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Published in: BMC Pregnancy and Childbirth 1/2021

Open Access 01-12-2021 | Mood Disorders | Research article

Antenatal depressive symptoms and adverse perinatal outcomes

Authors: Despina Pampaka, Stefania I. Papatheodorou, Mohammad AlSeaidan, Rihab Al Wotayan, Rosalind J. Wright, Julie E. Buring, Douglas W. Dockery, Costas A. Christophi

Published in: BMC Pregnancy and Childbirth | Issue 1/2021

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Abstract

Background

The association of antenatal depression with adverse pregnancy, birth, and postnatal outcomes has been an item of scientific interest over the last decades. However, the evidence that exists is controversial or limited. We previously found that one in five women in Kuwait experience antenatal depressive symptoms. Therefore, the aim of this study was to examine whether antenatal depressive symptoms are associated with preterm birth (PTB), small for gestational age (SGA), or large for gestational age (LGA) babies in this population.

Methods

This was a secondary analysis based on data collected in the Transgenerational Assessment of Children’s Environmental Risk (TRACER) Study that was conducted in Kuwait. Logistic regression analysis was used to examine whether antenatal depressive symptoms assessed using the Edinburgh Depression Scale (EDS) were associated with preterm birth, small for gestational age, and large for gestational age babies.

Results

A total of 1694 women had complete information about the outcomes of interest. Women with depressive symptoms in pregnancy had increased, albeit non-significant, odds of having PTB (OR = 1.41; 95%CI: 0.81, 2.45), SGA babies (OR = 1.26; 0.80, 1.98), or LGA babies (OR = 1.27; 0.90, 1.79). Antenatal depressive symptoms had similar increased odds for the three outcomes even after adjusting for several covariates though none of these reached statistical significance.

