Postpartum depression. Postpartum mood disturbance
Conditions
Interventions
Intervention 1: Intervention group: In the group of painless drug delivery in dilation of 4-6 cm, remifentanil will be performed by an anesthesiologist according to the national protocol of painless
Sponsors
Tabriz University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: En Women with first and second pregnancies Age 45-18 years Living in the city of Tabriz Tendency to deliver with remifentanil analgesia and non-drug analgesia Gestational age 42-37 weeks
Exclusion criteria
Exclusion criteria: Multiple pregnancies Chronic or induced or aggravated diseases in pregnancy such as hypertension, cardiovascular disease, diabetes, preeclampsia, etc. Indications for cesarean section such as placenta previa, non-cephalic presentations, abnormal fetal heartbeats, etc. . Having a history of depression based on self-expression or taking anti-anxiety and anti-depressant medications Occurrence of a significant stressful incident in the family during the last 6 months, such as the death of a loved one, separation from a spouse and ... History of cesarean section or uterine incision Abnormal pregnancy trends such as polyhydramnios, oligohydramnios, intrauterine growth disorder Body mass index 35 and above Hospitalization in dilatation after 6 cm Unplanned pregnancy incision Tendency to use other methods of analgesia History of attending physiological delivery classes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Score of Fear of chilbirth from Wijma and Delivery Fear Scale(DFS) questionnaires. Timepoint: Fear during labor will measured at 8 cm dilatation and one month after delivery. Method of measurement: Fear of childbirth in labor using the Delivery Fear Scale (DFS) Measures fear of childbirth. During labor, the researcher reads the ten statements of the scale aloud. The woman responds orally to each phrase with a number between 1 and 10 (1 = "I do not agree at all", 10 = "Strongly agree"; total score 10 to 100). The higher the score, the greater the fear. After starting the intervention, 8 cm dilatation will be completed by the participants through interviews. Cronbach's alpha coefficient for DFS structures in Iran (0.77) has been calculated, which indicates the desired internal compatibility. In other studies, this scale had a Cronbach's alpha coefficient of 0.91, which is similar to the results of Wijma et al. (33). ) Will be measured. The WDE-Q (B) questionnaire was designed by Wijma et al. To measure the severity of fear of childbirth in the postpartum stage. Mothers rate their feelings and personal cognition on a 6-point Likert scale from 0 to 5. In general, the score obtained is the sum of the scores of all items. The range of scores is between zero and 165. A score less than or equal to 37 indicates low fear, a score of 38 to 65 indicates moderate fear, a score equal to or greater than 66 indicates high fear, and a score above 85 indicates severe fear. (34) The higher the fear of childbirth, the higher the score. This questionnaire will be completed at the time of hospitalization. The validity and reliability of this questionnaire in Iran has been confirmed by Mortazavi et al. Cronbach's alpha coefficient is set at 0.914 (51).;Score of Child birth experience in childbirth experience questionnaire (SEQ-2.0). Timepoint: Childbirth experience will be measured one month after delivery. Method of measurement: Thechilbirth experience will be measured using the Childbir | — |
Secondary
| Measure | Time frame |
|---|---|
| Score of childbirth pain. Timepoint: Score of childbirth pain during labor. Method of measurement: To measure the intensity of pain, the VAS: Visual Analogue scale is used, which is the same as the pain ruler.;The duration of the first, second and third stage of labor. Timepoint: The duration of the first, second and third stage of labor during labor. Method of measurement: The duration of the first, second and third stage of labor during labor with in hours or minutes.;Apgar score of baby. Timepoint: Apgar score in first and fifth minute. Method of measurement: Apgar score in first and fifth minute with apgar scale.;Frequency of Postpartum hemorrhage. Timepoint: Postpartum hemorrhage in the first 24 hours. Method of measurement: Postpartum hemorrhage based on document.;Frequency ofcesarian. Timepoint: Delivery Type after chilbirth. Method of measurement: Frequency ofcesarian based on document. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactEsmat Mehrabi
Tabriz University of Medical Sciences
Outcome results
None listed