“…As HDP are diagnosed after 20 weeks' gestation, we next looked at the 17 studies that examined the onset/diagnosis of clinically significant symptoms or a diagnosis of depression mood or an anxiety disorder in pregnancy prior to 20 weeks' gestation (Avalos et al, 2015; Bandoli & Chambers, 2017; Catov et al, 2010; Cripe et al, 2011; De Vera & Bérard, 2012; Garza-Veloz et al, 2017; Goedhart et al, 2010; Henrichs et al, 2010; Ibanez et al, 2012; Kim et al, 2013; Kurki et al, 2000; Lang et al, 2019; Lutsiv et al, 2015; Palmsten et al, 2012; Suri et al, 2007; Suzuki, Shinmura, & Kato, 2015; Winkel et al, 2015) in order to determine if depression or anxiety preceded the diagnosis of HDP. Results of the analysis showed an increased risk of HDP in women who received a diagnosis or had self-reported clinically significant symptoms of depression or an anxiety in pregnancy before 20 weeks' gestation (RR = 1.27; 95% CI 1.07–1.50) 3…”