groups for adverse neonatal outcomes. Conclusion Maternal depressive disorders did not impact length of the second stage of labor or immediate perinatal outcomes in this cohort. However, further studies are needed to determine whether maternal depression impacts other perinatal outcomes related to the second stage of labor. |
