Effect of depressive and anxiety symptoms during pregnancy on risk of obstetric interventions

The Journal of Obstetrics and Gynaecology Research
Hamideh BayrampourSuzanne Tough

Abstract

The effect of prenatal mental health on the risk of obstetric interventions is unclear. The present study examined the associations between depressive and anxiety symptoms in the second and third trimesters and mode of delivery, epidural use and labor induction in a large community-based pregnancy cohort, in Alberta, Canada. Women who had singleton pregnancies, delivered in hospital, and had medical data were selected (n = 2825). Obstetric intervention data were obtained from the medical records, and depressive and anxiety symptoms were measured by the Edinburgh Postnatal Depression Scale and the Spielberger State Anxiety Inventory. Data were evaluated with multivariate multinomial and logistic regression analyses using a hierarchical modeling. After accounting for factors known to increase the risk of each intervention, including demographic variables, smoking, hospital site, gestational age, previous history of cesarean delivery, prepregnancy body mass index, assisted conception, and antepartum risk score, the only mental health variable associated with obstetric interventions was depressive symptoms in the third trimester, which increased the risk of emergency cesarean delivery (adjusted odds ratio, 2.04; 95% confidence inte...Continue Reading

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Citations

Apr 18, 2016·Psychiatry Research·Chutima RoomruangwongMichael Maes
Apr 17, 2018·Clinical Obstetrics and Gynecology·Jonathan Schaffir
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May 5, 2021·Brazilian Journal of Anesthesiology·Ipek Saadet Edipoglu, Duygu Demiroz Aslan
Aug 10, 2021·Journal of Diabetes Research·Hong OuYangNa Wu

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