Relationship Between Postpartum Mood Disorders and Delivery Experience

University of Michigan

Status: Completed

Conditions: Stress Disorders, Post-Traumatic; Depression; Postpartum Period

Study type: Observational

Funder types: Other

Identifiers

NCT03004872

HUM00119428

Details and patient eligibility

About

The purpose of this study is to evaluate potential risk factors for developing postpartum depression or posttraumatic stress disorder during the first year postpartum in patients who have no preexisting history of PTSD or PPD.

Full description

It is theorized that poor pain control during labor and cesarean delivery, non-elective inductions, unplanned surgeries such as urgent/emergent cesarean delivery or operating room management of postpartum hemorrhage, and opioid abuse/addiction are risk factors for developing postpartum depression (PPD) or post-traumatic stress disorder (PTSD) after delivery. This study will, through questionnaires, interviews, and examination of the medical record, seek to identify whether and how strongly such correlations exist during the first year postpartum in patients who have no preexisting history of these conditions.

Enrollment: 600 patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Woman planning on giving birth at the University of Michigan
• Speaks English without translator
• Live pregnancy not desiring termination
• Smartphone owner
• Woman whose delivery date is >28 weeks gestational age

Exclusion criteria

• History of previous postpartum depression (PPD) or posttraumatic stress disorder (PTSD) from a birth experience
• Non-English speaker requiring a translator
• Patients who have a fetus with major fetal anomalies
• Positive screening at 28 weeks antepartum for Edinburgh Postnatal Depression Scale (EPDS) or Primary Care PTSD (PC-PTSD) screen