Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Effects of Antenatal Depression and Antenatal Characteristics of Pregnant Women on Birth Outcomes: A Prospective Cohort Study

산전우울과 임부의 산전특성이 출산 결과에 미치는 영향: 전향적 코호트 연구

  • Kim, Hae-Won (Department of Nursing, College of Medicine, Kwandong University) ;
  • Jung, Yeon-Yi (Clinical Quality Improvement Team, Samsung Medical Center)
  • 김혜원 (관동대학교 간호학과) ;
  • 정연이 (삼성서울병원 진료개선팀)
  • Received : 2011.12.09
  • Accepted : 2012.07.17
  • Published : 2012.08.31
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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 ($x^2$=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 $BMI{\geq}23kg/M^2$ should be monitored and managed to ensure favorable birth outcomes.

Keywords

References

  1. Andersson, L., Sundstrom-Poromaa, I., Wulff, M., Astrom, M., & Bixo, M. (2004a). Neonatal outcome following maternal antenatal depression and anxiety: A population based study. American Journal of Epidemiology, 159, 872-881. http://dx.doi.org/10.1093/aje/kwh122
  2. Andersson, L., Sundstrom-Poromaa, I., Wulff, M., Astrom, M., & Bixo, M. (2004b). Implications of antenatal depression and anxiety for obstetric outcomes. Obstetrics & Gynecology, 104, 467-476. http://dx.doi.org/10.1097/01.AOG.0000135277.04565.e9
  3. Aum, J. A., Jung, H. J., Huh, J. W., & Hong, S. Y. (2007). Factors influencing birth weight premature infants. Korean Journal of Pediatrics, 50, 954-958. http://dx.doi.org/10.3345/kjp.2007.50.10.954
  4. Brandon, A. R., Trivedi, M. H., Hynan, L. S., Miltenberger, P. D., Labat, D. B., Rifkin, J. B., et al. (2008). Prenatal depression in women hospitalized for obstetric risk. Journal of Clinical Psychiatry, 69, 635-643. https://doi.org/10.4088/JCP.v69n0417
  5. Brooten, D., Youngblut, J. M., Brown, L., Finkler, S. A., Neff, D. F., & Madigan, E. (2001). A randomized trial of nurse specialist home care for women with high risk pregnancies: Outcomes and costs. The American Journal of Managed Care, 7, 793-803.
  6. Dayan, J., Creveuil, C., Marks, M. N., Conroy, S., Herlicoviez, M., Dreyfus, M., et al. (2006). Prenatal depression, prenatal anxiety, and spontaneous preterm birth: A prospective cohort study among women with early and regular care. Psychosomatic Medicine, 68, 938-946. http://dx.doi.org/10.1097/01.psy.0000244025.20549.bd
  7. Dennis, C. L., & Allen, K. (2008). Interventions (other than pharmacological, psychosocial or psychological) for treating antenatal depression. Cochrane Database of Systematic Reviews, 4, Art No.: CD006795. http://dx.doi.org/10.1002/14651858.CD006795.pub2
  8. Evans, J., Heron, J., Patel, R. R., & Wiles, N. (2007). Depressive symptoms during pregnancy and low birth weight at term. Longitudinal study. The British Journal of Psychiatry, 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. (2002). Prenatal depression effects on the fetus and neonate in different ethnic and socio-economic status groups. Journal of Reproductive and Infant Psychology, 20, 149-157. http://dx.doi.org/10.1080/026468302760270809
  10. Imran, N., & Haider, I. I. (2009). Screening of antenatal depression in Pakistan: Risk factors and effects on obstetric and neonatal outcomes. Asia Pacific Psychiatry, 2, 26-32. http://dx.doi.org/10.1111/j.1758-5872.2009.00028.x
  11. Kim, H. W., & Jung, Y. Y. (2010). Influencing factors on antenatal depression. Korean Journal of Women Health Nursing, 16, 95-104. http://dx.doi.org/10.4069/kjwhn.2010.16.2.95
  12. Kim, M. H. (2008). Changes in birth rates of low birth weight and premature infants in Korea over the past 7 years. Korean Journal of Pediatrics, 51, 233-236. http://dx.doi.org/10.3345/kjp.2008.51.3.233
  13. Koh, K. S., & Park, C. H. (1997). The relationship between maternal body mass index, gestational weight gain patterns and preterm birth. Korean Journal of Obstetrics & Gynecology, 40, 2168-2177.
  14. Koh, K. S. (1998). Gestational weight gain and perinatal outcomes by maternal body mass index. Journal of the Korean Society of Maternal and Child Health, 2, 171-180.
  15. Lee, H., Lee, K., & Shin, M. (2009). Analysis of maternal child health services in Korea-Perspective of premature infant. Journal of Korean Academy of Child Health Nursing, 15, 81-87. http://dx.doi.org/10.4094/jkachn.2009.15.1.81
  16. Lee, Y. H. (1993). The relations between attributional style, life events, event attribution, hopelessness and depression. Unpublished doctoral dissertation, Seoul National University, Seoul.
  17. Rahman, A., Bunn, J., Lovel, H., & Creed, F. (2006). Association between antenatal depression and low birthweight in a developing country. ACTA Psychiatrica Scandinavica, 115, 481-486. http://dx.doi.org/10.1111/j.1600-0447.2006.00950.x
  18. Siega-Riz, A. M., Siega-Riz, A. M., & Laraia, B. (2006). The implications of maternal overweight and obesity on the course of pregnancy and birth outcomes. Maternal and Child Health Journal, 10, s153-s156. http://dx.doi.org/10.1007/s10995-006-0115-x
  19. Statistics Korea. (2011, August). Birth statistics in 2010. Retrieved December 6, 2011, from http://kostat.go.kr/portal/korea/kor_nw/3/index.board?bmode=read&aSeq=249893
  20. Wang, S. Y., & Chen, C. H. (2010). The association between prenatal depression and obstetric outcome in Taiwan: A prospective study. Journal of Women's Health, 19, 2247-2251. http://dx.doi.org/10.1089/jwh.2010.1988

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