BJOG : an international journal of obstetrics and gynaecology
-
Randomized Controlled Trial Multicenter Study Comparative Study
Routine labour epidural analgesia versus labour analgesia on request: a randomised non-inferiority trial.
To assess the effect on mode of delivery of the routine use of labour epidural analgesia (EA) compared with analgesia on request. ⋯ Non-inferiority of routine EA could not be demonstrated in this trial. Routine EA use is likely to lead to more operative deliveries and more maternal adverse effects. The results of our study do not justify routine use of EA.
-
Multicenter Study
Maternal depression from early pregnancy to 4 years postpartum in a prospective pregnancy cohort study: implications for primary health care.
To describe the prevalence of maternal depression from pregnancy to 4 years postpartum, and the risk factors for depressive symptoms at 4 years postpartum. ⋯ Maternal depression is more common at 4 years postpartum than at any time in the first 12 months postpartum, and women with one child at 4 years postpartum report significantly higher levels of depressive symptoms than women with subsequent children. There is a need for scaling up of current services to extend surveillance of maternal mental health to cover the early years of parenting.