Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2023, Vol. 19 ›› Issue (02): 156 -161. doi: 10.3877/cma.j.issn.1673-5250.2023.02.006

Forum

Current research status on correlation between perinatal anxiety/depression and labor pain

Jingjing Wu1, Qian Hu2, Huafeng Li1,()   

  1. 1Department of Anesthesiology, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
    2Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
  • Received:2022-12-29 Revised:2023-03-09 Published:2023-04-01
  • Corresponding author: Huafeng Li
  • Supported by:
    Project of Health Department of Sichuan Province(2020-1703); Sichuan Province Academic Leader Training Fund project(Human Resources and Social Security Department of Sichuan Province(2017)919-26)

Perinatal anxiety/depression is a different manifestation of excessive stress, including pregnancy anxiety/depression and postpartum anxiety/ depression. It refers to a woman′s psychosomatic stress response to internal and external stressful events from the beginning of pregnancy to 12 months after delivery. Perinatal anxiety may develop into excessive anxiety, and excessive anxiety failure may develop into perinatal anxiety/depression. The global incidence of perinatal anxiety/depression is about 10%-21%. Perinatal anxiety/depression can increase the incidence of obstetric diseases and aggravate labor pain in women, increase the rate of maternal self-injury and suicide, and may also lead to adverse outcomes in children and families, causing serious social burdens. Therefore, it has been paid more attention in clinic. Perinatal anxiety/depression is associated with many factors, and new studies have focused on the relationship between labor pain (LP) and perinatal anxiety/depression. Existing studies have shown that anxiety/depression during pregnancy can aggravate LP, which may also continue to postpartum as postpartum anxiety/depression. However, whether LP is directly related to postpartum anxiety/depression is controversial. The author intends to elaborate the latest research status of correlation between the perinatal anxiety/depression and LP from the following three aspects: the correlation between anxiety/depression during pregnancy and LP, the correlation between LP and postpartum anxiety/depression, and the correlation between anxiety/depression during pregnancy and postpartum anxiety/depression, in order to provide a reference for related further clinical research.

