The Effects of Maternal Depression on Fetal Heart Rate Response to Vibroacoustic Stimulation

Allister, Lauren; Lester, Barry M.; Carr, Stephen Howard; Liu, Jing

doi:10.1207/875656401753549843

Cited by 52 publications

(64 citation statements)

References 21 publications

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“…Fetuses of women with elevated levels of depression have previously been shown to be slower to return to baseline heart rate following VAS. 17 The low response and the oscillatory pattern in FHR after VAS observed in fetuses from high anxiety mothers in the present study may reflect delayed neurodevelopmental maturation.…”

Section: Discussionmentioning

confidence: 52%

Effect of Maternal Stress on Fetal Heart Rate Assessed by Vibroacoustic Stimulation

Makino

Matsuda²,

Yoneyama³

et al. 2009

J Int Med Res

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This study was designed to determine whether maternal stress levels, state and trait anxiety levels, and stress hormones affect fetal heart rate (FHR) patterns after vibroacoustic stimulation (VAS) at 30 weeks of gestation. A total of 24 healthy pregnant women with a single fetus pregnancy were enrolled. Corticotropin releasing hormone (CRH) and adrenocorticotropic hormone in maternal plasma and cortisol, and chromogranin A in saliva were measured. The FHR patterns after VAS were divided into three types: type I, a long period of acceleration or one acceleration lasting > 1 min or at least two accelerations lasting > 15 s; type II, a biphasic response with acceleration followed by deceleration; and type III, no response or prolonged deceleration. In the high trait anxiety group, CRH levels were significantly higher than in the low trait anxiety group, and FHR patterns after VAS showed mostly a type II response pattern. These findings suggest that stress in pregnant women with high trait anxiety may influence FHR patterns after VAS.

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Section: Discussionmentioning

confidence: 52%

Effect of Maternal Stress on Fetal Heart Rate Assessed by Vibroacoustic Stimulation

Makino

Matsuda²,

Yoneyama³

et al. 2009

J Int Med Res

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“…Embora a maioria dos estudos seja focada na depressão pós-parto, a depressão durante a gravidez pode ser considerada questão importante para o campo da saúde pública, visto que constitui um forte fator de risco à depressão pós-natal, apontando para a necessidade de intervenções antes do nascimento do bebê, além das novas evidências de que a depressão gestacional possa causar baixo peso ao nascer, prematuridade e afetar o desenvolvimento da criança 18,19 . A crença de que as emoções da gestante possam afetar a saúde do bebê é muito antiga, mas somente nas últimas décadas despertou o interesse científico [18][19][20][21][22][23][24][25][26][27] . Sabe-se que o ambiente nutricional, hormonal, metabólico, psicológico e social, vivenciado pela mãe durante a gestação, tem relação com a saúde do recém-nato.…”

Section: Introductionunclassified

Prevalência da depressão gestacional e fatores associados

Pereira¹,

Lovisi²

2008

Rev. psiquiatr. clín.

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ResumoContexto: Depressão é um transtorno mental comum durante a gravidez, associado com diversos fatores de risco. Estudos revelaram relação entre depressão gestacional e efeitos deletérios no desenvolvimento do bebê. Objetivos: Revisar a prevalência e os fatores de risco para a depressão durante a gravidez. Métodos: A revisão bibliográfica considerou o período de 1997 a 2007 (MEDLINE, LILACS e SciELO), usando os descritores: "depression during pregnancy" OU "gestational depression" OU "antenatal depression" E "prevalence" E "risk factors". Resultados: A prevalência de depressão durante a gravidez nos países em desenvolvimento, incluindo o Brasil, foi mais alta que nos países desenvolvidos, respectivamente, 20% e 15%. Apesar de ser uma importante questão de saúde pública, há poucos estudos sobre o tema no Brasil. Os principais fatores de risco foram: história anterior de depressão, dificuldades financeiras, baixa escolaridade, desemprego, ausência de suporte social, dependência de substâncias e violência doméstica. Conclusões: As implicações da nossa revisão para a prática clínica consistem em enfatizar a necessidade de avaliação da depressão e a investigação de vários fatores de risco como parte do cuidado pré-natal por parte de obstetras e outros profissionais da saúde. Além disso, intervenções psicossociais e políticas sociais necessitam ser implementadas nessa população.Pereira PK, Lovisi GM / Rev Psiq Clín. 2008;35(4):144-53 Palavras-chave: Depressão, gravidez, prevalência, fatores de risco. AbstractBackground: Depression is a common mental disorder during pregnancy and is associated with several risk factors. Studies have reported an association between gestational depression and deleterious effects to the development of the infant. Objectives: To review the prevalence and risk factors for depression during pregnancy. Methods: The keywords: "depression during pregnancy" OR "gestational depression" OR "antenatal depression" AND "prevalence" AND "risk factors" were used to search for articles published between 1997 and 2007 in the MEDLINE, LILACS and SciELO databases. Results: The prevalence of depression during pregnancy in developing countries, including Brazil, was higher than in developed countries, respectively 20% and 15%. Despite being an important public health issue, there are few studies about this subject in Brazil. The main risk factors were: previous history of depression, financial difficulties, low level of education, unemployment, poor social support, substance dependence and domestic violence. Discussion: We emphasize the importance of the screening for depression in the context of antenatal care. Obstetricians and other related health care providers must be aware of the various risks factors for depression during pregnancy. In addition, psychosocial interventions and social policies need to be implemented in this population.

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“…There is evidence that antenatal maternal stress disrupts fetal neurobehavioral development (DiPietro, Hodgson, & Costigan, 1996 ;Tronick & Reck, 2009 ) and alters behavioral reactivity in utero (Allister, Lester, Carr, & Liu, 2001 ;Monk et al, 2000 ).…”

Section: Impact Of Prenatal Maternal Mood Disturbancesmentioning

confidence: 99%

Fetal Effects of In Utero Serotonin Reuptake Inhibitor (SRI) Antidepressant Exposure

et al. 2016

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In utero serotonin reuptake inhibitor (SRI) exposure is relatively common and neonatal behavioral outcomes vary greatly. Such exposure has led to questions about whether these effects refl ect an acute short-lived pharmacological phenomenon that results in a "withdrawal" condition, or sustained neurological changes associated with altered serotonin (5-HT) signaling that begins long before birth. Emerging reports now suggest that certain effects associated with in utero SRI exposure become evident during gestation. For instance, in utero SRI exposure appears to infl uence fetal brain blood fl ow and neurobehavior. In this chapter, we summarize current research evidence reporting the fetal effects of in utero SRI exposure. Given the paucity of empiric fetal data in humans, we draw from what we know about three postnatal fi ndings that may refl ect fetal developmental sequelae associated with in utero SRI exposure.

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The Effects of Maternal Depression on Fetal Heart Rate Response to Vibroacoustic Stimulation

Cited by 52 publications

References 21 publications

Effect of Maternal Stress on Fetal Heart Rate Assessed by Vibroacoustic Stimulation

Effect of Maternal Stress on Fetal Heart Rate Assessed by Vibroacoustic Stimulation

Prevalência da depressão gestacional e fatores associados

Fetal Effects of In Utero Serotonin Reuptake Inhibitor (SRI) Antidepressant Exposure

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