postpartum depression
Conditions
Interventions
treatment group:epidural labor analgesia with ropivacaine combined with dexmedetomidine
control group:primiparas who reject epidural labor analgesia have a normal delivery
Sponsors
The First Affiliated Hospital, Jiangxi Medical College, Nanchang University
Eligibility
Sex/Gender
Female
Age
20 Years to 35 Years
Inclusion criteria
Inclusion criteria: 1) Cephalic primipar who in line with the diagnostic criteria in labor, and there is no contraindication for epidural analgesia with ropivacaine and dexmedetomidine 2) Age: 20-35 years old. 3) Gestational age: 37-42 weeks. 4) Those with the indication of vaginal trial labor. 5) No history of reproductive tract malformation or uterine disease (such as uterine fibroids, adenomyosis, etc.). 6) There were no medical or surgical complications during the whole pregnancy. 7) No history of alcohol addiction. 8) No previous history of depression and no depression during pregnancy (EPDS score < 10 before delivery). 9) Subjects must voluntarily accept the study with informed consent.
Exclusion criteria
Exclusion criteria: 1) Those who do not meet the inclusion criteria. 2) Position is not normal, such as breech, presentation and persistent occipital transverse surface, after persistent pillow, etc. 3) Multiple pregnancies. 4) Patients with pregnancy complications, such as hypertensive disorders of pregnancy. 5) Patients with fetal distress. 6) Patients with risk factors of prenatal hemorrhage such as placenta previa or placental abruption. 7) Patients with psychosis or previous depression.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Edinburgh Postnatal Depression Scale,EPDS; | — |
Secondary
| Measure | Time frame |
|---|---|
| Apgar score of newborns;Early complications in newborns;Postpartum complications during painless delivery; | — |
Countries
China
Contacts
Public ContactWei Zheng
The First Affiliated Hospital, Jiangxi Medical College, Nanchang University
Outcome results
None listed