Risk factors for and perinatal outcomes of major depression during pregnancy: a population-based analysis during 2002–2010 in Finland

Räisänen, Sari; Lehto, Soili M.; Nielsen, Henriette Svarre; Gissler, Mika; Kramer, Michael R.; Heinonen, Seppo

doi:10.1136/bmjopen-2014-004883

Cited by 185 publications

(198 citation statements)

References 31 publications

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“…Several previous studies have established parity and occupation as independent risk factors for PND [33,34]. Based on this study it can be suggested that expecting mothers should be encouraged to get engaged in some activities if they are having ample free time.…”

Section: Discussionmentioning

confidence: 99%

A hospital based prospective survey of perinatal depression in Chinese women of Jiamusi city

PALIKHE¹,

Bo²,

K³

et al. 2017

Res J of Womens Health

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Objectives: To evaluate whether an antenatal and immediate postpartum Edinburgh Postnatal Depression Scale score are predictive of future postpartum depression and observe the correlation in-between the scores and associated risk factors. Methods: Study Design A survey recruiting 345 women from March 2015 to February 2016 using Edinburgh Postnatal Depression Scale for same group of individuals: once before the delivery, during third trimester and twice postpartum in women seeking antenatal service in three major hospital of Jiamusi, Heilongjiang Province, China. We used cut-off score <12 as normal and >13 as risk of depression. The relation between EPDS scores across three stages were assessed using Spearman's correlation, chi-square test was used to examine association of socio-demographic variable and series of logistic regression to examine statistical significance between EPDS scores and associated risk factors. Results: A total of 167 women were studied with average age of 28.31±5.036 years. Chi-square test showed that younger (p=0.029), unemployed (p=0.022), primiparous (p=0.039), less educated (p=0.040) women are more prone to perinatal depression. Further Spearman's Non-parametric correlation test showed that postpartum depression has positive correlation with both antepartum (χ 2 =3.977, df=1, p=0.018) and immediate postpartum (χ 2 =3.977, df=1, p=0.046). Binary logistic regression analysis showed that parity (Wald=4.754, p=0.029), and occupation (Wald=3.839, p=0.050) were independent risk factors for antepartum depression. Mode of birth (Wald=4.513, p=0.034), antepartum EPDS score (Wald=3.877, p=0.049) and immediate postpartum EPDS score (Wald=4.038, p=0.044) were independent risk factors for postpartum depression. Conclusions: 1) Higher EPDS score prenatally tends to persist postnatal indicating chances of developing postpartum depression in susceptible individuals. 2) Early screening prenatally can guide clinician for active psychological support to susceptible cases thereby minimizing probability of postpartum depressions.

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Section: Discussionmentioning

confidence: 99%

A hospital based prospective survey of perinatal depression in Chinese women of Jiamusi city

PALIKHE¹,

Bo²,

K³

et al. 2017

Res J of Womens Health

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“…Also, variables of age, relationship with spouse, consent of the husband's occupation, place of residence and place of receiving prenatal care were predictors of depression. Although, a history of depression is an important risk fac- tor for depression during pregnancy but half of women with no previous history of depression at pregnancy are affected (27). Psychosocial approaches including individual and group psychotherapy can be used for treatment of the most of patients with mild to moderate depression and these approaches are rather than drug therapy (28).…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Depression and Sleep Quality in Iranian Pregnant Women

