J Korean Acad Nurs.  2012 Aug;42(4):477-485. 10.4040/jkan.2012.42.4.477.

Effects of Antenatal Depression and Antenatal Characteristics of Pregnant Women on Birth Outcomes: A Prospective Cohort Study

• Kim HW
• Jung YY

• KMID: 1387320
• DOI: http://doi.org/10.4040/jkan.2012.42.4.477

Abstract

PURPOSE
This study was done to evaluate the effects of antenatal depression on birth outcomes.
METHODS
The participants were 255 pregnant women who were followed in a prospective study. Of these, 197 cases were examined included birth weight, Apgar scores at 5 minute, premature contraction, complication of labor, delivery types and laboratory data. Descriptive statistics, ANOVA, Chi square test of linear by linear association, Kruskal Wallis test, Relative Risk, univariate and adjusted multiple logistic regression were used for data analysis with SPSS/Win.
RESULTS
Level of antenatal depression was associated with low birth weight (chi2=7.69, p=.010). High risk pregnancy was a predictor of low birth weight (OR=6.98 [1.21-40.30]) and baby's weight (OR=2.12, [1.05-4.28]). Prepregnancy body mass index (BMI) was a predictor of complications in labor (OR=3.59, [1.03-12.48]). But there were no significant effects of antenatal depression on other birth outcomes.
CONCLUSION
The results of this study indicate that women with antenatal depression, high risk pregnancy, prepregnancy BMI> or =23 kg/M2 should be monitored and managed to ensure favorable birth outcomes.

Keyword

Depression; Low birth weight; Pregnant women; Obstetric labor complications

MeSH Terms

Adult
Apgar Score
Body Mass Index
Cohort Studies
Delivery, Obstetric
*Depression
Female
Humans
Infant, Low Birth Weight
Infant, Newborn
Logistic Models
Male
Middle Aged
Odds Ratio
Pregnancy
Pregnancy Complications
Prospective Studies
Socioeconomic Factors
Women/*psychology

Reference

1. Andersson L, Sundstrom-Poromaa I, Wulff M, Astrom M, Bixo M. Neonatal outcome following maternal antenatal depression and anxiety: A population based study. American Journal of Epidemiology. 2004a. 159:872–881. http://dx.doi.org/10.1093/aje/kwh122.

2. Andersson L, Sundstrom-Poromaa I, Wulff M, Astrom M, Bixo M. Implications of antenatal depression and anxiety for obstetric outcomes. Obstetrics and Gynecology. 2004b. 104:467–476. http://dx.doi.org/10.1097/01.AOG.0000135277.04565.e9.

3. Aum JA, Jung HJ, Huh JW, Hong SY. Factors influencing birth weight premature infants. Korean Journal of Pediatrics. 2007. 50:954–958. http://dx.doi.org/10.3345/kjp.2007.50.10.954.

4. Brandon AR, Trivedi MH, Hynan LS, Miltenberger PD, Labat DB, Rifkin JB, et al. Prenatal depression in women hospitalized for obstetric risk. Journal of Clinical Psychiatry. 2008. 69:635–643.

5. Brooten D, Youngblut JM, Brown L, Finkler SA, Neff DF, Madigan E. A randomized trial of nurse specialist home care for women with high risk pregnancies: Outcomes and costs. The American Journal of Managed Care. 2001. 7:793–803.

6. Dayan J, Creveuil C, Marks MN, Conroy S, Herlicoviez M, Dreyfus M, et al. Prenatal depression, prenatal anxiety, and spontaneous preterm birth: A prospective cohort study among women with early and regular care. Psychosomatic Medicine. 2006. 68:938–946. http://dx.doi.org/10.1097/01.psy.0000244025.20549.bd.

7. Dennis CL, Allen K. Interventions (other than pharmacological, psychosocial or psychological) for treating antenatal depression. Cochrane Database of Systematic Reviews. 2008. 8(4):CD006795. http://dx.doi.org/10.1002/14651858.CD006795.pub2.

8. Evans J, Heron J, Patel RR, Wiles N. Depressive symptoms during pregnancy and low birth weight at term. Longitudinal study. The British Journal of Psychiatry. 2007. 191:84–85. http://dx.doi.org/10.1192/bjp.bp.105.016568.

9. Field T, Diego M, Hernandez-Reif M, Schanberg S, Kuhn C, Yando R, et al. Prenatal depression effects on the fetus and neonate in different ethnic and socio-economic status groups. Journal of Reproductive and Infant Psychology. 2002. 20:149–157. http://dx.doi.org/10.1080/026468302760270809.

10. Imran N, Haider II. Screening of antenatal depression in Pakistan: Risk factors and effects on obstetric and neonatal outcomes. Asia-Pacific psychiatry: Official Journal of the Pacific Rim College of Psychiatrists. 2009. 2:26–32. http://dx.doi.org/10.1111/j.1758-5872.2009.00028.x.

11. Kim HW, Jung YY. Influencing factors on antenatal depression. Korean Journal of Women Health Nursing. 2010. 16:95–104. http://dx.doi.org/10.4069/kjwhn.2010.16.2.95.

12. Kim MH. Changes in birth rates of low birth weight and premature infants in Korea over the past 7 years. Korean Journal of Pediatrics. 2008. 51:233–236. http://dx.doi.org/10.3345/kjp.2008.51.3.233.

13. Koh KS, Park CH. The relationship between maternal body mass index, gestational weight gain patterns and preterm birth. Korean Journal of Obstetrics and Gynecology. 1997. 40:2168–2177.

14. Koh KS. Gestational weight gain and perinatal outcomes by maternal body mass index. Journal of the Korean Society of Maternal and Child Health. 1998. 2:171–180.

15. Lee H, Lee K, Shin M. Analysis of maternal child health services in Korea-Perspective of premature infant. Journal of Korean Academy of Child Health Nursing. 2009. 15:81–87. http://dx.doi.org/10.4094/jkachn.2009.15.1.81.

16. Lee YH. The relations between attributional style, life events, event attribution, hopelessness and depression. 1993. Seoul: Seoul National University;Unpublished doctoral dissertation.

17. Rahman A, Bunn J, Lovel H, Creed F. Association between antenatal depression and low birthweight in a developing country. ACTA Psychiatrica Scandinavica. 2007. 115:481–486. http://dx.doi.org/10.1111/j.1600-0447.2006.00950.x.

18. Siega-Riz AM, Siega-Riz AM, Laraia B. The implications of maternal overweight and obesity on the course of pregnancy and birth outcomes. Maternal and Child Health Journal. 2006. 10:s153–s156. http://dx.doi.org/10.1007/s10995-006-0115-x.

19. Statistics Korea. Birth statistics in 2010. 2011. 08. Retrieved December 6, 2011. from http://kostat.go.kr/portal/korea/kor_nw/3/index.board?bmode=read&aSeq=249893.

20. Wang SY, Chen CH. The association between prenatal depression and obstetric outcome in Taiwan: A prospective study. Journal of Women's Health. 2010. 19:2247–2251. http://dx.doi.org/10.1089/jwh.2010.1988.