PREVALENCE OF DEPRESSION OR ANXIETY DURING ANTEPARTUM HOSPITALIZATIONS FOR OBSTETRIC COMPLICATIONS : A SYSTEMATIC REVIEW
DOI:
https://doi.org/10.53555/nnmhs.v9i8.1792Keywords:
Antepartum, anxiety, depression, hospitalized pregnant womenAbstract
Introduction: Women with pregnancy problems are more likely to develop perinatal mood disorders or relapse into underlying mood disorders.
Objective: This study aimed to look at the prevalence of prenatal depression and anxiety in women admitted to an antepartum ward for obstetric problems.
Methods: We searched Pubmed, Embase, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, and ClinicalTrials.gov for English-language papers published between establishing the database in July 2023. The cross-sectional, cohort, case-control, quasi-experimental, and randomized-controlled designs used in the selected studies were all related to the research goal.
Results: We discovered 8.799 papers and reviewed 7.918, included in the primary outcome systematic review. Using a 14-question checklist is used to assess the quality of each study. Depression was 34% (95% CI 27-41%), while anxiety was 29% (95% CI 16-43%). Significant clinical and methodologic heterogeneity between trials was expected, and it persisted even after planned a priori subgroup analysis and meta-regression. Nonetheless, the effect direction was constant across trials. There was no evidence of publication bias.
Conclusion: According to the current systematic review, one in every three pregnant women hospitalized for obstetric difficulties has clinical depression or anxiety symptoms, double the reported prevalence of prenatal depression or anxiety in the general obstetric population.
References
. Building US. Capacity to Review and Prevent Maternal Deaths. Report from nine maternal mortality review committees. Build US Capacit to Rev Prev Matern Deaths. 2018;
. Admon LK, Dalton VK, Kolenic GE, Ettner SL, Tilea A, Haffajee RL, et al. Trends in Suicidality 1 Year before and after Birth among Commercially Insured Childbearing Individuals in the United States, 2006-2017. JAMA Psychiatry. 2021;78(2).
. Goldman-Mellor S, Margerison CE. Maternal drug-related death and suicide are leading causes of postpartum death in California. Am J Obstet Gynecol. 2019;221(5).
. Metz TD, Rovner P, Hoffman MC, Allshouse AA, Beckwith KM, Binswanger IA. Maternal Deaths from Suicide and Overdose in Colorado, 2004-2012. In: Obstetrics and Gynecology. 2016.
. Pampaka D, Papatheodorou SI, AlSeaidan M, Al Wotayan R, Wright RJ, Buring JE, et al. Depressive symptoms and comorbid problems in pregnancy - results from a population based study. J Psychosom Res. 2018;112.
. Biaggi A, Conroy S, Pawlby S, Pariante CM. Identifying the women at risk of antenatal anxiety and depression: A systematic review. Vol. 191, Journal of Affective Disorders. 2016.
. Chen J, Cross WM, Plummer V, Lam L, Sun M, Qin C, et al. The risk factors of antenatal depression: A cross-sectional survey. J Clin Nurs. 2019;28(19–20).
. Giardinelli L, Innocenti A, Benni L, Stefanini MC, Lino G, Lunardi C, et al. Depression and anxiety in perinatal period: Prevalence and risk factors in an Italian sample. Arch Womens Ment Health. 2012;15(1).
. Underwood L, Waldie K, D’Souza S, Peterson ER, Morton S. A review of longitudinal studies on antenatal and postnatal depression. Vol. 19, Archives of Women’s Mental Health. 2016.
. Spehar SM, Mission JF, Amanda Shupe, Facco FL. Prolonged antepartum hospitalization: no time for rest. J Perinatol. 2018;38(9).
. Vasa R, Eldeirawi K, Kuriakose VG, Nair G J, Newsom C, Bates J. Postpartum depression in mothers of infants in neonatal intensive care unit: Risk factors and management strategies. Am J Perinatol. 2014;31(5).
. Trumello C, Candelori C, Cofini M, Cimino S, Cerniglia L, Paciello M, et al. Mothers’ depression, anxiety, and mental representations after preterm birth: A study during the infant’s hospitalization in a neonatal intensive care unit. Front Public Heal. 2018;6(DEC).
. Alkozei A, McMahon E, Lahav A. Stress levels and depressive symptoms in NICU mothers in the early postpartum period. J Matern Neonatal Med. 2014;27(17).
. Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Rev Esp Nutr Humana y Diet. 2016;20(2).
. Araújo WS de, Romero WG, Zandonade E, Amorim MHC. Effects of relaxation on depression levels in women with high-risk pregnancies: a randomised clinical trial. Rev Lat Am Enfermagem. 2016;24(0).
. Barber CC, Panettierre M, Starkey NJ. How am I, really? Perceptions of health and distress by women and their midwives. J Reprod Infant Psychol. 2017;35(3).
. Brandon AR, Trivedi MH, Hynan LS, Miltenberger PD, Labat DB, Rifkin JB, et al. Prenatal depression in women hospitalized for obstetric risk. J Clin Psychiatry. 2008;69(4).
. Byatt N, Hicks-Courant K, Davidson A, Levesque R, Mick E, Allison J, et al. Depression and anxiety among high-risk obstetric inpatients. Gen Hosp Psychiatry. 2014;36(6).
