Psychiatric Disorders during Pregnancy and Postpartum

Sharma, Pallavi; Singh, Nilanchali; Tempe, Anjali; Malhotra, Mahima

doi:10.4172/2376-127x.1000317

Cited by 5 publications

(7 citation statements)

References 64 publications

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“…An initial search identified 20,040 studies, of which, those with limited discussions in relation to MH outcomes and of poor quality, were excluded, resulting in a final dataset of 69 studies ( Table 1a ) of which 46 studies were systematically included and thematically analysed ( Table 2 ). These 46 studies included 26 qualitative [ 12 , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] ], 17 cohort [ 7 , 18 , 21 , [47] , [48] , [49] , [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] , [60] ], 6 controlled [61] , [62] , [63] , [64] , [65] , [66] , 2 randomised controlled trials [ 19 , 67 ] and 2 mixed methods [ 68 , 69 ] studies. Based on the eligibility criteria, and the quality assessment, 21 studies were selected for the meta-analysis.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 26 studies that reported psychological experiences of women with GDM [ 12 , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] ], there appears to be psychological distress associated with concerns related to the baby [23] , blood glucose monitoring [45] and administering insulin injections [39] . Whilst these studies highlighted the emotional burden of GDM, the self-reported, subjective descriptions of the psychological distress experienced by these women, a clinical diagnosis remained absent.…”

Section: Discussionmentioning

confidence: 99%

“…Diagnosis and treatments for GDM women from Black, Asian and Minority Ethnic (BAME) backgrounds that report MH symptomatologies or have psychiatric conditions, remain non-specific. Pregnancy associated hormonal changes may attribute to emotional distress based on patient reported outcomes [12] . There are various forms of psychological distress such as diabetes-specific emotional distress, defined as negative emotions or fear related to lived experiences and coping mechanisms [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

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A systematic review and meta-analysis of gestational diabetes mellitus and mental health among BAME populations

et al. 2021

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Background: Gestational diabetes mellitus (GDM) is a common complication of pregnancy and is associated with an increased risk of mental health (MH) disorders including antenatal and postnatal depression (PND), anxiety and post-traumatic-stress-disorder (PTSD). We hypothesized GDM and MH disorders will disproportionately affect individuals from Black, Asian and Minority Ethnic backgrounds. Methods: A systematic methodology was developed, and a protocol was published in PROSPERO (CRD42020210863) and a systematic review of publications between 1st January 1990 and 30th January 2021 was conducted. Multiple electronic databases were explored using keywords and MeSH terms. The finalised dataset was analysed using statistical methods such as random-effect models, subgroup analysis and sensitivity analysis. These were used to determine odds ratio (OR) and 95% confidence intervals (CI) to establish prevalence using variables of PND, anxiety, PTSD and stress to name a few. Findings: Sixty studies were finalised from the 20,040 data pool. Forty-six studies were included systematically with 14 used to meta-analyze GDM and MH outcomes. A second meta-analysis was conducted using 7 studies to determine GDM risk among Black, Asian and Minority Ethnic women with pre-existing MH disorders. The results indicate an increased risk with pooled adjusted OR for both reflected at 1.23, 95% CI of 1.00À1.50 and 1.29, 95% CI of 1.11À1.50 respectively. Interpretation: The available studies suggest a MH sequalae with GDM as well as a sequalae of GDM with MH among Black, Asian and Minority Ethnic populations. Our findings warrant further future exploration to better manage these patients.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A systematic review and meta-analysis of gestational diabetes mellitus and mental health among BAME populations

et al. 2021

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“…Untreated psychiatric disorders may interrupt social life and can have adverse effects on fetal and neonatal growth, so recognizing women at risk of developing psychiatric disorders during pregnancy and implementing timely management is essential [7].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Antepartum Depression and its Effect on Pregnancy Outcome in Two Primary Health Care Units in Qaliobia Governorate, Egypt

