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Impact of a high Edinburgh Postnatal Depression Scale score on obstetric and perinatal outcomes

The aim of this retrospective study was to characterise intrapartum and neonatal outcomes in women with an antenatally recorded Edinburgh Postnatal Depression Score (EPDS) ≤ 9 compared with women with a score of ≥12 at a major Australian tertiary maternity hospital. Women with scores ≥12 are at part...

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Autores principales: Navaratne, Pathmila, Foo, Xin Y, Kumar, Sailesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5034257/
https://www.ncbi.nlm.nih.gov/pubmed/27658526
http://dx.doi.org/10.1038/srep33544
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author Navaratne, Pathmila
Foo, Xin Y
Kumar, Sailesh
author_facet Navaratne, Pathmila
Foo, Xin Y
Kumar, Sailesh
author_sort Navaratne, Pathmila
collection PubMed
description The aim of this retrospective study was to characterise intrapartum and neonatal outcomes in women with an antenatally recorded Edinburgh Postnatal Depression Score (EPDS) ≤ 9 compared with women with a score of ≥12 at a major Australian tertiary maternity hospital. Women with scores ≥12 are at particularly high risk of major depressive symptomatology. There were 20512 (78.6%) women with a score ≤ 9 and 2708 (10.4%) had a score ≥ 12. Category 1 caesarean sections where there was immediate threat to life (maternal or fetal) were more common in women with EPDS scores ≥12 (5.2% vs. 4.3%, OR 1.24 95% CI 1.03–1.49, p = 0.024). Pre-term birth (<37 weeks) was also more common (11.7% vs. 8.6%, OR 1.38 95% CI 1.21–1.57, p < 0.001). Women with high scores had higher rates of babies with birth weights <5(th) centile (6.2% vs. 4.4%, p < 0.001). Apgar score < 7 at 5 minutes were more frequent in the high EPDS group (3.1% vs. 2%, OR 1.52 95% CI 1.18–1.93, p < 0.001). Resuscitation at birth (34.4% vs. 30.6%, p < 0.001) and neonatal death (0.48% vs. 0.13%, OR 2.52 95% CI 1.2–5.0, p < 0.001) were higher in babies of these women. These results suggest poorer intrapartum and neonatal outcomes for women with high EPDS scores.
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spelling pubmed-50342572016-09-29 Impact of a high Edinburgh Postnatal Depression Scale score on obstetric and perinatal outcomes Navaratne, Pathmila Foo, Xin Y Kumar, Sailesh Sci Rep Article The aim of this retrospective study was to characterise intrapartum and neonatal outcomes in women with an antenatally recorded Edinburgh Postnatal Depression Score (EPDS) ≤ 9 compared with women with a score of ≥12 at a major Australian tertiary maternity hospital. Women with scores ≥12 are at particularly high risk of major depressive symptomatology. There were 20512 (78.6%) women with a score ≤ 9 and 2708 (10.4%) had a score ≥ 12. Category 1 caesarean sections where there was immediate threat to life (maternal or fetal) were more common in women with EPDS scores ≥12 (5.2% vs. 4.3%, OR 1.24 95% CI 1.03–1.49, p = 0.024). Pre-term birth (<37 weeks) was also more common (11.7% vs. 8.6%, OR 1.38 95% CI 1.21–1.57, p < 0.001). Women with high scores had higher rates of babies with birth weights <5(th) centile (6.2% vs. 4.4%, p < 0.001). Apgar score < 7 at 5 minutes were more frequent in the high EPDS group (3.1% vs. 2%, OR 1.52 95% CI 1.18–1.93, p < 0.001). Resuscitation at birth (34.4% vs. 30.6%, p < 0.001) and neonatal death (0.48% vs. 0.13%, OR 2.52 95% CI 1.2–5.0, p < 0.001) were higher in babies of these women. These results suggest poorer intrapartum and neonatal outcomes for women with high EPDS scores. Nature Publishing Group 2016-09-23 /pmc/articles/PMC5034257/ /pubmed/27658526 http://dx.doi.org/10.1038/srep33544 Text en Copyright © 2016, The Author(s) http://creativecommons.org/licenses/by/4.0/ This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
spellingShingle Article
Navaratne, Pathmila
Foo, Xin Y
Kumar, Sailesh
Impact of a high Edinburgh Postnatal Depression Scale score on obstetric and perinatal outcomes
title Impact of a high Edinburgh Postnatal Depression Scale score on obstetric and perinatal outcomes
title_full Impact of a high Edinburgh Postnatal Depression Scale score on obstetric and perinatal outcomes
title_fullStr Impact of a high Edinburgh Postnatal Depression Scale score on obstetric and perinatal outcomes
title_full_unstemmed Impact of a high Edinburgh Postnatal Depression Scale score on obstetric and perinatal outcomes
title_short Impact of a high Edinburgh Postnatal Depression Scale score on obstetric and perinatal outcomes
title_sort impact of a high edinburgh postnatal depression scale score on obstetric and perinatal outcomes
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5034257/
https://www.ncbi.nlm.nih.gov/pubmed/27658526
http://dx.doi.org/10.1038/srep33544
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