The impact of anxiety and depression during pregnancy on fetal growth and the birth outcome

Sabri, Youmna; Nabel, Hanan

doi:10.4103/1110-1105.158117

Cited by 12 publications

(10 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It has been suggested that CAD has a significant negative effect on neonates than those of anxiety or depression alone [ 17 ]. CAD in the third trimester is mainly associated with oligohydramnios, intrauterine growth retardation (IUGR), diminished placental perfusion and preterm labor [ 18 ]. CAD also increases the likelihood of low birth weight (LBW), preterm birth, prolonged labor and delayed initiation of breastfeeding [ 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

Comorbid anxiety and depression: Prevalence and associated factors among pregnant women in Arba Minch zuria district, Gamo zone, southern Ethiopia

et al. 2021

View full text Add to dashboard Cite

Introduction Prenatal anxiety and depression are major health problems all over the world. The negative sequela of prenatal comorbid anxiety and depression (CAD) has been suggested to be higher than that of anxiety or depression alone. CAD increases the odds of preterm birth, low birth weight, prolonged labor, operative deliveries, postpartum psychiatric disorders and long term cognitive impairment for the newborn. Despite its significant ill consequences, there is a dearth of studies in low-and middle-income countries. So far, to the best of our knowledge, no study assessed the prevalence of CAD in Ethiopia. Hence, the purpose of this study was to assess CAD and associated factors among pregnant women in Arba Minch Zuria district, Gamo zone, southern Ethiopia. Methods A community-based cross-sectional study was conducted among 676 pregnant women from January 01 to November 30, 2019. Patient Health Questionnaire 9-item (PHQ-9) and Generalized Anxiety Disorder 7-item (GAD-7) scales were used to assess depression and anxiety respectively. The data were collected electronically using an open data kit (ODK) collect android application and analyzed using Stata version 15.0. Bivariate and multivariable analyses were carried out to identify factors associated with CAD using binary logistic regression. Statistical significance was set at p-value < 0.05. Results A total of 667 women were involved. The prevalence of CAD was 10.04% [95% confidence interval (CI): 7.76, 12.33]. Being married [adjusted odds ratio (AOR): 0.16, 95% CI: 0.05, 0.56], categorized in the highest wealth quintile [AOR: 2.83, 95% CI: 1.17, 6.84], having medical illness [AOR: 3.56, 95% CI: 1.68, 7.54], encountering pregnancy danger signs [AOR: 2.66, 95% CI: 1.06, 6.67], experiencing life-threatening events [AOR: 2.11, 95% CI: 1.15, 3.92] and household food insecurity [AOR: 3.51, 95% CI: 1.85, 6.64] were significantly associated with CAD. Conclusions In general, one in every ten women faced CAD in the study area. Nutritional interventions, early identification and treatment of pregnancy-related illness and medical ailments, prenatal mental health problems screening and interventions are imperative to minimize the risk of CAD in pregnant women.

show abstract

Section: Introductionmentioning

confidence: 99%

Comorbid anxiety and depression: Prevalence and associated factors among pregnant women in Arba Minch zuria district, Gamo zone, southern Ethiopia

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Studies have shown that exposure to stressors prior to or during pregnancy may increase the likelihood of adverse birth outcomes, including preterm birth and fetal growth restriction [1][2][3][4]. There are a number of stressful experiences during pregnancy that have been shown to adversely affect maternal and fetal health, including financial hardship, the death of a family member, or experiences with racial discrimination, and women are often exposed to a multitude of these stressors during pregnancy [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Relationships between psychosocial stressors among pregnant women in San Francisco: A path analysis

