News World Epidural may cut depression risk

Epidural may cut depression risk

Pain relief in pregnancy could have favourable side effects.
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Women who use pain relief during childbirth may have a lower risk of depression after their babies are born, a leading psychiatrist has said.

The NHS says that about one in 10 women suffer from post-natal depression.

New research from China has found that those who have an epidural for pain relief during labour during a normal birth have a lower rate of depression than those who go without.

Those who had the pain relief had a 14 per cent rate of depression at six weeks postpartum compared to nearly 35 per cent for those who did not have an epidural.

The study also found that breastfeeding was more common in the group who had an epidural compared to those who did not.

Commenting on the research, Katherine Wisner, a perinatal psychiatrist professor at Northwestern Medicine in Chicago, said that controlling pain during childbirth and post delivery might reduce the risk of developing the condition.

In an editorial, published in the journal Anesthesia and Analgesia, Wisner said: “Maximising pain control in labour and delivery with your obstetrician and anaesthesia team might help reduce the risk of postpartum depression.

“It’s a huge omission that there has been almost nothing in postpartum depression research about pain during labour and delivery and postpartum depression.

“There is a well-known relationship between acute and chronic pain and depression.

“These findings are quite exciting and further research should be done to confirm them, especially in women at increased risk of postpartum depression and in women from other cultures.

“Pain control gets the mother off to a good beginning rather than starting off defeated and exhausted.”

Wisner said there was no way to have a delivery without pain.

“The objective here is to avoid severe pain,” she said.

“Controlling that delivery pain so a woman can comfortably develop as a mother is something that makes a lot of sense.”