图1 孕产妇担忧-焦虑-疼痛恶性循环示意图
[1]
ACOG committee opinion No. 757: screening for perinatal depression[J]. Obstet Gynecol, 2018, 132(5): e208-e212. DOI: 10.1097/AOG.0000000000002927.
[2]
Cheng CY, Chou YH, Chang CH, et al. Trends of perinatal stress, anxiety, and depression and their prediction on postpartum depression[J]. Int J Environ Res Public Health, 2021, 18(17): 9307. DOI: 10.3390/ijerph18179307.
[3]
Van Niel MS, Payne JL. Perinatal depression: a review[J]. Cleve Clin J Med, 2020, 87(5): 273-277. DOI: 10.3949/ccjm.87a.19054.
[4]
Nisar A, Yin J, Waqas A, et al. Prevalence of perinatal depression and its determinants in Mainland China: a systematic review and Meta-analysis[J]. J Affect Disord, 2020, 277: 1022-1037. DOI: 10.1016/j.jad.2020.07.046.
[5]
Accortt E, Mirocha J, Jackman S, et al. Association between diagnosed perinatal mood and anxiety disorders and adverse perinatal outcomes[J]. J Matern Fetal Neonatal Med, 2022, 35(25): 9066-9070. DOI: 10.1080/14767058.2021.2014450.
[6]
Biana CB, Cecagno D, Porto AR, et al. Non-pharmacological therapies applied in pregnancy and labor: an integrative review[J]. Rev Esc Enferm USP, 2021, 55: e03681. DOI: 10.1590/S1980-220X2019019703681.
[7]
Junge C, von Soest T, Weidner K, et al. Labor pain in women with and without severe fear of childbirth: a population-based, longitudinal study[J]. Birth, 2018, 45(4): 469-477. DOI: 10.1111/birt.12349.
[8]
董彦杰,李茜. 疼痛灾难化预测术后疼痛的研究进展[J]. 临床麻醉学杂志2022, 38(3): 295-298. DOI: 10.12089/jca.2022.03.015.
[9]
Sim XLJ, Tan CW, Yeam CT, et al. Association of pain catastrophizing and depressive states with multidimensional early labor pain assessment in nulliparous women having epidural analgesia-a secondary analysis[J]. J Pain Res, 2021, 14: 3099-3107. DOI: 10.2147/JPR.S331703.
[10]
李媚娟,徐琼,李妹燕. 分娩疼痛机制与常用分娩镇痛方法[J]. 国际妇产科学杂志2018, 45(2): 125-129. DOI: 10.3969/j.issn.1674-1870.2018.02.001.
[11]
Michaelides A, Zis P. Depression, anxiety and acute pain: links and management challenges[J]. Postgrad Med, 2019, 131(7): 438-444. DOI: 10.1080/00325481.2019.1663705.
[12]
Çevik SA, Karaduman S. The effect of sacral massage on labor pain and anxiety: a randomized controlled trial[J]. Jpn J Nurs Sci, 2020, 17(1): e12272. DOI: 10.1111/jjns.12272.
[13]
Ebrahimian A, Bilandi RR, Bilandī MRR, et al. Comparison of the effectiveness of virtual reality and chewing mint gum on labor pain and anxiety: a randomized controlled trial[J]. BMC Pregnancy Childbirth, 2022, 22(1): 49. DOI: 10.1186/s12884-021-04359-3.
[14]
Lim G, LaSorda KR, Farrell LM, et al. Obstetric pain correlates with postpartum depression symptoms: a pilot prospective observational study[J]. BMC Pregnancy Childbirth, 2020, 20(1): 240. DOI: 10.1186/s12884-020-02943-7.
[15]
Mo J, Ning Z, Wang X, et al. Association between perinatal pain and postpartum depression: a systematic review and Meta-analysis[J]. J Affect Disord, 2022, 312: 92-99. DOI: 10.1016/j.jad.2022.06.010.
[16]
Tang LJ, Han J, Feng YJ, et al. Comparative study of the efficacy of dexmedetomidine and fentanyl on anxiety and pain of parturients with different COMTva1158met genotypes[J]. BMC Anesthesiol, 2022, 22(1): 84. DOI: 10.1186/s12871-022-01628-2.
[17]
McClain L, Farrell L, LaSorda K, et al. Genetic associations of perinatal pain and depression[J]. Mol Pain, 2019, 15: 1744806919882139. DOI: 10.1177/1744806919882139.
[18]
Deng CM, Ding T, Li S, et al. Neuraxial labor analgesia is associated with a reduced risk of postpartum depression: a multicenter prospective cohort study with propensity score matching[J]. J Affect Disord, 2021, 281: 342-350. DOI: 10.1016/j.jad.2020.12.027.
[19]
Rosseland LA, Reme SE, Simonsen TB, et al. Are labor pain and birth experience associated with persistent pain and postpartum depression? A prospective cohort study[J]. Scand J Pain, 2020, 20(3): 591-602. DOI: 10.1515/sjpain-2020-0025.
[20]
Wang J, Zhao G, Song G, et al. Association between neuraxial labor analgesia and postpartum depression: a Meta-analysis[J]. J Affect Disord, 2022, 311: 95-102. DOI: 10.1016/j.jad.2022.05.095.
[21]
Eckerdal P, Kollia N, Karlsson L, et al. Epidural analgesia during childbirth and postpartum depressive symptoms: a population-based longitudinal cohort study[J]. Anesth Analg, 2020, 130(3): 615-624. DOI: 10.1213/ANE.0000000000004292.
[22]
Kaur A, Mitra S, Singh J, et al. Pain, stress, analgesia and postpartum depression: revisiting the controversy with a randomized controlled trial[J]. Saudi J Anaesth, 2020, 14(4): 473-479. DOI: 10.4103/sja.SJA_814_19.
[23]
Orbach-Zinger S, Landau R, Harousch AB, et al. The relationship between women′s intention to request a labor epidural analgesia, actually delivering with labor epidural analgesia, and postpartum depression at 6 weeks: a prospective observational study[J]. Anesth Analg, 2018, 126(5): 1590-1597. DOI: 10.1213/ANE.0000000000002501.
[24]
Zhang Y, Johnston L, Ma D, et al. An exploratory study of the effect of labor pain management on postpartum depression among Chinese women[J]. Ginekol Pol, 2018, 89(11): 627-636. DOI: 10.5603/GP.a2018.0107.
[25]
Kroll-Desrosiers AR, Nephew BC, Babb JA, et al. Association of peripartum synthetic oxytocin administration and depressive and anxiety disorders within the first postpartum year[J]. Depress Anxiety, 2017, 34(2): 137-146. DOI: 10.1002/da.22599.
[26]
Goutaudier N, Bertoli C, Séjourné N, et al. Childbirth as a forthcoming traumatic event: pretraumatic stress disorder during pregnancy and its psychological correlates[J]. J Reprod Infant Psychol, 2019, 37(1): 44-55. DOI: 10.1080/02646838.2018.1504284.
[27]
Zhuang J, Chen Q, Liu C, et al. Investigating the association between maternal childbirth intention, labor epidural analgesia, and postpartum depression: a prospective cohort study[J]. J Affect Disord, 2023, 324: 502-510. DOI: 10.1016/j.jad.2022.12.108.
[28]
Munro A, George RB, Mackinnon SP, et al. The association between labour epidural analgesia and postpartum depressive symptoms: a longitudinal cohort study[J]. Can J Anaesth, 2021, 68(4): 485-495. DOI: 10.1007/s12630-020-01900-4.
[29]
Tan CW, Sultana R, Kee MZL, et al. Investigating the association between labour epidural analgesia and postpartum depression: a prospective cohort study[J]. Eur J Anaesthesiol, 2020, 37(9): 796-802. DOI: 10.1097/EJA.0000000000001236.
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