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01-12-2013 | Original Article

Elevated risk of adverse obstetric outcomes in pregnant women with depression

Authors: Deborah R. Kim, Laura E. Sockol, Mary D. Sammel, Caroline Kelly, Marian Moseley, C. Neill Epperson

Published in: Archives of Women's Mental Health | Issue 6/2013

Abstract

In this study, we evaluated the association between prenatal depression symptoms adverse birth outcomes in African–American women. We conducted a retrospective cohort study of 261 pregnant African–American women who were screened with the Edinburgh Postnatal Depression Scale (EPDS) at their initial prenatal visit. Medical records were reviewed to assess pregnancy and neonatal outcomes, specifically preeclampsia, preterm birth, intrauterine growth retardation, and low birth weight. Using multivariable logistic regression models, an EPDS score ≥10 was associated with increased risk for preeclampsia, preterm birth, and low birth weight. An EPDS score ≥10 was associated with increased risk for intrauterine growth retardation, but after controlling for behavioral risk factors, this association was no longer significant. Patients who screen positive for depression symptoms during pregnancy are at increased risk for multiple adverse birth outcomes. In a positive, patient-rated depression screening at the initial obstetrics visit, depression is associated with increased risk for multiple adverse birth outcomes. Given the retrospective study design and small sample size, these findings should be confirmed in a prospective cohort study.

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Title: Elevated risk of adverse obstetric outcomes in pregnant women with depression
Authors: Deborah R. Kim
Laura E. Sockol
Mary D. Sammel
Caroline Kelly
Marian Moseley
C. Neill Epperson
Publication date: 01-12-2013
Publisher: Springer Vienna
Published in: Archives of Women's Mental Health / Issue 6/2013
Print ISSN: 1434-1816
Electronic ISSN: 1435-1102
DOI: https://doi.org/10.1007/s00737-013-0371-x

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Elevated risk of adverse obstetric outcomes in pregnant women with depression

Abstract

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Abstract

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