Interventions (other than pharmacological, psychosocial or psychological) for treating antenatal depression

Dennis, Cindy‐Lee; Allen, Kimberly A.

doi:10.1002/14651858.cd006795.pub2

Cited by 37 publications

(20 citation statements)

References 53 publications

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“…The childbearing attitude prevalent among Chinese exerts a strong influence regarding the desirability of attaining pregnancy and meeting cultural expectations of having children. Therefore, results of this current study confirm that the psychological stress from identifying maternal role and altering body structure and body function among IVF women with increasing gestational week made their psychological stress during the early stages of pregnancy more obvious (Dennis & Allen, 2008;Kuo et al, 2008;Lee & Kuo, 2000;Meades & Ayers, 2011). This is reasonable, because family members often remind IVF women about the need to be careful because of the amount of effort required to become pregnant.…”

Section: Discussionsupporting

confidence: 72%

Comparison of Pregnancy Stress Between In Vitro Fertilization/Embryo Transfer and Spontaneous Pregnancy in Women During Early Pregnancy

Shih

Chen

Chiao

et al. 2015

Journal of Nursing Research

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The results of this study provide clinical evidence that IVF/ET does not cause more stress for women than spontaneous pregnancy. However, the intensity and trend of stresses differed between these two groups. These findings suggest that nurses should consider method of pregnancy when assessing the risk of stress in expectant mothers for each gestational week and when providing appropriate care and support.

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Section: Discussionsupporting

confidence: 72%

Comparison of Pregnancy Stress Between In Vitro Fertilization/Embryo Transfer and Spontaneous Pregnancy in Women During Early Pregnancy

Shih

Chen

Chiao

et al. 2015

Journal of Nursing Research

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“…Researches have indicated the effect of omega-3 on serotonin of cerebrospinal fluid and a correlation between decrement of its level in the plasma and cellular membrane of depressed patients (34). Omega-3 fatty acids decrease the production of pro-inflammatory cytokines, which increase in depressed patients (5). These mechanisms could be the leading causes of reduction in mean score of depression in our study because the consumption of fish and seafood is very low in our population.…”

Section: Discussionmentioning

confidence: 60%

“…In a meta-analysis of 21 articles in the Cochrane database, the prevalence of antenatal depression was reported as 10.7% that varied from 7.4% in the first trimester to 12.8% in the second trimester of pregnancy (4,5). Other researchers reported its rate up to 30% (6).…”

Section: Introductionmentioning

confidence: 99%

Fish-Oil Supplementation and Maternal Mental Health: A Triple-Blind, Randomized Controlled Trial

Farshbaf‐Khalili¹,

Mohammadalizadeh²,

Farshbaf-Khalili³

et al. 2016

Iran Red Crescent Med J

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Objectives: The aim of this study was to evaluate the effect of fish oil supplementation on antenatal and postpartum depression score. Methods:This was a randomized, triple-blind, placebo-controlled trial. We enrolled 150 eligible pregnant women with Edinburgh postnatal depression scale (EPDS) score of less than 20, aged 18 to 35 from Feburary 2014 to April 2015 in Tabriz, Iran. Participants were randomly assigned to receive either 1000 mg of fish oil supplements or placebo from 16 -20 weeks of gestation to one month after giving birth. Participants completed the EPDS at baseline, 26 -30 weeks, 35 -37 weeks, and 30 -45 days after birth. Primary outcome measures were the mean depression score at 26 -30 weeks, 35-37 weeks, and postpartum period. The statistical analysis was intent-to-treat. Results:A total of 150 females were included, and no one was lost to follow up. There were significant differences between the two groups in the mean score of depression only at 35 -37 (adjusted mean difference = -1.4; [95% CI -2.6 to -0.25]). The mean score of depression during pregnancy and postpartum period significantly decreased within the fish oil group (P < 0.05). There were no significant differences between the two groups in terms of the baseline docosahexaenoic acid (DHA) and eicosapentaneoic acid (EPA) serum levels. Conclusions:Fish oil supplements significantly decreased the mean score of EPDS at weeks 35 to 37. It seems that females may benefit from daily fish oil supplements during pregnancy especially in countries with low intake of fish yet further studies are needed to confirm these results.

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“…There are very few high-quality studies of massage therapy, acupuncture, and hypnosis for treating antenatal depression 80,81. One randomized trial compared acupuncture (specific for depression), control acupuncture, and massage for 8 weeks in 150 women with antenatal depression.…”

Section: Resultsmentioning

confidence: 99%

Treatment of nonpsychotic major depression during pregnancy: patient safety and challenges

Epstein

Moore

Bobo

2014

DHPS

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In pregnant women with major depression, the overarching goal of treatment is to achieve or maintain maternal euthymia, thus limiting both maternal and fetal exposure to the harmful effects of untreated or incompletely treated depression. However, the absence of uniformly effective therapies with guaranteed obstetric and fetal safety makes the treatment of major depression during pregnancy among the most formidable of clinical challenges. Clinicians and patients are still faced with conflicting data and expert opinion regarding the reproductive safety of antidepressants in pregnancy, as well as large gaps in our understanding of the effectiveness of most antidepressants and nonpharmacological alternatives for treating antenatal depression. In this paper, we provide a clinically focused review of the available information on potential maternal and fetal risks of untreated maternal depression during pregnancy, the effectiveness of interventions for maternal depression during pregnancy, and potential obstetric, fetal, and neonatal risks associated with antenatal antidepressant use.

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Interventions (other than pharmacological, psychosocial or psychological) for treating antenatal depression

Abstract: The evidence is inconclusive to allow us to make any recommendations for massage therapy or depression-specific acupuncture for the treatment of antenatal depression. The included trial was too small with a non-generalisable sample, to make any recommendations.

Cited by 37 publications

References 53 publications

Comparison of Pregnancy Stress Between In Vitro Fertilization/Embryo Transfer and Spontaneous Pregnancy in Women During Early Pregnancy

Comparison of Pregnancy Stress Between In Vitro Fertilization/Embryo Transfer and Spontaneous Pregnancy in Women During Early Pregnancy

Fish-Oil Supplementation and Maternal Mental Health: A Triple-Blind, Randomized Controlled Trial

Treatment of nonpsychotic major depression during pregnancy: patient safety and challenges

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