Effect of Previous Miscarriage on Depressive Symptoms During Subsequent Pregnancy and Postpartum in the First Baby Study

Kinsey, Cara Bicking; Baptiste-Roberts, Kesha; Zhu, Junjia; Kjerulff, Kristen H.

doi:10.1007/s10995-014-1521-0

Cited by 30 publications

(8 citation statements)

References 51 publications

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“…In particular, one study ( Bergner et al, 2008 ) found that women with a history of miscarriage suffer more from trait anxiety and pregnancy-specific anxieties, and those who have had recurrent miscarriages also have higher levels of anxiety. However, some studies ( Bicking Kinsey et al, 2015 , Fisher et al, 2010 , Jeong et al, 2013 , Qiao et al, 2009 ) did not find any significant association between previous obstetric history, including a history of either spontaneous or induced abortion, and antenatal anxiety or depression. A history of one or more episiotomies, caesarean section or a previous negative birth experience, have been found to be associated with a high incidence of antenatal anxiety and depression ( Rubertsson et al, 2003 , Waqas et al, 2015 ), but another study found no association between “mode of delivery” and antenatal depression ( Ajinkya et al, 2013 ).…”

Section: Resultsmentioning

confidence: 94%

Identifying the women at risk of antenatal anxiety and depression: A systematic review

Biaggi

Conroy

Pawlby

et al. 2016

Journal of Affective Disorders

1,192

104

952

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BackgroundPregnancy is a time of increased vulnerability for the development of anxiety and depression. This systematic review aims to identify the main risk factors involved in the onset of antenatal anxiety and depression.MethodsA systematic literature analysis was conducted, using PubMed, PsychINFO, and the Cochrane Library. Original papers were included if they were written in English and published between 1st January 2003 and 31st August 2015, while literature reviews and meta-analyses were consulted regardless of publication date. A final number of 97 papers were selected.ResultsThe most relevant factors associated with antenatal depression or anxiety were: lack of partner or of social support; history of abuse or of domestic violence; personal history of mental illness; unplanned or unwanted pregnancy; adverse events in life and high perceived stress; present/past pregnancy complications; and pregnancy loss.LimitationsThe review does not include a meta-analysis, which may have added additional information about the differential impact of each risk factor. Moreover, it does not specifically examine factors that may influence different types of anxiety disorders, or the recurrence or persistence of depression or anxiety from pregnancy to the postpartum period.ConclusionsThe results show the complex aetiology of antenatal depression and anxiety. The administration of a screening tool to identify women at risk of anxiety and depression during pregnancy should be universal practice in order to promote the long-term wellbeing of mothers and babies, and the knowledge of specific risk factors may help creating such screening tool targeting women at higher risk.

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Section: Resultsmentioning

confidence: 94%

Identifying the women at risk of antenatal anxiety and depression: A systematic review

Biaggi

Conroy

Pawlby

et al. 2016

Journal of Affective Disorders

1,192

104

952

View full text Add to dashboard Cite

show abstract

“…There are conflicting findings with regard to the risk for perinatal depression among women with a history of miscarriage, stillbirth, or neonatal death. Some studies report no increased risk of perinatal depression [82, 83], while others report increased risk of PPD [84, 85] during subsequent pregnancies. Pregnant women with a history of miscarriage are more likely to have anxiety symptoms [82] and PTSD [85] than those without a history of miscarriage.…”

Section: Perinatal Lossmentioning

confidence: 99%

Infertility and Perinatal Loss: When the Bough Breaks

Bhat

Byatt

2016

Curr Psychiatry Rep

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Infertility and perinatal loss are common, and associated with lower quality of life, marital discord, complicated grief, major depressive disorder, anxiety disorders, and posttraumatic stress disorder. Young women, who lack social supports, have experienced recurrent pregnancy loss or a history of trauma and / or preexisting psychiatric illness are at a higher risk of experiencing psychiatric illnesses or symptoms after a perinatal loss or during infertility. It is especially important to detect, assess, and treat depression, anxiety, or other psychiatric symptoms because infertility or perinatal loss may be caused or perpetuated by such symptoms. Screening, psychoeducation, provision of resources and referrals, and an opportunity to discuss their loss and plan for future pregnancies can facilitate addressing mental health concerns that arise. Women at risk of or who are currently experiencing psychiatric symptoms should receive a comprehensive treatment plan that includes the following: (1) proactive clinical monitoring, (2) evidence-based approaches to psychotherapy, and (3) discussion of risks, benefits, and alternatives of medication treatment during preconception and pregnancy.

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“…In addition, miscarriages emerged as significantly associated with consanguinity, meaning that women married to a first cousin experienced more miscarriages which, in turn, increased PPD risk. Previous studies have also suggested that miscarriage is a PPD risk factor (Bicking Kinsey et al, 2015;Blackmore et al, 2011;Giannandrea et al, 2013). Miscarriage often causes emotional distress and concerns for future pregnancies, potentially resulting in PPD (He et al, 2019).…”

Section: Direct Predictors Of Ppdmentioning

confidence: 99%

Direct and indirect predictors of postpartum depression symptoms among indigenous Bedouin mothers in Israel

Alfayumi‐Zeadna,

Ghalion,

O'Rourke

et al. 2023

Research in Nursing & Health

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Postpartum depression (PPD) is a common and complex phenomenon with negative outcomes for children, women and their families. This study set out to identify both direct and indirect predictors of PPD symptoms among indigenous Bedouin mothers in Israel. The study included 305 women, 18 to 45 years of age, who were interviewed while pregnant and again, 2 to 4 months postpartum. Interviews were conducted in Arabic and included the Edinburgh Postnatal Depression Scale, administered at both points of measurement. Using path analyses, we identified four significant, direct predictors of PPD symptoms. The strongest was depressive symptoms when pregnant, followed by low relative income, low hemoglobin, and number of prior miscarriages. The latter was significantly associated with consanguinity, meaning that women married to a first cousin experienced more miscarriages which, in turn, increased PPD risk. Low relative income was the only variable that had both a direct and indirect effect upon PPD symptoms (via symptoms of depression when pregnant and hemoglobin). Education and polygamy also emerged as indirect predictors of PPD via depressive symptoms reported during pregnancy. Results suggest a high rate of PPD in this perinatal sample of indigenous women. Our findings underscore the need for tailored interventions to reduce PPD, especially for low‐income Bedouin women, faced with many barriers and insufficient access to healthcare services.

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Effect of Previous Miscarriage on Depressive Symptoms During Subsequent Pregnancy and Postpartum in the First Baby Study

Cited by 30 publications

References 51 publications

Identifying the women at risk of antenatal anxiety and depression: A systematic review

Identifying the women at risk of antenatal anxiety and depression: A systematic review

Infertility and Perinatal Loss: When the Bough Breaks

Direct and indirect predictors of postpartum depression symptoms among indigenous Bedouin mothers in Israel

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