Labor Epidural Analgesia and Mother-Infant Bonding After Vaginal Delivery

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age18-40
SponsorAtaturk University

About this trial

This prospective observational cohort study aims to evaluate the association between postpartum recovery quality and mother-infant bonding in women undergoing vaginal delivery. Postpartum recovery quality will be assessed using the Obstetric Quality of Recovery-10 (ObsQoR-10) questionnaire, and mother-infant bonding will be evaluated using the Postpartum Bonding Questionnaire (PBQ).

Participants will be grouped according to routine clinical labor analgesia preference: women receiving labor epidural analgesia and women not receiving epidural analgesia. Additional assessments will include postpartum pain intensity, anxiety, depressive symptoms, and birth satisfaction.

Baseline psychological assessments will be performed before delivery. The primary postpartum evaluation will be conducted between 6 and 24 hours after delivery. Exploratory follow-up assessments will be performed by telephone during postpartum week 2.

The study aims to better understand the relationship between labor analgesia, postpartum recovery, and early mother-infant bonding outcomes after vaginal delivery.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Female participants aged 18 to 40 years

Term singleton pregnancy (≥37 weeks)

Planned vaginal delivery

ASA physical status II

Disqualifiers

Contraindications to epidural analgesia including coagulopathy, anticoagulant use, infection, or increased intracranial pressure

Cesarean delivery

High-risk pregnancy

Neonatal intensive care unit requirement

Trial population

Women with term singleton pregnancy planning vaginal delivery at Atatürk University Research Hospital will be enrolled. Participants will be grouped according to routine clinical labor epidural analgesia preference.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Labor Epidural Analgesia

    Procedure/Surgery

    Epidural analgesia administered during labor as part of routine clinical care for pain management during vaginal delivery.

Treatment groups

140 Participants
are divided into 2 treatment groups
Group A: Labor Epidural Analgesia1 intervention
Group B: No Labor Epidural Analgesia0 interventions

Trial outcomes

Primary outcomes

1

Mother-Infant Bonding Score

Mother-infant bonding will be assessed using the Postpartum Bonding Questionnaire (PBQ), a 25-item scale with a total score ranging from 0 to 125. Lower scores indicate better mother-infant bonding, while higher scores indicate poorer bonding.

Time frame
6 to 24 hours after vaginal delivery

Secondary outcomes

1

Postpartum Recovery Quality Score

Postpartum recovery quality will be assessed using the Obstetric Quality of Recovery-10 (ObsQoR-10) questionnaire. Higher scores indicate better postpartum recovery quality.

Time frame
6 to 24 hours after vaginal delivery
2

Postpartum Pain Intensity

Postpartum pain intensity will be assessed using the Visual Analog Scale (VAS) or Numeric Rating Scale (NRS).

Time frame
6 to 24 hours after vaginal delivery
3

Postpartum Anxiety Level

Postpartum anxiety level will be assessed using the STAIS-5 questionnaire.

Time frame
6 to 24 hours after vaginal delivery
4

Postpartum Depressive Symptoms

Postpartum depressive symptoms will be assessed using the Edinburgh Postnatal Depression Scale (EPDS).

Time frame
6 to 24 hours after vaginal delivery

Other outcomes

Sponsors and contacts

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