Implications of Antenatal Depression and Anxiety for Obstetric Outcome

Andersson, Linda; Sundström‐Poromaa, Inger; Wulff, Marianne; Åström, Maria; Bixo, Marie

doi:10.1097/01.aog.0000135277.04565.e9

Cited by 299 publications

(235 citation statements)

References 24 publications

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“…A previous study (Chung et al, 2001) reported that depression in late pregnancy was associated with an increased risk of epidural analgesia, operative deliveries (cesarean sections and instrumental vaginal deliveries) and supported by another study (Andersson et al, 2004) which found that planned cesarean delivery and epidural analgesia during labour were also significantly more common in women with antenatal depression and/or anxiety.…”

Section: A Fadzil Et Almentioning

confidence: 76%

Risk factors for depression and anxiety among pregnant women in Hospital Tuanku Bainun, Ipoh, Malaysia

Fadzil

Balakrishnan²,

Razali

et al. 2013

Asia-Pacific Psychiatry

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Introduction: Anxiety and depression are prevalent during pregnancy. Estimates of the prevalence of anxiety and depression during pregnancy vary according to the criteria used, variable methodologies and population characteristics. Methods: A cross-sectional survey design was used. A total of 175 antenatal mothers participated. Their socio-demographic and obstetric histories were recorded. The Hospital Anxiety and Depression Scale (HADS) and Mini International Neuropsychiatric Interview (M.I.N.I.) were used. Results: The prevalence of anxiety and depression disorders among antenatal mothers using diagnostic clinical interview were 9.1% and 8.6%, respectively. Factors associated with antenatal anxiety were marital status (being unmarried), positive history of mental illness, gestational age (<20 weeks), unplanned pregnancy and depressive comorbidity. However, only gestational age of less than 20 weeks and depressive disorder remained significant factors in the multivariate analysis. Discussion: The prevalence rate of antenatal depression detected by HADS screening was comparable to the rate from diagnostic interview, but there was a slight overestimation for antenatal anxiety. Nonetheless, HADS as a screening tool offers a practical solution for detecting these two conditions in a busy antenatal clinic or a large epidemiological survey. In view of the deleterious effects of antenatal anxiety and depression on mothers and children, these two conditions should be screened and managed appropriately.

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Section: A Fadzil Et Almentioning

confidence: 76%

Risk factors for depression and anxiety among pregnant women in Hospital Tuanku Bainun, Ipoh, Malaysia

Fadzil

Balakrishnan²,

Razali

et al. 2013

Asia-Pacific Psychiatry

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“…Only among women with history of repeated sexual victimization and those struggling with depression and trauma symptomology (not mutually exclusive categories) did fear levels begin to show significant elevations. There is prior evidence for a relationship between anxiety and depression and fear of childbirth [8,26], and sexual assault and fear of childbirth [1]; the current work suggests that depression mediates the relationship between these negative personal experiences and childbearing fear. Negative expectations and fear regarding childbirth may be rooted in belief systems associated with depression (e.g.…”

Section: Discussionmentioning

confidence: 56%

“…Excessive childbearing fear is a concern given its relationship with increased healthcare utilization [8,9], complicated birth [10,11], and increased risk for instrument-assisted or operative deliveries [1,5,12]. Fear of childbirth is a topic that has received little objective investigation in American women despite its influence on maternal request cesarean sections [12][13][14][15], which have increased in the U.S., the controversy surrounding these requests [16][17], and concern about the lack of information suggesting how providers attend to serious childbirth fear.…”

Section: Introductionmentioning

confidence: 99%

Fear of Childbirth in Pregnant Women in the United States

Jj¹,

Vrana²

2018

J Pregnancy Reprod

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Objective: The purpose of this investigation was to assess the incidence of serious childbearing fear in a sample of American women, and to explore associations between women's experiences and fear of childbirth. Methods:Ninety women 25 weeks of gestation and later who participated in a prospective longitudinal study were administered questionnaires during pregnancy that included background factors (marital status, education, birth history), fear of childbirth, and current levels of depression and posttraumatic stress disorder symptomology. Results:The incidence of serious fear of childbirth (7.7%) was slightly lower than but consistent with studies of Northern European women. When considered separately, 11.6% of women in the care of an obstetrician and 4% of women in the care of a midwife exhibited serious levels of fear. Greater fear of childbirth was seen in women experiencing sexual assault in both childhood and adulthood but not in women endorsing childhood sexual assault alone. Fear was higher among women with a current diagnosis of depression or co-morbid depression and Posttraumatic Stress Disorder. Conclusion:These results underscore the importance of identifying and treating depression in pregnant women.

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“…For women, these include non-compliance with prenatal care and with healthy life styles [13], spontaneous abortion [14], preeclampsia, [15] and complicated deliveries [16].…”

Section: Secondmentioning

confidence: 99%

Why should we screen for perinatal depression? Ten reasons to do it

Pereira¹,

Soares²,

Bos³

et al. 2014

IJCNMH

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In this paper we review some of the best available evidence to argue that screening for perinatal depression should be systematically conducted since pregnancy. Our view is organized in ten topics: (1) perinatal depression high prevalence; (2) its potential negative consequences, including maternal, conjugal, foetal, infantile, and child effects; (3) its under-detection and treatment; (4) its stigma; (5) the professionals and women misconceptions related to perinatal depression; (6) the availability of valid and short self-report screening instruments for perinatal depression and (7) their acceptability; (8) the increase in recognition, diagnosis, and treatment rates in comparison with routine practice; (9) the opportunity, given the large number of contacts that women have with health professionals in the perinatal period; and (10) perinatal depression screening potential cost-effectiveness.

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Implications of Antenatal Depression and Anxiety for Obstetric Outcome

Abstract: There is an association between antenatal depressive and/or anxiety disorders and increased health care use (including cesarean deliveries) during pregnancy and delivery.

Cited by 299 publications

References 24 publications

Risk factors for depression and anxiety among pregnant women in Hospital Tuanku Bainun, Ipoh, Malaysia

Risk factors for depression and anxiety among pregnant women in Hospital Tuanku Bainun, Ipoh, Malaysia

Fear of Childbirth in Pregnant Women in the United States

Why should we screen for perinatal depression? Ten reasons to do it

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