. Dagklis T, Papazisis G, Tsakiridis I, Chouliara F, Mamopoulos A, Rousso D. Prevalence of antenatal depression and associated factors among pregnant women hospitalized in a high-risk pregnancy unit in Greece. Soc Psychiatry Psychiatr Epidemiol. 2016;51(7).
. Dagklis T, Tsakiridis I, Chouliara F, Mamopoulos A, Rousso D, Athanasiadis A, et al. Antenatal depression among women hospitalized due to threatened preterm labor in a high-risk pregnancy unit in Greece. J Matern Neonatal Med. 2018;31(7).
. Doty MS, Chen H-Y, Grace R, Ashimi S, Chauhan SP, Sibai BM. 481: Stress, anxiety and depression among inpatient versus outpatient antepartum women. Am J Obstet Gynecol. 2020;222(1).
. Fiskin G, Kaydirak MM, Oskay UY. Psychosocial Adaptation and Depressive Manifestations in High-Risk Pregnant Women: Implications for Clinical Practice. Vol. 14, Worldviews on Evidence-Based Nursing. 2017.
. Gourounti K, Karapanou V, Karpathiotaki N, Vaslamatzis G. Anxiety and depression of high risk pregnant women hospitalized in two public hospital settings in Greece. Int Arch Med. 2015;8(1).
. Hanko C, Bittner A, Junge-Hoffmeister J, Mogwitz S, Nitzsche K, Weidner K. Course of mental health and mother–infant bonding in hospitalized women with threatened preterm birth. Arch Gynecol Obstet. 2020;301(1).
. Hermon N, Wainstock T, Sheiner E, Golan A, Walfisch A. Impact of maternal depression on perinatal outcomes in hospitalized women—a prospective study. Arch Womens Ment Health. 2019;22(1).
. Nagle-Yang S, Phillips M, Albaugh A, Zhao L, Amin J, Ahmad E, et al. Depression, anxiety, and attachment among women hospitalized on an antepartum unit. Int J Psychiatry Med. 2019;54(6).
. Nie C, Dai Q, Zhao R, Dong Y, Chen Y, Ren H. The impact of resilience on psychological outcomes in women with threatened premature labor and spouses: A cross-sectional study in Southwest China. Health Qual Life Outcomes. 2017;15(1).
. Thiagayson P, Krishnaswamy G, Lim ML, Sung SC, Haley CL, Fung DSS, et al. Depression and anxiety in Singaporean high-risk pregnancies - prevalence and screening. Gen Hosp Psychiatry. 2013;35(2).
. Tsakiridis I, Dagklis T, Zerva C, Mamopoulos A, Athanasiadis A, Papazisis G. Depression in pregnant women hospitalized due to intrauterine growth restriction: Prevalence and associated factors. Midwifery. 2019;70.
. Weidner K, Bittner A, Junge-Hoffmeister J, Zimmermann K, Siedentopf F, Richter J, et al. A psychosomatic intervention in pregnant in-patient women with prenatal somatic risks. J Psychosom Obstet Gynecol. 2010;31(3).
. Young D, Preyss M, Sipsma H, Hair S, Siddiqui M. Depression and Social Support During Antepartum Hospitalization: A Needs Assessment [19B]. Obstet Gynecol. 2017;129(1).
. Barber CC, Starkey NJ. Predictors of anxiety among pregnant New Zealand women hospitalised for complications and a community comparison group. Midwifery. 2015;31(9).
. MacCleary Price NL. 356: The impact of antepartum hospitalization on maternal psychological well-being. Am J Obstet Gynecol. 2019;220(1).
. Hines KN, Mead J, Pelletier C-A, Hanson S, Lovato J, Quinn KH. The Effect of Hospitalization on Mood in Pregnancy [24E]. Obstet Gynecol. 2018;131(1).
. Stainton MC, Lohan M, Fethney J, Woodhart L, Islam S. Women’s responses to two models of antepartum high-risk care: Day stay and hospital stay. Women and Birth. 2006;19(4).
. Connell T, Barnett B, Waters D. Barriers to antenatal psychosocial assessment and depression screening in private hospital settings. Women and Birth. 2018;31(4).
. Lyell DJ, Chambers AS, Steidtmann D, Tsai E, Caughey AB, Wong A, et al. Antenatal identification of major depressive disorder: A cohort study. Am J Obstet Gynecol. 2012;207(6).
. Siu AL, Bibbins-Domingo K, Grossman DC, Baumann LC, Davidson KW, Ebell M, et al. Screening for depression in adults: US preventive services task force recommendation statement. JAMA - J Am Med Assoc. 2016;315(4).
. ACOG Committee Opinion No. 757: Screening for Perinatal Depression. Vol. 132, Obstetrics and Gynecology. 2018.
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Journal of Advance Research in Medical & Health Science (ISSN: 2208-2425)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Licensing
Ninety Nine Publication publishes articles under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This licensing allows for any use of the work, provided the original author(s) and source are credited, thereby facilitating the free exchange and use of research for the advancement of knowledge.
Detailed Licensing Terms
Attribution (BY): Users must give appropriate credit, provide a link to the license, and indicate if changes were made. Users may do so in any reasonable manner, but not in any way that suggests the licensor endorses them or their use.
No Additional Restrictions: Users may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