Mirghaforvand¹,

Mohammad‐Alizadeh‐Charandabi²,

Zarei³

et al. 2016

International Journal of Women’s Health and Reproduction Scienc

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IntroductionMany anatomic and physiologic changes occur in women's bodies during pregnancy which make them vulnerable both physically and mentally (1). Depression during pregnancy is the fourth disability factor in the world and it is predicted that it will become the second disability factor by 2020 (2). The relationship between depression history and postpartum depression has been shown which may be followed by adverse consequences such as suicide and child abuse (3,4). Depression rate is remarkable especially in second and third trimester of pregnancy (5). The results of a study showed that pregnancy depression increases the likelihood of cesarean delivery to 2.3 times. The probability of low birth weight is higher in depressed women along with lower mean birth weight and head circumference in infants of depressed mothers (6). Women sleep quality changes during their reproductive years due to hormonal variations at menstrual cycle, pregnancy and menopause periods (7). Sleep disorder is one of the most common complaints during pregnancy which may be due to physiological, hormonal, cardiovascular and metabolic changes including endocrine changes such as increased levels of progesterone and prolactin, increased size and movements of fetus, distended bladder, diaphragm rise and stomach ache (8,9). Also, fatigue, urinary frequency, husband smoking and education may cause sleep disruption (10). Twenty-five percent of women face with sleep disorder in the first trimester of pregnancy and this rate reaches to 75% in the third quarter (11,12). It has been found that people with insomnia or severe sleep disorders during pregnancy will have cesarean compared to those who do not have these problems (13). Sleep disorder also may lead to psychological changes. Evidence has indicated that sleep patterns are the predictive factors for postpartum depression (14). The relationship between poor quality sleep and postpartum depression has been found and significant positive correlation has been reported between sleep quality score in the third trimester of pregnancy and postpartum depression (15). Also, relationship between sleep quality and depression has been reported in pregnant women at 14 weeks of pregnancy age (16). A study results showed that pregnant women sleep time is not more than non-pregnant women despite their increased time in bed; the number Abstract Objectives: Many anatomic and physiologic changes occur in women's bodies during pregnancy that make them vulnerable both physically and mentally. Depression is a common disorder that can be accompanied with obstetric, neonatal and postnatal complications. This study aimed to determine the relationship between depression and sleep quality among pregnant women in Tabriz-Iran, 2014. Materials and Methods: This cross-sectional study was conducted on 565 pregnant women who referred to Tabriz health centers by 2-stage cluster sampling. The data were collected using socio-demographic questionnaire, Edinburgh Postnatal Depression Scale (EPDS) and Pittsburgh Sleep Quality In...

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“…1,2 Depression and anxiety have been linked to somatic complaints, gestational and obstetric complications, stillbirth, premature birth, low birth weight, low Apgar scores, smaller head circumference, alterations in fetal motor activity, affected fetal heart rate patterns and major congenital anomalies. [3][4][5][6][7][8] Some studies found the prevalence of similar antenatal anxiety across all three trimesters, but many Previous studies reported that antenatal anxiety varied at different trimesters of pregnancy and high anxiety was found during first and third trimester. [9][10][11][12] Hence antenatal anxiety across trimesters can be of differing severity and different types of anxiety that may have differing consequences as morbidity.…”

Section: Introductionmentioning

confidence: 99%

A study of antenatal anxiety: comparison across trimesters

Priyambada

Pattojoshi

Bakhla

2017

Int J Reprod Contracept Obstet Gynecol

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Background: The aim of present study was to investigate the antenatal anxiety across all three trimesters of pregnancy.Methods: This is a cross sectional, observational study for which data is collected from consenting subjects attending antenatal Out Patients department for routine antenatal checkup. Data included socio demographic information’s and Hospital Anxiety and Depression Scale and statistical analysis done.Results: Out of 169 Pregnant females 27.8% were during first trimester, 40.8% during second trimester and 31.4% during 3rd trimester. The mean anxiety scores for first, second and third trimester was 10.74±2.97, 11.69±3.09 and 14.20±3.10 respectively. Independent t test revealed significantly higher anxiety scores for third trimester when compared to first trimester scores (t= -6.035, p value = 0.000).Conclusions: This study finds a significantly higher antenatal anxiety during third trimester of pregnancy.

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Risk factors for and perinatal outcomes of major depression during pregnancy: a population-based analysis during 2002–2010 in Finland

Cited by 185 publications

References 31 publications

A hospital based prospective survey of perinatal depression in Chinese women of Jiamusi city

A hospital based prospective survey of perinatal depression in Chinese women of Jiamusi city

The Relationship Between Depression and Sleep Quality in Iranian Pregnant Women

A study of antenatal anxiety: comparison across trimesters

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