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dc.contributor.authorRosseland, Leiv Arne
dc.contributor.authorReme, Silje Endresen
dc.contributor.authorSimonsen, Tone Breines
dc.contributor.authorThoresen, Magne
dc.contributor.authorNielsen, Christopher Sivert
dc.contributor.authorEberhard Gran, Malin
dc.date.accessioned2020-06-03T08:14:17Z
dc.date.available2020-06-03T08:14:17Z
dc.date.embargoEndDate2021-05-29
dc.date.issued2020-05-29
dc.description.abstract<i>Background and aims</i> - A considerable research-literature focuses on pain during labor and associations with postpartum persistent pain and depression, with findings pointing in various directions. The aim of this study was to examine the role of labor pain and overall birth experience in the development of pain and depression 8 weeks after delivery.<p><p> <i>Methods</i> - The study sample was drawn from the Akershus Birth Cohort. Data from multiple sources were used, including the hospital’s birth record (n = 4,391), questionnaire data from gestational week 17 of pregnancy (n = 3,752), 8 weeks postpartum (n = 2,217), and two questions about pain and birth experience asked within 48 h after delivery (n = 1,221). The Edinburgh Postnatal Depression Scale was used to measure postpartum depression, a single question was used to measure persistent pain 8 weeks postpartum, while pain and birth experience were measured by numeric rating scales. A history of pre-pregnant depression and chronic pain were measured through self-report questions in gestational week 17. A total of 645 women had complete data from all sources. We applied multiple imputation techniques to handle missing responses on the two questions about pain and birth experience.<p><p> <i>Results</i> - The results showed that neither labor pain nor birth experience were associated with persistent pain 8 weeks postpartum, whereas pain before pregnancy (OR 3.70; 95% CI 2.71–5.04) and a history of depression (OR 2.31; 95% CI 1.85–2.88) were statistically significant predictors of persistent pain. A negative birth experience was significantly (OR 1.16; 95% CI 1.04–1.29) associated with postpartum depression, whereas labor pain intensity was not. A history of depression (OR 3.95; 95% CI 2.92–5.34) and pre-pregnancy pain (OR 2.03; 95% CI 1.37–3.01) were important predictors of postpartum depression 8 weeks after delivery.<p><p> <i>Conclusions and implications</i> - Whilst the relationship between labor pain intensity and postpartum pain and depression remain unclear, our results do imply the need to screen for previous depression and chronic pain conditions in pregnant women, as well as consider preventive measures in those who screen positive.en_US
dc.identifier.citationRosseland LA, Reme SE, Simonsen TB, Thoresen M, Nielsen CS, Eberhard Gran. Are labor pain and birth experience associated with persistent pain and postpartum depression? A Prospective Cohort Study . Scandinavian Journal of Pain. 2020en_US
dc.identifier.cristinIDFRIDAID 1813442
dc.identifier.doihttps://doi.org/10.1515/sjpain-2020-0025
dc.identifier.issn1877-8860
dc.identifier.issn1877-8879
dc.identifier.urihttps://hdl.handle.net/10037/18428
dc.language.isoengen_US
dc.publisherDe Gruyteren_US
dc.relation.journalScandinavian Journal of Pain
dc.rights.accessRightsembargoedAccessen_US
dc.rights.holder©2020 Scandinavian Association for the Study of Pain. Published by Walter de Gruyter GmbH, Berlin/Boston. All rights reserved.en_US
dc.subjectVDP::Medical disciplines: 700en_US
dc.subjectVDP::Medisinske Fag: 700en_US
dc.titleAre labor pain and birth experience associated with persistent pain and postpartum depression? A Prospective Cohort Studyen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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