Obstetric anesthesia

Factors influencing the choice of lumbar epidural analgesia and its association with postpartum depression risk

Eur J AnaesthesiolPublished Longitudinal cohort study

Authors' conclusion

Social and psychological vulnerabilities influence a woman's decision to opt for LEA during childbirth. LEA was not associated with PPD in adjusted models.

Study context

Population
Women with an intended vaginal delivery, Uppsala University Hospital, Sweden, 2010 to 2019 (excluding twins, elective caesarean section, induction of labour)BASIC study
Participants
4,436 women
Exposure
Lumbar epidural analgesia (LEA) vs no LEA
Outcome
Factors influencing the choice of LEA
Methodological detailssingle-centre, Bayesian models
  • Single-centre
  • Bayesian models

Main finding

As reported in the abstract

Choice of LEA

Observational data: associations, not effects.

Secondary outcomes

PPD · 6 to 8 weeks and 6 months postpartum

LEA associated with higher odds of PPD in the crude model; no longer statistically significant after adjusting for confounders and mediators

Original publication

Factors influencing the choice of lumbar epidural analgesia and its association with postpartum depression risk. Eur J Anaesthesiol. Published 21 March 2025. doi:10.1097/eja.0000000000002180

Composed by AI from the published abstract and checked against it. How Briefs are made →

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