The relationship between hyperemesis gravidarum and maternal psychiatric well-being during and after pregnancy: controlled study

Şentürk, Mehmet Baki; Yıldız, Gazi; Yıldız, Pınar; Yorguner, Neşe; Çakmak, Yusuf

doi:10.1080/14767058.2016.1212331

Cited by 18 publications

(14 citation statements)

References 24 publications

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“… 27 . In another study, patients with severe HG in the first trimester, but without prior psychiatric disease, not only presented a negative psychiatric status during pregnancy at the time of HG symptoms, but also had higher risk of PPD 15 . Our results for prolonged nausea are also in line with the study by Meltzer-Brody et al .…”

Section: Discussionmentioning

confidence: 94%

“…Although the association between NVP and depression has been extensively studied, the literature from large, population-based studies considering the various spectrum of the disease is scarce. Moreover, few studies have taken into account the history of psychiatric disorders 12 and their results are inconsistent 11 , 12 , 14 , 15 . A recent large population-based study on the risk of emotional distress during and after pregnancy, including 92 947 pregnant women, showed that women with HG, defined as prolonged NVP requiring hospitalization before the 25 th gestational week, were more likely to report emotional distress during pregnancy and at six months postpartum, but not at 18 months postpartum compared to women without HG 16 .…”

Section: Introductionmentioning

confidence: 99%

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Women with prolonged nausea in pregnancy have increased risk for depressive symptoms postpartum

Iliadis

Axfors

Johansson

et al. 2018

Sci Rep

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The aim of this population-based, longitudinal study was to assess the association between nausea and vomiting in pregnancy (NVP) and perinatal depressive symptoms. Pregnant women (N = 4239) undergoing routine ultrasound at gestational week (GW) 17 self-reported on NVP and were divided into those without nausea (G0), early (≤17 GW) nausea without medication (G1), early nausea with medication (G2), and prolonged (>17 GW) nausea (G3). The Edinburgh Postnatal Depression Scale at GW 17 and 32 (cut-off ≥13) and at six weeks postpartum (cut-off ≥12) was used to assess depressive symptoms. Main outcome measures were depressive symptoms at GW 32 and at six weeks postpartum. NVP was experienced by 80.7%. The unadjusted logistic regression showed a positive association between all three nausea groups and depressive symptoms at all time-points. After adjustment, significant associations with postpartum depressive symptoms remained for G3, compared to G0 (aOR = 1.66; 95% CI 1.1–2.52). After excluding women with history of depression, only the G3 group was at higher odds for postpartum depressive symptoms (aOR = 2.26; 95% CI 1.04–4.92). In conclusion, women with prolonged nausea have increased risk of depressive symptoms at six weeks postpartum, regardless of history of depression.

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Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Women with prolonged nausea in pregnancy have increased risk for depressive symptoms postpartum

Iliadis

Axfors

Johansson

et al. 2018

Sci Rep

View full text Add to dashboard Cite

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“…Accordingly, it has been reported high correlations between the Anxiety and Somatization SCL-90-R subscales during the first and second trimester and the Edinburgh Postnatal Depression Scale [ 52 ]. In this respect, recent studies reported the presence of psychopathological symptoms through the SCL-90-R during pregnancy to be related with postpartum depression [ 53 , 54 ]. More specifically, depression, anxiety, and stress during pregnancy have been related with negative pregnancy outcomes, including postpartum depression [ 55 , 56 ].…”

Section: Discussionmentioning

confidence: 99%

Hair cortisol levels, psychological stress and psychopathological symptoms as predictors of postpartum depression

