The Impact of Prior Abortion on Anxiety and Depression Symptoms During a Subsequent Pregnancy: Data From a Population-Based Cohort Study in China

Abstract

Objective:The aim of the study was to assess anxiety and depression in women with history of spontaneous abortion or induced abortion during a subsequent pregnancy. Methods: The data were consecutively obtained from seven maternal and child health (MCH) Centers in the Anhui Province of China. The sociodemographic characteristics of the women, the number of previous pregnancies, number of living children, and gestational age of the current pregnancy were ascertained at the time of the interview. Results: The pregnant women who were in the first trimester of their pregnancy reported significantly higher scores than those in the second trimester both on SAS (Zung's Self-Rating Anxiety Scale) and CES-D (The Center for Epidemiologic Studies-Depression Scale) (SAS score means: 32.11 vs 31.68, P=0.000; CES-D score means: 4.59 vs 4.06, P=0.012). The women with a history of induced abortions were significantly more likely to report more "cases" of depression (OR = 1.543, 95% CI = 1.055-254) and more "cases" of anxiety (OR = 2.142, 95% CI = 1.294-3.561) during the first trimester than those with no history of abortion. Controlling for confounding variables yielded similar results. However, "cases" of depression and "cases" of anxiety were equally common in women with history of spontaneous abortions and in those with no abortion history. Conclusions: These results suggest women who have experienced a previous induced abortion have omnipresent anxiety and depression symptoms during a subsequent pregnancy, especially during the first trimester.Ya zış ma Ad re si / Add ress rep rint re qu ests to:

The presence of anxiety, depression and stress in women and their partners during pregnancies following perinatal loss: A meta-analysis

“…The inclusion of women with previous abortion experience may affect results as abortion is not generally a predictor for subsequent psychological distress (Foster et al, 2015;Steinberg et al, 2014), except in China [e.g. (Gong et al, 2013)] where women experience higher levels of anxiety (but not depression) during pregnancies following abortion which is often used due to the country's one child policy (Huang et al, 2012).…”

Relationship between perceived stigma and depressive symptomatology in women who legally interrupt pregnancy in Mexico City

“…However, most of the research on the subject has been undertaken in Western developed countries (Biggs et al, 2017;Fergusson et al, 2008;Rees & Sabia, 2007;Pedersen, 2008;Taft & Watson, 2008;National Collaborating Center for Mental Health, 2011;Munk-Olsen et al, 2011;Huang et al, 2012). These countries report the lowest number of abortions in the world (11.8%), of which only 12.5% are unsafe, and abortion has been legal for decades.…”

Depresión y estrés postraumático en mujeres con pérdidas gestacionales inducidas e involuntarias

“…Las pruebas revelan que la experiencia de las pérdidas gestacionales inducidas o involuntarias puede resultar muy estresante y provoca en la mujer una respuesta que favorece el desarrollo de un trastorno (TEPT o TEA) en comorbilidad con un trastorno depresivo, agravado en los casos de pérdidas inducidas debido a que es más probable que presenten estados depresivos de mayor severidad o gravedad que en los casos de pérdidas involuntarias. En la literatura están reportados resultados similares ante las pérdidas gestacionales (Fergusson et al, 2006;Huang et al, 2012;Pedersen, 2008;Yilmaz et al, 2010;Zul i -Naki et al, 2012).…”

“…Por su lado, en Noruega, Pedersen (2008) realizó un estudio con 5768 mujeres, entre los 15 y los 27 años de edad, del cual concluye que las mujeres que se sometieron a un aborto tienen un riesgo del 95% de sufrir una depresión mayor. Resultados en esta misma línea también los reporta Huang et al (2012).…”