Actively Recruiting

Age: 18Years +
FEMALE
ID07292649

Maternal Expectations on Labor Analgesia and Risk of Postpartum Depression: An Observational Study

Led by University of Padova · Updated on 2026-04-29

3640

Participants Needed

1

Research Sites

21 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Postpartum Depression (PPD) affects 15% to 20% of women within the first year after childbirth and can cause symptoms like low mood, anxiety, and insomnia, with potential long-term impacts on mother and child. This observational study evaluates whether meeting a mother's expectations about labor pain relief affects the risk of developing PPD. The research is sponsored by the University of Padova and focuses on understanding the relationship between labor analgesia expectations and postpartum mental health. Participants are grouped based on whether their prenatal expectations of labor analgesia matched the actual pain relief received. The interventions studied include epidural analgesia administered via catheter using local anesthetics with or without opioids upon request during labor, single-shot spinal analgesia, or no neuraxial analgesia at all. The study compares outcomes between those whose expectations were met and those whose were not. Women who plan a vaginal delivery will be followed to assess depressive symptoms shortly after birth and up to six months postpartum. Data collection includes measuring the incidence of postpartum depression six months after labor, early signs of depression within 24 to 48 hours after delivery, pain intensity at birth, and the effect of analgesia in those whose expectations were unmet. The study involves informed consent, monitoring, and questionnaires to evaluate psychological outcomes over time.

CONDITIONS

Brief Title

Maternal Expectations on Labor Analgesia and Risk of Postpartum Depression: An Observational Study

Who Can Participate

Age: 18Years +
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed informed consent
  • Planned vaginal delivery (spontaneous or induced)
  • Pregnant women
  • Age over 18 years
Not Eligible

You will not qualify if you...

  • Allergy to local anesthetics
  • Language barrier
  • Contraindications to labor analgesia
  • Delivery by Cesarean section
  • Known history of psychiatric disorders including major depression

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Monitoring

Duration - At delivery/birth

Participants are observed during labor and delivery, including whether they receive epidural analgesia, spinal analgesia, or no neuraxial analgesia, to evaluate their labor analgesia expectations and experiences.

1 visit (in-person)

Long-term Monitoring

Duration - Up to 6 months after labor

Participants are followed to assess early depressive symptoms shortly after delivery and incidence of postpartum depression up to six months after labor.

Follow-up visits at 24 to 48 hours after labor and at 6 months postpartum

Trial Site Locations

Total: 1 location

1

University Hospital of Padova

Padova, Veneto, Italy, 35127

Actively Recruiting

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Research Team

F

Fabrizia Calabrese, MD

G

Giulia Faccioli, MD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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