Effects of assisted reproductive technology and of women’s quality of life on depressive symptoms in the early postpartum period: a prospective case-control study

Monti, Fiorella; Agostini, Francesca; Paterlini, Marcella; Andrei, Federica; Pascalis, Leonardo De; Palomba, Stefano; Sala, Giovanni Battista La

doi:10.3109/09513590.2014.1000850

Cited by 17 publications

(22 citation statements)

References 27 publications

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“…Successful conceiving usually needs three or more cycles of assisted reproductive technology. Women experience greater physical and mental stress, as well as higher cost during these processes pregnancy planning period (Dornelles, Maccallum, Lopes, Piccinini, & Passos, ), let alone the high miscarriage risk in the first trimester of pregnancy (Monti et al, ). Our study showed that life events during pregnancy were risk factors for antenatal depression, which is in line with the result of previous study (Meijer et al, ).…”

Section: Discussionmentioning

confidence: 99%

The risk factors of antenatal depression: A cross‐sectional survey

Chen

Cross

Plummer

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To investigate the prevalence of depression in the third trimester of pregnancy and identify the related demographic risk factors. Background Antenatal depression as a disabling and treatable disease has a wide‐ranging impact on perinatal women and has received extensive attention from researchers. Design A cross‐sectional survey was conducted at three public hospitals. Methods Demographic questionnaire was developed from the literature review, and depression was assessed using the Edinburgh Postnatal Depression Scale. A binary logistic regression model was used to assess the association between depression and demographic predictors. STROBE checklist for cross‐sectional studies was applied in this paper (see Appendix S1). Result A total of 773 pregnant women participated in the study. 29.6% of participants scored more than 9 points on Edinburgh Postnatal Depression Scale. In the final logistic model, living in rural area, marital satisfaction, assisted reproductive technology, lacking of prenatal health knowledge and life events were strongly significantly associated with antenatal depression. Moreover, living in an extended family, without Medicare insurance, unemployed, working as civil servants or healthcare workers, and lower household income also predicted antenatal depression. However, education level, smoking or drinking before pregnancy was found not to be associated with antenatal depression. Conclusion Our findings suggest that the prevalence of antenatal depression was high. Satisfied with the current marital status, pregnancy without assisted reproductive technology, knowledge of perinatal care and no life events recently were considered as the protective factors for antenatal depression. Relevance to clinical practice Antenatal psychological interventions should focus on how to improve the marital satisfaction and the relationship with their family members. More attentions should be paid to the women who have had some life events recently or received assisted reproductive technology for pregnancy.

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Section: Discussionmentioning

confidence: 99%

The risk factors of antenatal depression: A cross‐sectional survey

Chen

Cross

Plummer

et al. 2019

Journal of Clinical Nursing

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“…This study was limited by the fact that the participants were assigned to three groups based on their mode of conception, but the details of the infertility treatments, such as the cause of infertility and the number of ART cycles, were not considered. 11 In addition, an exclusion criterion of this study was the presence of any mental disorder during pregnancy. It did not include mothers with the presence of any mental disorder during pregnancy; therefore, women with perinatal depression following ART might not have been included in this study.…”

Section: Discussionmentioning

confidence: 99%

“…A population‐based sample of women in the USA who had conceived following any infertility treatment also had no increased risk of post‐partum depressive symptoms . In contrast, an Italian study found that the number of ART cycles, but not the number of conventional infertility treatments, was a factor that predicted the post‐partum psychological state …”

Section: Introductionmentioning

confidence: 94%

“…10 In contrast, an Italian study found that the number of ART cycles, but not the number of conventional infertility treatments, was a factor that predicted the post-partum psychological state. 11 Primiparous women who conceive after ART are generally older than women who conceive naturally; however, both older and younger primiparae have been reported to have a higher risk of postpartum depression than multiparous mothers during the first month post-partum. 12 In a study of primiparous women who had conceived naturally or after ART, structured interviews at 4 months' postpartum revealed no difference in the rate of major depressive disorder by conception method across the three age groups.…”

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confidence: 99%

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Relationship between the mode of conception and depressive symptoms during the first 6 months post‐partum in Japan

Mori

Iwata

Maehara

et al. 2018

Reprod Medicine & Biology

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PurposeTo determine whether conventional treatment and assisted reproductive technology for infertility are associated with depressive symptoms and to identify the predictors of depressive symptoms during the first 6 months' post‐partum.MethodsA prospective cohort design was used, with the participants being recruited from 13 Japanese hospitals. Using self‐report questionnaires, a total of 2709 women (response rate: 71.9%) provided longitudinal data at five time points: during their hospital stay and at 1, 2, 4, and 6 months' post‐partum. The depressive symptoms were measured by using the Japanese version of the Edinburgh Postnatal Depression Scale (EPDS). A logistic regression analysis was used to examine the association between the mode of conception and depressive symptoms and to identify the predictors of the depressive symptoms.ResultsThere was no significant association between the mode of conception and the depressive symptoms at any time point. Six factors that were associated with the EPDS score were first‐time childbirth, emergency cesarean delivery, infant feeding, financial burden, having a male infant, and dissatisfaction with social support.ConclusionThere was no significant relationship between the mode of conception and depressive symptoms. Nursing care should be based on individual assessments that focus on parity, the delivery method, infant feeding method, financial burden, the infant's sex, and social support, rather than on the mode of conception.

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“…Other potential relevant risk factors include sociodemographic factors (abuse, stable relationship, financial difficulties etc. ), obstetric complications and the use of reproductive therapies [28][29][30][31].…”

Section: Introductionmentioning

confidence: 99%

Perinatal Mental Health in Women with Polycystic Ovary Syndrome: A Cross-Sectional Analysis of an Australian Population-Based Cohort

Tay

Teede

Boyle

et al. 2019

JCM

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Women with polycystic ovary syndrome (PCOS) have many risk factors associated with perinatal mental disorders, but research in this area is scarce. This study aims to compare the prevalence of common perinatal mental disorders in women with and without PCOS, and examine the relationship between PCOS and common perinatal mental disorders. We performed a cross-sectional study on self-reported data of 5239 women born between 1973 to 1978 in the Australian Longitudinal Study on Women's Health. Compared with women not reporting PCOS, women reporting PCOS had higher prevalence of antenatal depression (8.9% vs. 4.4%, p < 0.001), antenatal anxiety (11.7% vs. 5.6%, p < 0.001), postnatal depression (26.8% vs. 18.6%, p < 0.001) and postnatal anxiety (18.4% vs. 12.0%, p < 0.001). PCOS was positively associated with antenatal depression and/or anxiety (adjusted odds ratio 1.8, 95% confidence interval 1.2-2.6) but not postnatal depression and/or anxiety after controlling for sociodemographic and lifestyle factors, reproductive history, obstetric complications and pre-existing depression and anxiety. General perinatal guidelines currently do not recognize PCOS as a risk factor and the international evidence based PCOS guideline noted inadequate evidence in this area. This paper addresses the gap in literature and highlights the need to screen for common perinatal mental disorders in women with PCOS.

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Effects of assisted reproductive technology and of women’s quality of life on depressive symptoms in the early postpartum period: a prospective case-control study

Cited by 17 publications

References 27 publications

The risk factors of antenatal depression: A cross‐sectional survey

The risk factors of antenatal depression: A cross‐sectional survey

Relationship between the mode of conception and depressive symptoms during the first 6 months post‐partum in Japan

Perinatal Mental Health in Women with Polycystic Ovary Syndrome: A Cross-Sectional Analysis of an Australian Population-Based Cohort

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