et al. 2020

View full text Add to dashboard Cite

Pregnant women who experience psychosocial stressors, such as stressful life events, poor neighborhood quality, and financial hardship, are at an increased risk for adverse pregnancy outcomes. Yet, few studies have examined associations between multiple stressors from different sources, which may be helpful to better inform causal pathways leading to adverse birth outcomes. Using path analysis, we examined associations between multiple selfreported stressor exposures during and before pregnancy in the Chemicals in Our Bodies-2 study (N = 510), a demographically diverse cohort of pregnant women in San Francisco. We examined associations between eight self-reported exposures to stressors and three responses to stress which were assessed via interview questionnaire at the 2 nd trimester. Stressors included: neighborhood quality, stressful life events, caregiving, discrimination, financial strain, job strain, food insecurity, and unplanned pregnancy. Perceived stress, depression, and perceived community status were included as indicators of self-reported stress response. Our model indicated that women who experienced discrimination and food insecurity had a 3.76 (95% confidence interval [CI] = 1.60, 5.85) and 2.67 (95% CI = 1.31, 4.04) increase in depression scale scores compared to women who did not experience discrimination and food insecurity, respectively. We additionally identified job strain and caregiving for an ill family member as strong predictors of increased depressive symptoms (β = 1.63, 95% CI = 0.29, 3.07; β = 1.48, 95% CI = 0.19, 2.70, respectively). Discrimination, food insecurity, and job strain also influenced depression indirectly through the mediating pathway of increasing perceived stress, although indirect effects were less precise. In our study population, women who experienced discrimination, food insecurity, job strain and caregiving for an ill family member had an increased number of depressive symptoms compared to women who did not experience these stressors. Results from our study highlight the complex relationships between stressors and stress responses and may help to identify possible mediating pathways leading to adverse pregnancy outcomes.

show abstract

“… 5 In Egypt, it was found that a significant proportion of pregnant women (~60%) experience prenataldepression. 6 , 7 Studies found that pre- and perinatal complications such as premature labor, low birth weight, poor self-care, compromised mother–child bonding, and longer hospital stay are increased in subjects with depression and prenatal stress. 8 , 9 Antenatal depression is also a strong predictor of postnatal depression; a previous study reported that symptoms in many women with postpartum depression started during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Effect of aerobic exercise during pregnancy on antenatal depression

El-Rafie

Khafagy

Gamal

2016

IJWH

View full text Add to dashboard Cite

Background Antenatal depression is not uncommon and is associated with a greater risk of negative pregnancy outcomes. Aim Exploring the effect of exercise in preventing and treating antenatal depression. Methods This was a prospective interventional controlled study carried out in 100 pregnant women treated at the Ain-Shams Family Medicine Center and Maadi Outpatient Clinic, Cairo, Egypt. The participants were divided into two groups (n=50 in the exercise group and n=50 in the control group). The exercise group regularly attended supervised sessions for 12 weeks. The activities in each session included walking, aerobic exercise, stretching, and relaxation. The control group completed their usual antenatal care. The Center for Epidemiological Studies Depression Scale (CES-D) was used to assess depression symptoms at the first interview and immediately after the 12-week intervention. Results Compared to the control group, the exercise group showed significantly improved depressive symptoms as measured with the CES-D after the 12-week intervention on the CES-D ( P =0.001). Within groups, the exercise group demonstrated a significant improvement of depressive symptoms from baseline to intervention completion, while the control group demonstrated no significant changes over time. Conclusion Exercise during pregnancy was positively associated with reduced depressive symptoms.

show abstract

The impact of anxiety and depression during pregnancy on fetal growth and the birth outcome

Cited by 12 publications

References 26 publications

Comorbid anxiety and depression: Prevalence and associated factors among pregnant women in Arba Minch zuria district, Gamo zone, southern Ethiopia

Comorbid anxiety and depression: Prevalence and associated factors among pregnant women in Arba Minch zuria district, Gamo zone, southern Ethiopia

Relationships between psychosocial stressors among pregnant women in San Francisco: A path analysis

Effect of aerobic exercise during pregnancy on antenatal depression

Contact Info

Product

Resources

About

The impact of anxiety and depression during pregnancy on fetal growth and the birth outcome

Cited by 12 publications

References 26 publications

Comorbid anxiety and depression: Prevalence and associated factors among pregnant women in Arba Minch zuria district, Gamo zone, southern Ethiopia

Comorbid anxiety and depression: Prevalence and associated factors among pregnant women in Arba Minch zuria district, Gamo zone, southern Ethiopia

Relationships between psychosocial stressors among pregnant women in San Francisco: A path analysis

Effect of aerobic exercise during pregnancy on&nbsp;antenatal depression

Contact Info

Product

Resources

About

Effect of aerobic exercise during pregnancy on antenatal depression