Eileen Dowse1,2, Sally Chan3,4,5, Lyn Ebert6,7, Olivia Wynne8, Susan Thomas9, Donovan Jones6,3,10, Shanna Fealy6,9,4,8,10, Tiffany-Jane Evans6,8, Christopher Oldmeadow6,8. 1. School of Nursing and Midwifery, University of Newcastle, Callaghan Campus, University Drive, Callaghan, NSW, 2308, Australia. Eileen.Dowse@newcastle.edu.au. 2. University of Newcastle Priority Research Centre for Reproductive Science: Mothers and Babies, Callaghan, Australia. Eileen.Dowse@newcastle.edu.au. 3. University of Newcastle Priority Research Centre for Brain & Mental Health, Callaghan, Australia. 4. University of Newcastle Priority Research Centre for Health Behaviour, Callaghan, Australia. 5. University of Newcastle, UON Singapore Operation, Singapore, Singapore. 6. School of Nursing and Midwifery, University of Newcastle, Callaghan Campus, University Drive, Callaghan, NSW, 2308, Australia. 7. University of Newcastle Priority Research Centre for Reproductive Science: Mothers and Babies, Callaghan, Australia. 8. Hunter Medical Research Institute, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia. 9. School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia. 10. School of Nursing, Midwifery and Indigenous Health, Charles Sturt University, Port Macquarie Campus, 7 Major Innes Road, Port Macquarie, NSW, 2444, Australia.
Abstract
OBJECTIVES: During the perinatal period, 10-20% of women experience anxiety and/or depression. Untreated perinatal depression has the potential for adverse effects on the family and infant resulting in long-term deleterious consequences. This study measured the association between self-reported depression using the Edinburgh Postnatal Depression Scale scores, self-reported anxiety and neonatal birth outcomes. METHODS: A retrospective design was used with ObstetriX™ data retrieved from 16 metropolitan and rural hospitals in NSW, Australia during 2009-2014. Data were available for 53,646 singleton births. The Edinburgh Postnatal Depression Scale was used to identify self-reported depression while women self-reported pregnancy related anxiety. Regression modelling measured the effects of self-reported depression and self-reported pregnancy related anxiety on neonatal birth outcomes. Linear regression and logistic regression were used to model the effect on birth weight, gestational age, admission to NICU or the SCN, outcome (stillborn vs livebirth), and Apgar scores. Cox proportional hazards regression was used to estimate the effect on neonatal length of stay. RESULTS: Babies born to women self-reporting anxiety were more likely to have birth complications, be admitted to the nursery, had lower Apgar scores and longer hospital stays. Babies born to women self-identifying as experiencing a level of depression were more likely to have a lower birth weight, shorter gestational age, and, lower Apgar score. These babies were more likely to be admitted to the nursery with an increased length of stay. CONCLUSIONS: Perinatal anxiety and depression contribute to poor birth outcomes. Early detection of maternal perinatal anxiety and depression is an important step towards treatment interventions. More research is needed to identify models of care that are effective in identifying and managing perinatal depression and anxiety to improve birth outcomes for women and their babies.
OBJECTIVES: During the perinatal period, 10-20% of women experience anxiety and/or depression. Untreated perinatal depression has the potential for adverse effects on the family and infant resulting in long-term deleterious consequences. This study measured the association between self-reported depression using the Edinburgh Postnatal Depression Scale scores, self-reported anxiety and neonatal birth outcomes. METHODS: A retrospective design was used with ObstetriX™ data retrieved from 16 metropolitan and rural hospitals in NSW, Australia during 2009-2014. Data were available for 53,646 singleton births. The Edinburgh Postnatal Depression Scale was used to identify self-reported depression while women self-reported pregnancy related anxiety. Regression modelling measured the effects of self-reported depression and self-reported pregnancy related anxiety on neonatal birth outcomes. Linear regression and logistic regression were used to model the effect on birth weight, gestational age, admission to NICU or the SCN, outcome (stillborn vs livebirth), and Apgar scores. Cox proportional hazards regression was used to estimate the effect on neonatal length of stay. RESULTS: Babies born to women self-reporting anxiety were more likely to have birth complications, be admitted to the nursery, had lower Apgar scores and longer hospital stays. Babies born to women self-identifying as experiencing a level of depression were more likely to have a lower birth weight, shorter gestational age, and, lower Apgar score. These babies were more likely to be admitted to the nursery with an increased length of stay. CONCLUSIONS: Perinatal anxiety and depression contribute to poor birth outcomes. Early detection of maternal perinatal anxiety and depression is an important step towards treatment interventions. More research is needed to identify models of care that are effective in identifying and managing perinatal depression and anxiety to improve birth outcomes for women and their babies.
Authors: Divya Prasad; Nirushi Kuhathasan; Taiane de Azevedo Cardoso; Jee Su Suh; Benicio N Frey Journal: Arch Womens Ment Health Date: 2022-02-26 Impact factor: 3.633
Authors: Emily S Miller; George R Saade; Hyagriv N Simhan; Catherine Monk; David M Haas; Robert M Silver; Brian M Mercer; Samuel Parry; Deborah A Wing; Uma M Reddy; William A Grobman Journal: Am J Obstet Gynecol Date: 2021-07-17 Impact factor: 8.661