Mostafa

El-Rafie

Sayed

et al. 2021

Open Access Maced J Med Sci

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Background: Depression during pregnancy occurs more often than most people realize. Early detection of depression during pregnancy is critical because depression can adversely affect birth outcome and neonatal health. Mental health care during pregnancy is a serious public health issue. Objectives: to estimate the prevalence of antepartum depression and its effects on pregnancy outcome; among pregnant women in the last trimester,living in rural Egypt. Methods: the first part of the study was cross sectional; to assess the prevalence of antepartum depression. This was followed by a prospective part to detect the effects of antepartum depression on the outcome of pregnancy. The sample size was 300 consented women. A structured interview questionnaire was designed including socio-demographic and economic data, obstetric history, and neonatal information. Hamilton Rating Scale was used to detect the prevalence and level of Depression Results: 68.7% of sampled women suffered from antepartum depression. The incidence of low birth weight was (4%), and about one fifth of babies were admitted in NICU in the first month. Death in first month of life was (3%). The only significant predictor of unfavorable birth outcome using logistic regression was depression level. Females with severe depression were 9.43 at higher risk to have unfavorable birth outcome than normal ones. Also females with moderate depression had 1.4 higher risk to have unfavorable birth outcome than females without depression. Conclusion: (68.7%) of women suffered from depression during pregnancy. Increasing level of depression was significantly associated with adverse birth outcome. Key Words: depression, pregnancy, mental health, ANC, neonatal health.

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“…Women during pregnancy experience variety of mental and physical disorders. For example, psychological issues including depression, obsessive compulsive disorder, anxiety, stress, panic disorder, mood disorders, sleep disorders, and psychological distress appeared to associated with pregnant women (Sharma, Singh, Tempe, & Malhotra, 2017). In particular, recent reviews reported that prevalence of depression (Woody, Ferrari, Siskind, Whiteford, & Harris, 2017) or disorders relating posttraumatic stress (Yildiz, Ayers, & Phillips, 2017) was 11.9% and 3.3 % among pregnant women, respectively.…”

Section: Introductionmentioning

confidence: 99%

Aquatic Exercise to Treat Pregnancy Related Issues in Pregnant Women: A Systematic Review

Ali

Azam

Askry³

2020

JBSEE

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Background: Wide ranges of physiological changes occur as a result of pregnancy in women that, in certain cases, may cause variety of psychological and physical problems in pregnant women. Aquatic exercises believed to be safe for pregnant women and believed to foster positive effect on psychophysical health. Current health care setting and nursing emphasizes on evidence based approaches when developing and implementing interventions to address health related issues of pregnant women. Purpose: This review sought to synthesize qualitatively the existing research evidences concerning association between aquatic exercises and psychophysical problems in pregnant women. Methods: A 1989 records were yielded as result of conducting a systematic search in nine research data bases. After undergoing rigorous screening and assessment procedure of eligibility, and quality appraisal, a total of seventeen research articles were ultimately selected to include in this review. Result: Out of seventeen admissible studies, ten studies found that aquatic exercises exerts positive impact to decreases variety of physical discomforts such as fatigue, pelvic pain, labor pain, and edema. The remaining seven studies presented beneficial effects of aquatic exercises for psychological factors such as body image, stress, depression, feelings, mood, distress, and anxiety in pregnant women. Moreover, among the seventeen studies, only two studies showed effectiveness of aquatic exercises to manage body weight and two studies found improvement in sleep during pregnancy. Conclusion: This review found some evidence in support of the efficacy of aquatic exercises to reduce physical discomfort and improve psychological factors in pregnant women. More studies essential to reach stronger conclusion. The existing evidence concerning effectiveness of this intervention for weight management and sleep health during pregnancy is insufficient.

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Psychiatric Disorders during Pregnancy and Postpartum

Cited by 5 publications

References 64 publications

A systematic review and meta-analysis of gestational diabetes mellitus and mental health among BAME populations

A systematic review and meta-analysis of gestational diabetes mellitus and mental health among BAME populations

Assessment of Antepartum Depression and its Effect on Pregnancy Outcome in Two Primary Health Care Units in Qaliobia Governorate, Egypt

Aquatic Exercise to Treat Pregnancy Related Issues in Pregnant Women: A Systematic Review

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