CLINICAL RESEARCH
Prevalence of psychiatric disorders during pregnancy and their effect on birth weight
Submission date: 2016-03-23
Final revision date: 2016-04-21
Acceptance date: 2016-04-22
Publication date: 2016-05-19
Arch Med Sci Civil Dis 2016;1(1):24-29
KEYWORDS
TOPICS
ABSTRACT
Introduction: The aim of this study was to assess the prevalence of psychiatric disorders during pregnancy and their effects on obstetric outcomes.
Material and methods: All participating pregnant women, in their first visit to our obstetric department, completed an anxiety questionnaire and were evaluated in person by a psychiatrist to determine the presence of psychiatric disorders.
Results: Of 182 patients, 79 (43.4%) were diagnosed with an axis 1 disorder according to the parameters of the Structured Clinical Interview for DSM-IV (SCID-I). Of those diagnosed, there was a significant correlation between low income and high anxiety questionnaire scores. Low incomes (p = 0.014) and unplanned pregnancies (p = 0.001) were more prevalent among those with an SCID-1 anxiety diagnosis than among those in the control group. Finally, on average, patients diagnosed with depression delivered babies with significantly lower birth weights than babies born to patients in the control group.
Conclusions: Depressive symptoms and anxiety disorders are relatively common in pregnant women and might interfere with pregnancy outcomes. Further studies should investigate whether treating depression in pregnant women improves obstetric outcomes. Decreasing the number of unplanned pregnancies by raising awareness about effective birth control methods and choosing appropriate contraceptive methods could lower the prevalence of anxiety in pregnant women.
Material and methods: All participating pregnant women, in their first visit to our obstetric department, completed an anxiety questionnaire and were evaluated in person by a psychiatrist to determine the presence of psychiatric disorders.
Results: Of 182 patients, 79 (43.4%) were diagnosed with an axis 1 disorder according to the parameters of the Structured Clinical Interview for DSM-IV (SCID-I). Of those diagnosed, there was a significant correlation between low income and high anxiety questionnaire scores. Low incomes (p = 0.014) and unplanned pregnancies (p = 0.001) were more prevalent among those with an SCID-1 anxiety diagnosis than among those in the control group. Finally, on average, patients diagnosed with depression delivered babies with significantly lower birth weights than babies born to patients in the control group.
Conclusions: Depressive symptoms and anxiety disorders are relatively common in pregnant women and might interfere with pregnancy outcomes. Further studies should investigate whether treating depression in pregnant women improves obstetric outcomes. Decreasing the number of unplanned pregnancies by raising awareness about effective birth control methods and choosing appropriate contraceptive methods could lower the prevalence of anxiety in pregnant women.
REFERENCES (25)
1.
Faisal-Cury A, Rossi Menezes P. Prevalence of anxiety and depression during pregnancy in a private setting sample. Arch Womens Ment Health 2007; 10: 25-32.
2.
Orr ST, James SA, Reiter JP. Unintended pregnancy and prenatal behaviour among urban black women in Baltimore Maryland: The Baltimore Preterm Birth Study. Ann Epidemiol 2008; 18: 545-51.
3.
O’Hara MV, Wisner KL. Perinatal mental illness: definition, description and aetiology. Best Pract Res Clin Obstet Gynaecol 2014; 28: 3-12.
4.
Şentürk V. Prevalent psychiatric problems during pregnancy and postpartum period [English]. Kriz Dergisi 2008; 16: 25-34.
5.
Llewellyn AM, Stowe ZN, Nemeroff CB. Depression during pregnancy and the puerperium. J Clin Psychiatry 1997; 58: 26-32.
6.
Csatordai S, Kozinszky Z, Devosa I, E, Krajcsi A, Sefcsik T, Pál A. Obstetric and sociodemographic risk of vulnerability to postnatal Toth depression. Patient Educ Couns 2007; 67: 84-92.
7.
Giardinelli L, Innocenti A, Benni L, et al. Depression and anxiety in perinatal period: prevalence and risk factors in an Italian sample. Arch Womens Ment Health 2012; 15: 21-30.
8.
