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Kim and Jung: Effects of Antenatal Depression and Antenatal Characteristics of Pregnant Women on Birth Outcomes: A Prospective Cohort Study
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2012; 42(4): 477-485.

Published online: 31 August 2012

DOI: https://doi.org/10.4040/jkan.2012.42.4.477

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

Hae Won Kim1, Yeon Yi Jung2

1Department of Nursing, College of Medicine, Kwandong University, Gangreung, Korea.

2Clinical Quality Improvement Team, Samsung Medical Center, Seoul, Korea.

Address reprint requests to: Jung, Yeon Yi. Department of Quality Assurance Samsung Medical Center, 50 Irwon-dong, Ganmam-gu, Seoul 135-710, Korea. Tel: +82-2-3410-3055, Fax: +82-2-3410-2850, yoenyi.jung@samsung.com

Received 9 December 2011       Accepted 17 July 2012

© 2012 Korean Society of Nursing Science

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 (χ2=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≥23 kg/M2 should be monitored and managed to ensure favorable birth outcomes.

Keywords: Depression, Low birth weight, Pregnant women, Obstetric labor complications

Figures and Tables

Table 1
Birth Outcomes and Antenatal Mother's Variables (N=197)
jkan-42-477-i001

NSVD=Normal spontaneous vaginal delivery; C-section=Cesarean section.

Table 2
Association and Differences in Birth Outcomes by Antenatal Depression Levels
jkan-42-477-i002

NSVD=Normal spontaneous vaginal delivery.

*χ2-test of Linear by linear association with Monte Carlo method; †Kruskal Wallis test.

Table 3
Relative Ratio of Antenatal Depression and Antenatal Factors in Birth Outcomes
jkan-42-477-i003

RR=Relative ratio; CI=Confidence interval; C-section=Cesarean section.

Table 4
Determinants of Birth Outcomes: An Adjusted Odds Ratios of Antenatal Depression and Antenatal Factors
jkan-42-477-i004

OR=Odds ratio; CI=Confidence interval; C-section=Cesarean section.

References

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.
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