Conclusions

In the present study, the depressive symptoms in pregnancy did not predict adverse birth outcomes, such as PTB, SGA, and LGA, which adds to the currently non-conclusive literature. However, further research is needed to examine these associations, as the available evidence is quite limited.
Literature
10.
go back to reference Grigoriadis S, VonderPorten EH, Mamisashvili L, Tomlinson G, Dennis CL, Koren G, et al. The impact of maternal depression during pregnancy on perinatal outcomes: a systematic review and meta-analysis. J Clin Psychiatry. 2013;74:e231.CrossRef Grigoriadis S, VonderPorten EH, Mamisashvili L, Tomlinson G, Dennis CL, Koren G, et al. The impact of maternal depression during pregnancy on perinatal outcomes: a systematic review and meta-analysis. J Clin Psychiatry. 2013;74:e231.CrossRef
13.
go back to reference Niemi M, Falkenberg T, Petzold M, Chuc NTK, Patel V. Symptoms of antenatal common mental disorders, preterm birth and low birthweight: a prospective cohort study in a semi-rural district of Vietnam. Tropical Med Int Health. 2013;18(6):687–95. https://doi.org/10.1111/tmi.12101.CrossRef Niemi M, Falkenberg T, Petzold M, Chuc NTK, Patel V. Symptoms of antenatal common mental disorders, preterm birth and low birthweight: a prospective cohort study in a semi-rural district of Vietnam. Tropical Med Int Health. 2013;18(6):687–95. https://​doi.​org/​10.​1111/​tmi.​12101.CrossRef
16.
go back to reference Berle JØ, Mykletun A, Daltveit AK, Rasmussen S, Holsten F, Dahl AA. Neonatal outcomes in offspring of women with anxiety and depression during pregnancy. A linkage study from the Nord-Trøndelag health study (HUNT) and medical birth registry of Norway. Arch Womens Ment Health. 2005;8(3):181–9. https://doi.org/10.1007/s00737-005-0090-z.CrossRefPubMed Berle JØ, Mykletun A, Daltveit AK, Rasmussen S, Holsten F, Dahl AA. Neonatal outcomes in offspring of women with anxiety and depression during pregnancy. A linkage study from the Nord-Trøndelag health study (HUNT) and medical birth registry of Norway. Arch Womens Ment Health. 2005;8(3):181–9. https://​doi.​org/​10.​1007/​s00737-005-0090-z.CrossRefPubMed
17.
go back to reference Eastwood J, Ogbo FA, Hendry A, Noble J, Page A. The impact of antenatal depression on perinatal outcomes in Australian women. PLoS One. 2017;12:1–16. Eastwood J, Ogbo FA, Hendry A, Noble J, Page A. The impact of antenatal depression on perinatal outcomes in Australian women. PLoS One. 2017;12:1–16.
18.
go back to reference Husain N, Munshi T, Jafri F, Husain M, Parveen A, Saeed Q, et al. Antenatal depression is not associated with low-birth weight: a study from urban Pakistan. Front Psychiatry. 2014;5:175.CrossRef Husain N, Munshi T, Jafri F, Husain M, Parveen A, Saeed Q, et al. Antenatal depression is not associated with low-birth weight: a study from urban Pakistan. Front Psychiatry. 2014;5:175.CrossRef
28.
go back to reference World Health Organization. WHO: recommended definitions, terminology and format for statistical tables related to perinatal period and use of a new certificate for cause of perinatal deaths. Acta Obstet Gynecol Scand. 1977;56:247–53. World Health Organization. WHO: recommended definitions, terminology and format for statistical tables related to perinatal period and use of a new certificate for cause of perinatal deaths. Acta Obstet Gynecol Scand. 1977;56:247–53.
35.
go back to reference Bindt C, Guo N, Te Bonle M, Appiah-Poku J, Hinz R, Barthel D, et al. No association between antenatal common mental disorders in low-obstetric risk women and adverse birth outcomes in their offspring: results from the CDS study in Ghana and Côte D’Ivoire. PLoS One. 2013;8:1–9.CrossRef Bindt C, Guo N, Te Bonle M, Appiah-Poku J, Hinz R, Barthel D, et al. No association between antenatal common mental disorders in low-obstetric risk women and adverse birth outcomes in their offspring: results from the CDS study in Ghana and Côte D’Ivoire. PLoS One. 2013;8:1–9.CrossRef
36.
38.
go back to reference Pesonen AK, Lahti M, Kuusinen T, Tuovinen S, Villa P, Hämäläinen E, et al. Maternal prenatal positive affect, depressive and anxiety symptoms and birth outcomes: the PREDO study. PLoS One. 2016;11:1–13.CrossRef Pesonen AK, Lahti M, Kuusinen T, Tuovinen S, Villa P, Hämäläinen E, et al. Maternal prenatal positive affect, depressive and anxiety symptoms and birth outcomes: the PREDO study. PLoS One. 2016;11:1–13.CrossRef
40.
go back to reference Mcdonald SD, Mckinney B, Foster G, Taylor V, Lutsiv O, Pullenayegum E. The combined effects of maternal depression and excess weight on neonatal outcomes; 2015. p. 1033–40. Mcdonald SD, Mckinney B, Foster G, Taylor V, Lutsiv O, Pullenayegum E. The combined effects of maternal depression and excess weight on neonatal outcomes; 2015. p. 1033–40.
41.
go back to reference Petursdottir H, Skalkidou A, Sjöholm A, Eurenius-orre K, Mulic-lutvica A, Wikström A, et al. Maternal body mass index moderates antenatal depression effects on infant birthweight; 2019. p. 1–7. Petursdottir H, Skalkidou A, Sjöholm A, Eurenius-orre K, Mulic-lutvica A, Wikström A, et al. Maternal body mass index moderates antenatal depression effects on infant birthweight; 2019. p. 1–7.
Metadata
Title
Antenatal depressive symptoms and adverse perinatal outcomes
Authors
Despina Pampaka
Stefania I. Papatheodorou
Mohammad AlSeaidan
Rihab Al Wotayan
Rosalind J. Wright
Julie E. Buring
Douglas W. Dockery
Costas A. Christophi
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2021
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-021-03783-9

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