Andersson L, Sundström-Poromaa I, Bixo M, Wulff M, Bondestam K, åStröm M. Point prevalence of psychiatric disorders during the second trimester of pregnancy: a population-based study. Am J Obstet Gynecol 2003; 189: 148-54.
9.
Borri C, Mauri M, Oppo A, et al. Axis I psychopathology and functional impairment at the third month of pregnancy: results from the Perinatal Depression-Research and Screening Unit (PND-ReScU) Study. J Clin Psychiatry 2008; 69: 1617-24.
10.
Grant KA, McMahon C, Austin MP. Maternal anxiety during the transition to parenthood: a prospective study. J Affect Disord 2008; 108: 101-11.
11.
Marcus SM. Depression during pregnancy: rates, risks and consequences. Can J Clin Pharmacol 2009; 16: 15-22.
12.
Bödecs T, Szilágyi E, Cholnoky P, et al. Prevalence and psychosocial background of anxiety and depression emerging during the first trimester of pregnancy: data from a Hungarian population-based sample. Psychiatr Danub 2013; 25: 352-8.
13.
Andersson L, Sundström-Poromaa I, Wulff M, Aström M, Bixo M. Implications of antenatal depression and anxiety for obstetric outcome. Obstet Gynecol 2004; 104: 467-76.
14.
Berle JO, Mykletun A, Daltveit AK, Rasmussen S, Holsten F, Dahl AA. Neonatal outcomes in off-springs of women with anxiety and depression during pregnancy. Arch Womens Ment Health 2005; 8: 181-9.
15.
Spielberger CD, Gorsuch RL, Lushene RE. Manual for the State-Trait Anxiety Inventory. Consulting Psychologists Press, Palo Alto, CA, USA 1970.
16.
Öner N, LeCompte A. Durumluluk-Sürekli Kaygı Envanteri El Kitabı (State and Trait Anxiety Inventory Handbook). Bogaziçi University Published, Istanbul, Turkey 1983.
17.
Rubertsson C, Hellström J, Cross M, Sydsjö G. Anxiety in early pregnancy: prevalence and contributing factors. Arch Womens Ment Health 2014; 17: 221-8.
18.
George A, Luz RF, De Tychey C, Thilly N, Spitz E. Anxiety symptoms and coping strategies in the perinatal period. BMC Pregnancy Childbirth 2013; 13: 233.
19.
Chang HY, Keyes KM, Lee KS, et al. Prenatal maternal depression is associated with low birth weight through shorter gestational age in term infants in Korea. Early Hum Dev 2014; 90: 15-20.
20.
Dmitrovic BK, Dugalić MG, Balkoski GN, Dmitrovic A, Soldatovic I. Frequency of perinatal depression in Serbia and associated risk factors. Int J Soc Psychiatry 2014; 60: 528-32.
21.
Akçalı Aslan P, Aydın N, Yazıcı E, Aksoy AN, Kirkan TS, Daloglu GA. Prevalence of depressive disorders and related factors in women in the first trimester of their pregnancies in Erzurum, Turkey. Int J Soc Psychiatry 2014; 60: 809-17.
22.
Morylowska-Topolska J, Makara-Studzińska M, Kotarski J. The influence of sociodemografic and medical variables on severity of anxiety and depressive symptoms during particular trimesters of pregnancy. Psychiatr Pol 2014; 48: 173-86.
23.
Takahashi S, Tsuchiya KJ, Matsumoto K, Suzuki K, Mori N, Takei N. Psychosocial determinants of mistimed and unwanted pregnancy: the Hamamatsu Birth Cohort (HBC) study. Matern Child Health J 2012; 16: 947-55.
24.
Gawlik S, Waldeier L, Müller M, Szabo A, Sohn C, Reck C. Subclinical depressive symptoms during pregnancy and birth outcome: a pilot study in a healthy German sample. Arch Womens Ment Health 2013; 16: 93-100.
25.
Wado YD, Afework MF, Hindin MJ. Effects of maternal pregnancy intention, depressive symptoms and social support on risk of low birth weight: a prospective study from southwestern Ethiopia. PLoS One 2014; 21: e96304.
| ISSN: | 2451-0637 |
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