Obstetric anesthesia

Cerebrospinal fluid proteome of patients with persistent pain and/or postpartum depression after elective cesarean delivery: An exploratory prospective cohort study

J Clin AnesthPublished Prospective cohort study

Authors' conclusion

These results suggest that the CSF complement and coagulation cascades may play a role in patients who develop postpartum pain or PPD 3 months later.

Study context

Population
Patients undergoing elective cesarean delivery (CD) under neuraxial anaesthesia61 analysed
Participants
Eighty patients
Exposure
Persistent pain and/or PPD vs neither disorder at 3 months post-CD
  • Persistent pain and/or PPDn = 21
Outcome
Preoperative CSF proteome changes associated with persistent pain or PPD
Follow-up
3 months post-CD
Methodological detailsexploratory
  • Exploratory

Main finding

As reported in the abstract

Preoperative CSF proteome
Proteins quantified in each CSF sample
Over 1600
Proteins nominally differentially expressed, persistent pain and/or PPD vs neither
Forty-three

Observational data: associations, not effects.

Original publication

Cerebrospinal fluid proteome of patients with persistent pain and/or postpartum depression after elective cesarean delivery: An exploratory prospective cohort study. J Clin Anesth. Published 5 May 2025. doi:10.1016/j.jclinane.2025.111855

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