Antepartum Depressive Symptomatology Is Associated With Adverse Obstetric and Neonatal Outcomes

Chung, Tony K.H.; Lau, Tze Kin; Yip, Alexander S.K.; Chiu, Helen F. K.; Lee, Dominic T.S.

doi:10.1097/00006842-200109000-00017

Cited by 433 publications

(317 citation statements)

References 22 publications

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“…A previous study (Chung et al, 2001) reported that depression in late pregnancy was associated with an increased risk of epidural analgesia, operative deliveries (cesarean sections and instrumental vaginal deliveries) and supported by another study (Andersson et al, 2004) which found that planned cesarean delivery and epidural analgesia during labour were also significantly more common in women with antenatal depression and/or anxiety.…”

Section: A Fadzil Et Almentioning

confidence: 71%

Risk factors for depression and anxiety among pregnant women in Hospital Tuanku Bainun, Ipoh, Malaysia

Fadzil

Balakrishnan²,

Razali

et al. 2013

Asia-Pacific Psychiatry

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Introduction: Anxiety and depression are prevalent during pregnancy. Estimates of the prevalence of anxiety and depression during pregnancy vary according to the criteria used, variable methodologies and population characteristics. Methods: A cross-sectional survey design was used. A total of 175 antenatal mothers participated. Their socio-demographic and obstetric histories were recorded. The Hospital Anxiety and Depression Scale (HADS) and Mini International Neuropsychiatric Interview (M.I.N.I.) were used. Results: The prevalence of anxiety and depression disorders among antenatal mothers using diagnostic clinical interview were 9.1% and 8.6%, respectively. Factors associated with antenatal anxiety were marital status (being unmarried), positive history of mental illness, gestational age (<20 weeks), unplanned pregnancy and depressive comorbidity. However, only gestational age of less than 20 weeks and depressive disorder remained significant factors in the multivariate analysis. Discussion: The prevalence rate of antenatal depression detected by HADS screening was comparable to the rate from diagnostic interview, but there was a slight overestimation for antenatal anxiety. Nonetheless, HADS as a screening tool offers a practical solution for detecting these two conditions in a busy antenatal clinic or a large epidemiological survey. In view of the deleterious effects of antenatal anxiety and depression on mothers and children, these two conditions should be screened and managed appropriately.

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Section: A Fadzil Et Almentioning

confidence: 71%

Risk factors for depression and anxiety among pregnant women in Hospital Tuanku Bainun, Ipoh, Malaysia

Fadzil

Balakrishnan²,

Razali

et al. 2013

Asia-Pacific Psychiatry

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“…Previous studies evaluating maternal depression during the second or third trimester reported prevalence levels of 7.0 % in the USA [6], 13.9 % in England [28], and 17.4 % in Sweden [29] using the EPDS, and 8.7 % in Hong Kong using the Beck Depression Scale [30]. However, the prevalence of depression during pregnancy based on the DSM-III-R Major Depressive Episode in Japan was reported to be 5.6 % [31].…”

Section: Prevalence Of Maternal Depression and Scoring Of Infant Devementioning

confidence: 97%

Association between maternal antenatal depression and infant development: a hospital-based prospective cohort study

Otake

Nakajima

Uno

et al. 2013

Environ Health Prev Med

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Objective To examine the association between antenatal depression and infant development after controlling for confounding factors. Methods A hospital-based prospective cohort study (Hokkaido Study on Environment and Children's Health) was conducted between July 2002 and October 2005 in Sapporo, Japan. Of 309 mothers who delivered at Sapporo Toho Hospital during the study period and who agreed with the clinical assessment of depression, 154 mother-infant pairs were eligible for analysis. Antenatal depression was assessed between the second and third trimesters using the Edinburgh Postnatal Depression Scale (EPDS), and infant development was assessed at 6 months by the Bayley Scales of Infant Development II (BSID-II). Data on potential confounders, including socioeconomic status, birth complications, postnatal depression and child care environment, were obtained from medical records and selfadministered questionnaires. Univariable and multivariable analyses were conducted in which the EPDS score was entered as an independent variable and the BSID-II scores as a dependent variable, adjusting for confounders. Results Although the antenatal EPDS score tended to be related to the BSID-II score in the univariable analysis, this correlation was lost in the multivariable analysis. However, based on a series of linear regression analyses, antenatal depression was found to be significantly related to shorter gestational age (b = -0.25, 95 % confidence interval (CI) [-1.20, -0.17]), and shorter gestational age was significantly related to a lower BSID-II (mental development) score (b = 0.23, 95 % CI [0.00, 0.00]). Conclusions Gestational age is an important confounder in the association between maternal antenatal depression and infant development. A delay in infant development may be related to a shorter gestational period caused by maternal depression during pregnancy.

