Depression during pregnancy and the risk of low birth weight, preterm birth and intrauterine growth restriction- an updated meta-analysis

Ghimire, Upama; Papabathini, Shireen Salome; Kawuki, Joseph; Obore, Nathan; Musa, Taha Hussein

doi:10.1016/j.earlhumdev.2020.105243

Cited by 61 publications

(37 citation statements)

References 49 publications

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“…5,6 It is essential to conduct research on maternal mental health during pregnancy and postpartum given findings in the extant literature about the correlation of acute stress, anxiety, and depressive symptoms with poor maternal/child health outcomes (e.g., poor maternal health behaviors, suicide, intrauterine growth restriction, preterm birth, impaired breastfeeding, altered infant temperament and social/emotional development, adult-onset chronic illness in the child) and economic burden to the individual and society (e.g., medical costs, comorbidities). [7][8][9][10] To contribute to the state of the science in this field, it is essential to understand the experiences of pregnant and postpartum women during the early phases of the COVID-19 pandemic in the United States. As such, the overall goal of this observational study is to examine the impact of COVID-19 on experiences of pregnant and new mothers and to set the stage for future longitudinal maternal/child health evaluations.…”

Section: Introductionmentioning

confidence: 99%

Depression, Anxiety, Resilience, and Coping: The Experience of Pregnant and New Mothers During the First Few Months of the COVID-19 Pandemic

Kinser

Jallo²,

Amstadter

et al. 2021

Journal of Women's Health

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Background: It is well-documented that the mental health of pregnant and postpartum women is essential for maternal, child, and family well-being. Of major public health concern is the perinatal mental health impacts that may occur during the ongoing COVID-19 pandemic. It is essential to explore the symptom experience and predictors of mental health status, including the relationship between media use and mental health. Materials and Methods: The purpose of this study is to evaluate the experiences of pregnant and postpartum women (n = 524) in the United States in the early phase of the COVID-19 pandemic. This cross-sectional online observational study collected psychosocial quantitative and qualitative survey data in adult pregnant and postpartum (up to 6 months postdelivery) women in April-June 2020. Results: Multivariable linear regression models were used to evaluate predictors of depressive symptoms, anxiety, and post-traumatic stress disorder. The most common predictors were job insecurity, family concerns, eating comfort foods, resilience/adaptability score, sleep, and use of social and news media. Qualitative themes centered on pervasive uncertainty and anxiety; grief about losses; gratitude for shifting priorities; and use of self-care methods including changing media use.Conclusions: This study provides information to identify risk for anxiety, depression, and PTSD symptoms in perinatal women during acute public health situations. Women with family and job concerns and low resilience/adaptability scores seem to be at high risk of psychological sequelae. Although use of social media is thought to improve social connectedness, our results indicate that increased media consumption is related to increased anxiety symptoms.

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Section: Introductionmentioning

confidence: 99%

Depression, Anxiety, Resilience, and Coping: The Experience of Pregnant and New Mothers During the First Few Months of the COVID-19 Pandemic

Kinser

Jallo²,

Amstadter

et al. 2021

Journal of Women's Health

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show abstract

“…Grote et al, in a meta-analysis of studies concerning the effect of depression in pregnancy on neonatal outcomes, did not confirm the relationship between depression and IUGR, and this relationship was also not confirmed by other studies [17,59,85]. Although in recent meta-analyses there have been reports concerning the effect of depression on IUGR [87], these studies did not consider the division of obese women with depression. Apart from an earlier date of delivery, the reduction of the weight of the baby during pregnancy may be due to the improper state of nutrition associated with the above-mentioned increase in CRH secretion.…”

Section: Discussionmentioning

confidence: 93%

Effect of Excessive Body Weight and Emotional Disorders on the Course of Pregnancy and Well-Being of a Newborn before and during COVID-19 Pandemic