et al. 2017

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Postpartum depression affects a huge number of women and has detrimental consequences. Knowing the factors associated with postpartum depression during pregnancy can help its prevention. Although there is evidence surrounding behavioral or psychological predictors of postpartum depression, there is a lack of evidence of biological forecasters. The aim of this study was to analyze the sociodemographic, obstetric, and psychological variables along with hair cortisol levels during the first, second, and third trimesters of pregnancy that could predict postpartum depression symptoms. A sample of 44 pregnant women was assessed during 3 trimesters of pregnancy and the postpartum period using psychological questionnaires and hair cortisol levels. Participants were divided into 2 groups: a group with postpartum depression symptoms and a group with no postpartum depression symptoms. Results showed significant positive differences between groups in the first trimester regarding the Somatization subscale of the SCL-90-R (p < .05). In the second trimester, significant differences were found in the Somatization, Depression, Anxiety, and GSI subscales (p < .05). In the third trimester significant differences between both groups were found regarding pregnancy-specific stress. We found significant positive differences between groups regarding hair cortisol levels in the first and the third trimester. Hair cortisol levels could predict 21.7% of the variance of postpartum depression symptoms. In conclusion, our study provided evidence that psychopathological symptoms, pregnancy-specific stress, and hair cortisol levels can predict postpartum depression symptoms at different time-points during pregnancy. These findings can be applied in future studies and improve maternal care in clinical settings.

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“…There are many studies conducted in Turkey on its use in non-pregnancy related pathologies (38)(39)(40). Two studies were published on its use for the assessment of patients diagnosed with hyperemesis gravidarum in the first trimester of pregnancy from our country (41,42).…”

Section: Discussionmentioning

confidence: 99%

Has Delivery Method any Influence on the Postpartum Mood of the Mother? Postpartum SCL-90-R

Ateşer¹,

Öz²,

Sardarli³

et al. 2017

Istanbul Med J

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Pregnancy and labor are stress factors for every woman. A high majority of mothers can encounter difficulty in accommodating themselves to their new lives post child birth. Since knowing about their pregnancy, they have some worries and fears regarding themselves, the newborns, and the course of this period (1).Vaginal delivery and cesarean delivery are the two different ways and experience of childbirth. Mothers can have concerns and preferences related to the type of delivery due to their prior knowledge gained from health staff or their environment.According to the 2014 health statistics, the rate of cesarean delivery in Turkey is 51%, which is quite high. However, the rate recommended by the World Health Organization is 15% (2). The Turkish Ministry of Health is continually attempting to reduce the rate of cesarean delivery. Voluntary cesarean delivery was legally prohibited. As a part of these attempts, an education on obstetrical emergencies is provided to gynecologists and pregnancy schools aiming to prepare parturients for labor and inform expectant mothers on this issue (3-5).The rate of cesarean delivery, which affects a mothers physical and mental health states, without any compulsory medical indication, is increasing due to reasons, such as fear of giving birth; demand for not feeling pain; notion that perineal floor will be protected against trauma and the possibility of urinary incontinence will decrease correspondingly; prejudice that cesarean delivery is more healthy for the newborn; physician's preference and direction; being able to plan the time of labor; avoiding legal and social problems that can occur as a result of complicated labor; and lack of experience in interventional vaginal delivery (3-9).The physical results of cesarean delivery are the requirement of cesarean in subsequent pregnancies, placental adherence anomalies, cesarean scar pregnancy, anesthetic and surgical complications, more blood loss, neonatal prematurity and related problems, and respiratory problems (7, 8, 10).Has Delivery Method any Influence on the Postpartum Mood of the Mother? Postpartum SCL-90-R Objective: This study investigated the influence of the birth type to mothers earlypostpartum emotional emotional status Methods: SCL-90-R psychological test was performed in 50 patients who had cesarean section and 50 patients who had vaginal delivery. SCL-90-R consist of ten sub-scales: somatization, obsessive-compulsive disorder, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism, and a category of additional items. The subscale scores of the scale are obtained by dividing the score values of the answers given to the relevant items by the number of items forming the subscale. The points of all 90 items (0-4 points per item) were added and divided by 90 to obtain the general score. Patients with scores above 1 were considered to have a psychological problem. All test subtitles and total test values were statistically compared with the Student's-t test and Mann-Whi...

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The relationship between hyperemesis gravidarum and maternal psychiatric well-being during and after pregnancy: controlled study

Abstract: The results show that mental health is negatively affected by HG at pregnancy, and in this case, psychiatric symptoms may continue even after discontinuation HG.

Cited by 18 publications

References 24 publications

Women with prolonged nausea in pregnancy have increased risk for depressive symptoms postpartum

Women with prolonged nausea in pregnancy have increased risk for depressive symptoms postpartum

Hair cortisol levels, psychological stress and psychopathological symptoms as predictors of postpartum depression

Has Delivery Method any Influence on the Postpartum Mood of the Mother? Postpartum SCL-90-R

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