EFFECT OF PAIN LEVEL ON RISK OF POSTPARTUM DEPRESSION IN WOMEN AFTER CESAREAN SECTION

Background
Mood disorders in puerperae can occur irrespective of the type of childbirth, however, studies indicate that postpartum depression (PPD) is more common in women after Cesarean section (CS). A factor potentially influencing the occurrence of mood disorders is the experience of perinatal pain. This study assessed the relationship between pain and the risk of PPD.

Material and methods
The study involved 84 puerperae after CS, divided into two groups. In group A, physiotherapeutic treatment was carried out to reduce pain, while group B consisted of patients under the care of midwives. Postpartum pain and comfort levels as well as risk of PPD were assessed.

Results
The level of pain experienced by the puerperae negatively correlates with their declared level of comfort. The risk of PPD is greater the more severe the level of pain experienced.

Conclusions
Lower pain levels have a positive impact on the comfort experienced by puerperae and reduce the risk of PPD. In view of the ever-increasing percentage of surgical deliveries and the increasing number of women with mood disorders, it seems that the issue of pain relief after CS needs more attention. Existing standards should be expanded to include additional effective forms of pain relief.