The Other Postpartum: Pregnancy Loss and Mental Illness

Riddle, Julia N.; Yau, Bernice; Baller, Erica B.; Bradshaw, Phillip; Leistikow, Nicole; Ross, David A.; Osborne, Lauren M.

doi:10.1016/j.biopsych.2023.01.003

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…A spontaneous miscarriage is the most frequent reason for early pregnancy loss (Arora & Mukhopadhaya, 2019;World Health Organization, 2019). Considering the prevalence and importance of post-abortion mental health problems and their negative effects on subsequent pregnancies, measures to reduce anxiety and depression are necessary (Riddle et al, 2023;Dagher et al, 2021).…”

Section: Significancementioning

confidence: 99%

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Effect of Tailored Psycho-Educational Intervention on Depression and Anxiety levels among Pregnant Women with Spontaneous Abortion History

M. Dwedar,

Gomaa Ramadan Elgamal,

Taha Ahmed Taha

et al. 2024

Egyptian Journal of Health Care

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Background: Abortion history has negative psychological impacts on women who might experience an increased anxiety and depression or post-traumatic stress anxiety disease which could be associated with less effective self-care management during pregnancy later on. Psycho educational interventions for the psychological disorders are a multifaceted approach promoting adaptive behaviors in these miserable experiences of abortion for pregnant woman Aim: The study aimed to evaluate the effect of tailored psycho-educational intervention on depression and anxiety levels among pregnant women with spontaneous abortion history. Method: Quasi-experimental research design (nonequivalent control group with pretest/posttest technique) was utilized. Purposive sample of (80) pregnant women with spontaneous abortion history were recruited in the study. The study was conducted at the antenatal ward of obstetrics and gynecology of National Institute of Damanhur-El-Behera governorate, Egypt. Three tools were utilized in the study; Structured Interview Questionnaire, Beck Anxiety Inventory (BAI) and Zung Self-Rating Depression Scale. Results: The study results revealed that there was no significant difference between the intervention and control group regarding most of socio-demographic characteristics and obstetric histories. The results of the current study also reported that there were highly statistical significant differences between intervention and control group pre, and after one and two months of intervention related to anxiety and depression levels (P-value < 0.02 and 0.001; 0.006 and 0.001) respectively. Conclusion: The pregnant women with spontaneous abortion histories who were participated in that tailored psycho-educational intervention exhibit less anxiety and depression levels than those who do not receive it in the control group. Recommendation: A tailored psychoeducational intervention could be utilized by psychiatric and midwives nurses to decrease anxiety and depression levels during antenatal care for pregnant women with spontaneous abortion history.

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Section: Significancementioning

confidence: 99%

“…Previous studies have focused on psychological effects such as depression and anxiety after abortion, but less studies have focused on post-abortion pregnancy outcomes and their effects on subsequent pregnancies (Gebeyehu et al, 2023; Riddle et al, 2023).…”

Section: Significancementioning

confidence: 99%

Effect of Tailored Psycho-Educational Intervention on Depression and Anxiety levels among Pregnant Women with Spontaneous Abortion History

M. Dwedar,

Gomaa Ramadan Elgamal,

Taha Ahmed Taha

et al. 2024

Egyptian Journal of Health Care

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“…The models were adjusted for age (continuous), ethnicity (White or others), education (with or without a college or university degree), Townsend deprivation index (continuous), body mass index (continuous), overall health (excellent, good, fair, or poor), hypertension (yes or no), diabetes (yes or no), sleep duration (≤ 6h, 7-8 h, or ≥ 9 h), stressful life events (yes or no), number of live births (0, 1, 2, or ≥ 3), oral contraceptive pill use (ever or never), and hormone replacement therapy use (ever or never). mediate the connection between pregnancy loss, particularly recurrent pregnancy loss, and the development of mental disorders (25). Women with a history of pregnancy loss exhibit a pro-inflammatory state (26,27), characterized by elevated levels of high-sensitivity C-reactive protein closely associated with the subsequent risk of mental disorders (28, 29).…”

Section: Educationmentioning

confidence: 99%

Associations between pregnancy loss and common mental disorders in women: a large prospective cohort study

Shen,

Zhong,

Wang

et al. 2024

Front. Psychiatry

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BackgroundIncreasing evidence suggests that pregnancy loss can lead to negative emotional outcomes, such as anxiety and depression, for women. However, limited knowledge exists regarding the long-term risk of mental disorders among individuals who have experienced pregnancy loss.ObjectiveTo investigate the associations between pregnancy loss and the risk of common mental disorders.MethodsIn the UK Biobank, a total of 218,990 women without any mental disorder at baseline were enrolled between 2006 and 2010 and followed until October 2022. Information on the history of pregnancy loss was obtained through self-reported questionnaires at baseline. Cox proportional hazard regression models were used to estimate adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) for associations between pregnancy loss and common mental disorders.ResultsDuring a median follow-up time of 13.36 years, there were 26,930 incident cases of common mental disorders. Incidence rates of common mental disorders were elevated among women with a history of stillbirth (HR 1.15, 95% CI: 1.07–1.23), miscarriage (HR 1.06, 95% CI: 1.02–1.10), or pregnancy termination (HR 1.21, 95% CI: 1.17–1.25) compared to those without such experiences. Furthermore, the risk of common mental disorders significantly increased in women with two or more miscarriages (HR 1.14, 95% CI: 1.08–1.19) or two or more pregnancy terminations (HR 1.39, 95% CI: 1.30–1.48).ConclusionsPregnancy loss is associated with an increased risk of common mental disorders in women later in life. These findings may contribute to the enhancement of long-term monitoring and prevention of common mental disorders for women with such a history.

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The Other Postpartum: Pregnancy Loss and Mental Illness

Cited by 2 publications

References 9 publications

Effect of Tailored Psycho-Educational Intervention on Depression and Anxiety levels among Pregnant Women with Spontaneous Abortion History

Effect of Tailored Psycho-Educational Intervention on Depression and Anxiety levels among Pregnant Women with Spontaneous Abortion History

Associations between pregnancy loss and common mental disorders in women: a large prospective cohort study

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