Maternal Mental Health and Peripartum Depression

Valadares, Gislene; Drummond, Austen Venancio; Rangel, Carolina Cassiano; Santos, Eduardo J. R.; Apter, Gisèle

doi:10.1007/978-3-030-29081-8_24

Cited by 3 publications

(4 citation statements)

References 81 publications

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“…Effective management of peripartum mental disorders requires early detection 47,48 . Despite regular medical contacts during pregnancy and postpartum period in many countries, less than 20% of depressed parturients reports their symptoms to medical professionals 48 . Our results suggest that women who have poor control of atopic diseases during pregnancy may benefit from systematic mental health monitoring and consultation with a specialist.…”

Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

“…No hospital contacts for atopic disease 10,709 ( Effective management of peripartum mental disorders requires early detection. 47,48 Despite regular medical contacts during pregnancy and postpartum period in many countries, less than 20% of depressed parturients reports their symptoms to medical professionals. 48 Our results suggest that women who have poor control of atopic diseases during pregnancy may benefit from systematic F I G U R E 2 Association between hospital contacts for asthma, atopic dermatitis, and allergic dermatitis before pregnancy and different types of mental disorders during peripartum period (n = 937,422).…”

Section: Peripartum Mental Disordersmentioning

confidence: 99%

“…47,48 Despite regular medical contacts during pregnancy and postpartum period in many countries, less than 20% of depressed parturients reports their symptoms to medical professionals. 48 Our results suggest that women who have poor control of atopic diseases during pregnancy may benefit from systematic F I G U R E 2 Association between hospital contacts for asthma, atopic dermatitis, and allergic dermatitis before pregnancy and different types of mental disorders during peripartum period (n = 937,422). Patients with multiple types of atopic diseases enters multiple corresponding subgroups, thus the numbers of each atopic disease did not sum to the total "atopic diseases".…”

Section: Peripartum Mental Disordersmentioning

confidence: 99%

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The association of asthma, atopic dermatitis, and allergic rhinitis with peripartum mental disorders

Ren

Chen

et al. 2021

Clinical & Translational All

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Background: Atopic diseases are characterized by dysregulated inflammatory response, which may incur the onset of peripartum mental disorders, but the impact remains unknown. This study examined whether and to what extent the history of atopic diseases is associated with newly onset peripartum mental disorders.Methods: Using population-based registries, we identified all primiparous women who gave birth to live singletons in Denmark during 1978Denmark during -2016.The exposure was hospital contact due to the three major types of atopic diseases-asthma, atopic dermatitis, and allergic rhinitis-before conception. The primary outcome was any hospital contact for mental disorder during pregnancy and 1-year postpartum, which was further classified into affective disorders, neurotic, stress-related and somatoform disorders, and substance abuse. The follow-up started from the date of conception and ended at the date of the first diagnosis of mental disorders, 1-year postpartum, death, emigration, or December 31, 2016, whichever came first. Cox regression was used, adjusted for calendar year, age at childbirth, education, residence, and Charlson comorbidity index.Results: A total of 24,016 (2.6%) women received diagnosis of at least one of the three atopic diseases before conception (asthma, 1.7%; atopic dermatitis, 0.6%; and allergic rhinitis, 0.8%). Exposure to asthma, atopic dermatitis, or allergic rhinitis was associated with a 37% increased overall risk of peripartum mental disorders (hazard ratio [HR], 1.37; 95% confidence interval [CI], 1.27-1.49). Higher risks were observed among women with more frequent hospital contacts for atopic disease (HR, 1.80; 95% CI, 1.37-2.35; ≥5 times), and with recent hospital contacts for atopic disease (HR, 1.74; 95% CI, 1.48-2.06; within 2 years before conception). Specific associations were observed between asthma and neurotic, stress-related and somatoform disorders (HR, 1.40; 95% CI, 1.21-Tai Ren and Jiawen Chen contributed equally to this work as co-first authors.This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Peripartum Mental Disordersmentioning

confidence: 99%

Section: Peripartum Mental Disordersmentioning

confidence: 99%

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The association of asthma, atopic dermatitis, and allergic rhinitis with peripartum mental disorders

Ren

Chen

et al. 2021

Clinical & Translational All

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Factors associated with experiencing lifetime intimate partner violence among pregnant displaced women living in refugee camps in Erbil, Iraq

Mishkin

Ahmed

Maqsood

2022

Global Public Health

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Digital health technologies for high-risk pregnancy management: three case studies using Digilego framework

Myneni,

Zingg,

Singh

et al. 2024

JAMIA Open

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Objective High-risk pregnancy (HRP) conditions such as gestational diabetes mellitus (GDM), hypertension (HTN), and peripartum depression (PPD) affect maternal and neonatal health. Patient engagement is critical for effective HRP management (HRPM). While digital technologies and analytics hold promise, emerging research indicates limited and suboptimal support offered by the highly prevalent pregnancy digital solutions within the commercial marketplace. In this article, we describe our efforts to develop a portfolio of digital products leveraging advances in social computing, data science, and digital health. Methods We describe three studies that leverage core methods from Digilego digital health development framework to (1) conduct large-scale social media analysis (n = 55 301 posts) to understand population-level patterns in women’s needs, (2) architect a digital repository to enable women curate HRP related information, and (3) develop a digital platform to support PPD prevention. We applied a combination of qualitative coding, machine learning, theory-mapping, and programmatic implementation of theory-linked digital features. Further, we conducted preliminary testing of the resulting products for acceptance with sample of pregnant women for GDM/HTN information management (n = 10) and PPD prevention (n = 30). Results Scalable social computing models using deep learning classifiers with reasonable accuracy have allowed us to capture and examine psychosociobehavioral drivers associated with HRPM. Our work resulted in two digital health solutions, MyPregnancyChart and MomMind are developed. Initial evaluation of both tools indicates positive acceptance from potential end users. Further evaluation with MomMind revealed statistically significant improvements (P < .05) in PPD recognition and knowledge on how to seek PPD information. Discussion Digilego framework provides an integrative methodological lens to gain micro-macro perspective on women’s needs, theory integration, engagement optimization, as well as subsequent feature and content engineering, which can be organized into core and specialized digital pathways for women engagement in disease management. Conclusion Future works should focus on implementation and testing of digital solutions that facilitate women to capture, aggregate, preserve, and utilize, otherwise siloed, prenatal information artifacts for enhanced self-management of their high-risk conditions, ultimately leading to improved health outcomes.

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Maternal Mental Health and Peripartum Depression

Cited by 3 publications

References 81 publications

The association of asthma, atopic dermatitis, and allergic rhinitis with peripartum mental disorders

The association of asthma, atopic dermatitis, and allergic rhinitis with peripartum mental disorders

Factors associated with experiencing lifetime intimate partner violence among pregnant displaced women living in refugee camps in Erbil, Iraq

Digital health technologies for high-risk pregnancy management: three case studies using Digilego framework

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