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“…Se ha documentado que las mujeres deprimidas presentan un riesgo incrementado de complicaciones obstétricas (10) , tales como cesárea, partos instrumentados, necesidad de analgesia epidural y mayor número de admisiones a unidades de cuidados intensivos, así como de prematuridad, retardo del crecimiento intrauterino y microcefalia. En el primer año de vida, los hijos de mujeres deprimidas tienen mayor riesgo de que se retrase la lactancia, no se cumplan los esquemas de vacunación, mayor frecuencia de episodios diarreicos y, por ende, desnutrición; además, existen reportes de retardo del desarrollo motor y social (11) .…”

Section: El Embarazo No Deseado Un Factor De Riesgo Para Depresiónunclassified

Salud mental y aborto terapéutico

Rondón

2016

An Fac med

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ResumenSe revisa el concepto de salud para argumentar que el componente mental es inherente al bienestar integral, estando la salud mental y la física íntimamente interrelacionadas. Se describe la relación entre depresión y eventos del ciclo reproductivo, especialmente en cuanto al riesgo que supone el embarazo no deseado, que es un factor de riesgo para depresión posparto reportado en investigaciones realizadas en diversos lugares del mundo. Siendo así, las mujeres que presentan factores de riesgo para depresión (historia de padecimiento depresivo previo, antecedentes de adversidad o trauma en la infancia o exposición a la violencia, la historia familiar de trastorno afectivo, pobreza y falta de soporte social, enfermedades físicas concomitantes, y la mala salud del feto) deben recibir la información suficiente que les permita decidir si desean interrumpir la gestación por indicación terapéutica para proteger su salud mental. Se ofrecen recomendaciones prácticas para el reconocimiento y manejo de estas mujeres. Palabras clave. Salud mental; Embarazo no Deseado; Depresión. Abstract The concept of health is reviewed to argue that the mental component as inherent to the integral wellbeing, since mental and physical health are closely related. The relationship between depression and events of the reproductive cycle is described, especially concerning the risk posed by unwanted pregnancy, a risk factor for postpartum depression as reported in studies conducted in various parts of the world. Consequently, women with depression risk factors (history of previous depressive ailment, background of infant adversity or trauma or exposition to violence, family history of affective disorder, poverty and lack of social support, concomitant physical ailments, and altered fetus health) should receive information to allow them to decide if they wish to interrupt pregnancy for therapeutic reasons in order to protect their mental health. Practical recommendations to recognize and manage these women are presented. INTRODUCCIÓNLa definición de salud consagrada por la OMS (un estado de bienestar físico, psíquico y social y no la mera ausencia de enfermedad) integra los aspectos biológicos, sicológicos y sociales del bienestar y permite afirmar, como lo hace la Convención para la Eliminación de todas las Formas de Discriminación contra las Mujeres, que las mujeres tienen el derecho a gozar del más alto nivel disponible de salud física y mental. En ese sentido, la protección de la salud de las mujeres proporcionada por los instrumentos que garantizan el acceso al aborto por indicación terapéutica debe incluir la protección de la salud mental.La OMS ha definido la salud mental como el estado de bienestar que permite a cada individuo realizar su potencial, enfrentarse a las dificultades usuales de la vida, trabajar productiva y fructíferamente y contribuir con su comunidad (1) .Este concepto tiene, por cierto, un propósito didáctico para facilitar la capacitación y los procesos de prestación de servicios, al hacer referencia a una dimen...

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Antepartum Depressive Symptomatology Is Associated With Adverse Obstetric and Neonatal Outcomes

Cited by 433 publications

References 22 publications

Risk factors for depression and anxiety among pregnant women in Hospital Tuanku Bainun, Ipoh, Malaysia

Risk factors for depression and anxiety among pregnant women in Hospital Tuanku Bainun, Ipoh, Malaysia

Association between maternal antenatal depression and infant development: a hospital-based prospective cohort study

Salud mental y aborto terapéutico

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