• Pain Manag Nurs · Aug 2024

    Association Between Pain During Pregnancy and Postpartum Depressive Symptoms in Adolescent and Adult Women.

    • Bárbara Brenda de Araújo Faria, Sabrina Gabrielle Gomes Fernandes Macêdo, Catherine M Pirkle, and Saionara M A Câmara.
    • Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte (FACISA/UFRN), Santa Cruz, Rio Grande do Norte, Brazil.
    • Pain Manag Nurs. 2024 Aug 13.

    IssuePostpartum depressive symptoms may be more prevalent and/or severe in vulnerable populations.BackgroundPostpartum depression represents a serious mental health problem associated with maternal suffering. Despite the relevance and clinical implications of investigating pain during pregnancy and the association with postpartum depression, there is limited research on this topic.AimWe evaluated the association between pain during pregnancy and postpartum depression symptoms in adolescent and adult women.MethodsThis study included 86 pregnant women (42 adolescents aged 13 to 18 years and 44 adults aged 23 to 28 years) from Trairi region, Northeastern Brazil. The evaluation of pain intensity and postpartum depression symptoms was conducted using the validated instruments of the Pelvic Pain Assessment Form and Edinburgh Postnatal Depression Scale (EPDS), respectively. Mann-Whitney and Kruskal-Wallis tests compared depressive symptoms in relation to pain status.FindingsOverall, pregnant women reporting moderate to intense pain presented more depressive symptoms, with emphasis to "deep pain with intercourse" (p = .09), "burning vaginal pain after sex" (p = .01), "pelvic pain lasting hours or days after intercourse" (p = .06), and "pain with urination" (p = .09). When stratified by age group, significant associations were found only for the adolescents.DiscussionOur results suggest that women reporting pain in different daily situations have higher EPDS scores.ConclusionPain during pregnancy is associated with postpartum depression symptoms, mainly among adolescents. Adequate screening and pain management during pregnancy may improve women's quality of life.Copyright © 2024 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

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