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Impact of antenatal depression on perinatal outcomes and postpartum depression in Korean women

BACKGROUND: Maternal prenatal mental health has been shown to be associated with adverse consequences for the mother and the child. However, studies considering the effect of prenatal depressive symptoms are lacking. The aim of this study was to examine the influence of antenatal depressive symptoms...

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Autores principales: Choi, Sae Kyung, Park, Yong Gyu, Park, In Yang, Ko, Hyun Sun, Shin, Jong Chul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4268186/
https://www.ncbi.nlm.nih.gov/pubmed/25535492
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author Choi, Sae Kyung
Park, Yong Gyu
Park, In Yang
Ko, Hyun Sun
Shin, Jong Chul
author_facet Choi, Sae Kyung
Park, Yong Gyu
Park, In Yang
Ko, Hyun Sun
Shin, Jong Chul
author_sort Choi, Sae Kyung
collection PubMed
description BACKGROUND: Maternal prenatal mental health has been shown to be associated with adverse consequences for the mother and the child. However, studies considering the effect of prenatal depressive symptoms are lacking. The aim of this study was to examine the influence of antenatal depressive symptoms on obstetric outcomes and to determine associations between antenatal and postpartum depressions. MATERIALS AND METHODS: This was a prospective cohort study. The Edinburgh postnatal depression scale (EPDS) questionnaire was completed by pregnant women receiving obstetrical care at Seoul St. Mary's hospital in the third trimester of gestation. The electronic medical records were reviewed after delivery and perinatal outcomes were evaluated. The association between antenatal and postpartum depression was analyzed using the EPDS questionnaire, which was completed by the same women within 2 months of delivery. RESULTS: Of the 467 participants, 26.34% (n = 123) had antenatal depressive symptoms, with EPDS scores of ≥10. There were no significant perinatal outcomes associated with antenatal depressive symptoms. During the postpartum period, 192 of the women in the initial study cohort were given the EPDS again as a follow-up. Of the 192 participants, 56 (29.17%) scored >10. Spearman correlation coefficient between the antenatal and postpartum EPDS scores was 0.604, which was statistically significant (P < 0.001). CONCLUSION: Antenatal depression does not lead to unfavorable perinatal outcomes. However, screening for antenatal depression may be helpful to identify women at risk of postpartum depression.
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spelling pubmed-42681862014-12-22 Impact of antenatal depression on perinatal outcomes and postpartum depression in Korean women Choi, Sae Kyung Park, Yong Gyu Park, In Yang Ko, Hyun Sun Shin, Jong Chul J Res Med Sci Original Article BACKGROUND: Maternal prenatal mental health has been shown to be associated with adverse consequences for the mother and the child. However, studies considering the effect of prenatal depressive symptoms are lacking. The aim of this study was to examine the influence of antenatal depressive symptoms on obstetric outcomes and to determine associations between antenatal and postpartum depressions. MATERIALS AND METHODS: This was a prospective cohort study. The Edinburgh postnatal depression scale (EPDS) questionnaire was completed by pregnant women receiving obstetrical care at Seoul St. Mary's hospital in the third trimester of gestation. The electronic medical records were reviewed after delivery and perinatal outcomes were evaluated. The association between antenatal and postpartum depression was analyzed using the EPDS questionnaire, which was completed by the same women within 2 months of delivery. RESULTS: Of the 467 participants, 26.34% (n = 123) had antenatal depressive symptoms, with EPDS scores of ≥10. There were no significant perinatal outcomes associated with antenatal depressive symptoms. During the postpartum period, 192 of the women in the initial study cohort were given the EPDS again as a follow-up. Of the 192 participants, 56 (29.17%) scored >10. Spearman correlation coefficient between the antenatal and postpartum EPDS scores was 0.604, which was statistically significant (P < 0.001). CONCLUSION: Antenatal depression does not lead to unfavorable perinatal outcomes. However, screening for antenatal depression may be helpful to identify women at risk of postpartum depression. Medknow Publications & Media Pvt Ltd 2014-09 /pmc/articles/PMC4268186/ /pubmed/25535492 Text en Copyright: © Journal of Research in Medical Sciences http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Choi, Sae Kyung
Park, Yong Gyu
Park, In Yang
Ko, Hyun Sun
Shin, Jong Chul
Impact of antenatal depression on perinatal outcomes and postpartum depression in Korean women
title Impact of antenatal depression on perinatal outcomes and postpartum depression in Korean women
title_full Impact of antenatal depression on perinatal outcomes and postpartum depression in Korean women
title_fullStr Impact of antenatal depression on perinatal outcomes and postpartum depression in Korean women
title_full_unstemmed Impact of antenatal depression on perinatal outcomes and postpartum depression in Korean women
title_short Impact of antenatal depression on perinatal outcomes and postpartum depression in Korean women
title_sort impact of antenatal depression on perinatal outcomes and postpartum depression in korean women
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4268186/
https://www.ncbi.nlm.nih.gov/pubmed/25535492
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