Wdowiak

Makara‐Studzińska

Raczkiewicz

et al. 2021

JCM

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This study aimed to evaluate whether excessive body weight and the COVID-19 pandemic affect depression, and subsequently whether depression, excessive body weight, and the COVID-19 pandemic affect the course of pregnancy, as well as the well-being of a newborn. The research material included data retrieved from the medical records of 280 pregnant women who were provided with care by medical facilities in Lublin (100 women with normal weight, 100 overweight women, 50 with Class I and 30 with Class II obesity). They completed a Beck depression inventory (BDI) in pregnancy twice, in order to assess the risk of occurrence of postpartum depression. Pre-pregnancy BMI positively correlated with the severity of depression, both at 10–13 weeks of pregnancy (p < 0.001), and at 32 weeks of pregnancy (p < 0.001). The higher the pre-pregnancy BMI, on average the higher the severity of depression. The severity of depression was significantly higher during the pandemic than before it in women with normal body weight before pregnancy (p < 0.001), as well as in those overweight (p < 0.001) and with Class II obesity (p = 0.015). Excessive body weight before pregnancy leads to depressive disorders during pregnancy, increases the risk of preterm delivery, and exerts a negative effect on the state of a newborn. Depressive symptoms among pregnant, overweight and obese women intensified during the COVID-19 pandemic.

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“…Lastly, research is also required to determine the time points during pregnancy, where screening for antenatal depressive symptoms and perceived stress, best determine change scores that may be predictive of preterm birth. Screening for various forms of psychosocial distress more than once during pregnancy has significant public health implications in terms of improving pregnancy experiences as well as improving pregnancy outcomes for both mothers and infants, populations that have generally been rendered vulnerable by societal structures in various resource-poor settings [ 45 , 89 , 90 ].…”

Section: Discussionmentioning

confidence: 99%

Perceived stress may mediate the relationship between antenatal depressive symptoms and preterm birth: A pilot observational cohort study

et al. 2021

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Background Screening for changes in pregnancy-related anxiety and depressive symptoms during pregnancy may further our understanding of the relationship between these two variables and preterm birth. Objectives To determine whether changes in pregnancy-related anxiety and depressive symptoms during pregnancy influence the risk of preterm birth among Pakistani women; explore whether perceived stress moderates or mediates this relationship, and examine the relationship between the various components of pregnancy-related anxiety and preterm birth. Methods A prospective cohort study design was used to recruit a diverse sample of 300 low-risk pregnant women from four centers of Aga Khan Hospital for Women and Children in Karachi, Pakistan. Changes in pregnancy-related anxiety and depressive symptoms during pregnancy were tested. Multiple logistic regression analysis was used to determine a predictive model for preterm birth. We then determined if the influence of perceived stress could moderate or mediate the effect of depressive symptoms on preterm birth. Results Changes in pregnancy-related anxiety (OR = 1.1, CI 0.97–1.17, p = 0.167) and depressive symptoms (OR = 0.9, CI 0.85–1.03, p = 0.179) were insignificant as predictors of preterm birth after adjusting for the effects of maternal education and family type. When perceived stress was added into the model, we found that changes in depressive symptoms became marginally significant after adjusting for covariates (OR = 0.9, CI 0.82–1.01, p = 0.082). After adjusting for the mediation effect of change in perceived stress, the effect of change in depressive symptoms on preterm birth were marginally significant after adjusting for covariates. Among six different dimensions of pregnancy-related anxiety, mother’s concerns about fetal health showed a trend towards being predictive of preterm birth (OR = 1.3, CI 0.97–1.72, p = 0.078). Conclusions There may be a relationship between perceived stress and antenatal depressive symptoms and preterm birth. This is the first study of its kind to be conducted in Pakistan. Further research is required to validate these results.

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Depression during pregnancy and the risk of low birth weight, preterm birth and intrauterine growth restriction- an updated meta-analysis

Cited by 61 publications

References 49 publications

Depression, Anxiety, Resilience, and Coping: The Experience of Pregnant and New Mothers During the First Few Months of the COVID-19 Pandemic

Depression, Anxiety, Resilience, and Coping: The Experience of Pregnant and New Mothers During the First Few Months of the COVID-19 Pandemic

Effect of Excessive Body Weight and Emotional Disorders on the Course of Pregnancy and Well-Being of a Newborn before and during COVID-19 Pandemic

Perceived stress may mediate the relationship between antenatal depressive symptoms and preterm birth: A pilot observational cohort study

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