BACKGROUND: Maternal distress can have adverse health outcomes for mothers and their children. Antenatal interventions may reduce maternal distress. OBJECTIVE: To assess the effectiveness of antenatal interventions for the reduction of maternal distress during pregnancy and for up to 1 year postpartum. SEARCH STRATEGY: EBSCO, Medline, PubMed, Cochrane, secondary references of Cochrane reviews and review articles, and experts in the field. SELECTION CRITERIA: Randomised controlled trials in which the association between an antenatal intervention and the reduction of maternal distress was reported. DATA COLLECTION AND ANALYSIS: Two authors independently abstracted data from each trial. A random-effects meta-analysis assessed the reduction of maternal distress associated with antenatal preventive and treatment interventions, compared with routine antenatal care or another intervention. MAIN RESULTS: Ten trials with 3167 participants met the inclusion criteria, and nine trials (n = 3063) provided data for the meta-analysis of six preventive interventions and three treatment interventions. The preventive interventions indicated no beneficial reduction of maternal distress (six trials; n = 2793; standardised mean difference, SMD -0.06; 95% confidence interval, 95% CI -0.14-0.01). The treatment interventions indicated a significant effect for the reduction of maternal distress (three trials; n = 270; SMD -0.29; 95% CI -0.54 to -0.04). A sample of women, selected retrospectively, who were more vulnerable for developing maternal distress showed a significant reduction of maternal distress after the interventions (three trials; n = 1410; SMD -0.25; 95% CI -0.37 to -0.14). AUTHOR'S CONCLUSIONS: Preventive antenatal interventions for maternal distress show no effect. Antenatal interventions for women who have maternal distress or are at risk for developing maternal distress are associated with a small reduction in maternal distress.
BACKGROUND: Maternal distress can have adverse health outcomes for mothers and their children. Antenatal interventions may reduce maternal distress. OBJECTIVE: To assess the effectiveness of antenatal interventions for the reduction of maternal distress during pregnancy and for up to 1 year postpartum. SEARCH STRATEGY: EBSCO, Medline, PubMed, Cochrane, secondary references of Cochrane reviews and review articles, and experts in the field. SELECTION CRITERIA: Randomised controlled trials in which the association between an antenatal intervention and the reduction of maternal distress was reported. DATA COLLECTION AND ANALYSIS: Two authors independently abstracted data from each trial. A random-effects meta-analysis assessed the reduction of maternal distress associated with antenatal preventive and treatment interventions, compared with routine antenatal care or another intervention. MAIN RESULTS: Ten trials with 3167 participants met the inclusion criteria, and nine trials (n = 3063) provided data for the meta-analysis of six preventive interventions and three treatment interventions. The preventive interventions indicated no beneficial reduction of maternal distress (six trials; n = 2793; standardised mean difference, SMD -0.06; 95% confidence interval, 95% CI -0.14-0.01). The treatment interventions indicated a significant effect for the reduction of maternal distress (three trials; n = 270; SMD -0.29; 95% CI -0.54 to -0.04). A sample of women, selected retrospectively, who were more vulnerable for developing maternal distress showed a significant reduction of maternal distress after the interventions (three trials; n = 1410; SMD -0.25; 95% CI -0.37 to -0.14). AUTHOR'S CONCLUSIONS: Preventive antenatal interventions for maternal distress show no effect. Antenatal interventions for women who have maternal distress or are at risk for developing maternal distress are associated with a small reduction in maternal distress.
Authors: Catherine Monk; Rachel S Webster; Rebecca B McNeil; Corette B Parker; Janet M Catov; Philip Greenland; C Noel Bairey Merz; Robert M Silver; Hyagriv N Simhan; Deborah B Ehrenthal; Judith H Chung; David M Haas; Brian M Mercer; Samuel Parry; LuAnn Polito; Uma M Reddy; George R Saade; William A Grobman Journal: Arch Womens Ment Health Date: 2019-06-29 Impact factor: 3.633
Authors: Elizabeth A Spry; Margarita Moreno-Betancur; Melissa Middleton; Louise M Howard; Stephanie J Brown; Emma Molyneaux; Christopher J Greenwood; Primrose Letcher; Jacqui A Macdonald; Kimberly C Thomson; Ebony J Biden; Craig A Olsson; George C Patton Journal: Philos Trans R Soc Lond B Biol Sci Date: 2021-05-03 Impact factor: 6.671
Authors: A B Witteveen; P De Cock; A C Huizink; A De Jonge; T Klomp; M Westerneng; C C Geerts Journal: BMC Pregnancy Childbirth Date: 2016-11-22 Impact factor: 3.007
Authors: Elina Wolford; Marius Lahti; Soile Tuovinen; Jari Lahti; Jari Lipsanen; Katri Savolainen; Kati Heinonen; Esa Hämäläinen; Eero Kajantie; Anu-Katriina Pesonen; Pia M Villa; Hannele Laivuori; Rebecca M Reynolds; Katri Räikkönen Journal: PLoS One Date: 2017-12-21 Impact factor: 3.240