The effect of antenatal screening for depression on neonatal birthweight and gestation |
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| Institution: | 1. Institute for Social Science Research, University of Queensland, Brisbane, Queensland, Australia;2. Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia;3. School of Public Health, Curtin University, Perth, Western Australia, Australia;1. Faculty of Medicine, University of Queensland, Brisbane, Qld, Australia;2. Cardiothoracic Surgical Unit, Royal Prince Alfred Hospital, Sydney, NSW, Australia;3. Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia;4. National Health and Medical Research Council Clinical Trials Centre, The University of Sydney, Sydney, NSW, Australia;5. Geriatric Medicine Unit, Royal Prince Alfred Hospital, Sydney, NSW, Australia;6. Department of Cardiology, Royal Prince Alfred Hospital, Sydney, NSW, Australia;7. Department of Anaesthetics, Royal Prince Alfred Hospital, Sydney, NSW, Australia;8. Division of Cardiac Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA;9. Institute of Academic Surgery, Royal Prince Alfred Hospital, Sydney, NSW, Australia;1. College of Nursing and Health Sciences, Flinders University, Australia;2. School of Nursing and Midwifery, Deakin University and Western Health Partnership, Australia;1. Collaboration for Cancer Outcomes, Research and Evaluation, Ingham Institute for Applied Medical Research, South Western Clinical School, University of New South Wales, Australia;2. Department of Radiation Oncology, South Western Sydney Local Health District, New South Wales, Australia;1. Judith Lumley Centre and Institute for Human Security & Social Change, La Trobe University, Australia;2. School of Epidemiology & Public Health, University of Ottawa, Canada;1. Paulista School of Nursing, Department of Women’s Health, Federal University of São Paulo, São Paulo, São Paulo, Brazil;2. The W. Maurice Young Centre for Applied Ethics, School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada;3. School of Nursing, Faculty of Applied Science, University of British Columbia, Vancouver, British Columbia, Canada;4. Nursing Care Research Center, School of Nursing, Iran University of Medical Sciences, Tehran, Iran;5. The Oxford Uehiro Centre for Practical Ethics, Oxford University, United Kingdom;6. Institute of Psychology, University of Brasilia, Brasilia, Federal District, Brazil;1. Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia;2. Faculty of Health Professions, Al-Quds University, Jerusalem, Palestine |
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| Abstract: | BackgroundAntenatal depression has been associated with poor perinatal outcomes such as preterm birth and low birth weight. Universal screening of perinatal depression has been recommended to improve maternal and pregnancy outcomes.Hypothesis and aimWe hypothesise that screening for antenatal depressive symptoms may reduce the risk of preterm birth and low birth weight. To assess the hypothesis, we explore the association between antenatal depression screening using the Edinburgh Postnatal Depression Scale and neonatal outcomes.MethodsA retrospective analysis of state-wide population-based health administrative data. Inclusion criteria were pregnant women who gave birth to a singleton in Queensland in the second half of 2015 (29,543 women). Logistic regression analyses were run in 27,817 women with information in all variables. Main outcomes were preterm birth (<37 weeks of gestation) and low birth weight (<2500 grs).ResultsWomen who did not complete the screening had increased odds of preterm birth (AOR, 1.56; 95% CI, 1.39–1.74; p < 0.001) and low birth weight (AOR, 1.48; 95% CI, 1.30–1.68; p < 0.001) before and after adjustments for relevant confounders when compared to women who completed the screening. Sensitivity analyses performed in women with spontaneous labour and in women without a diagnosis of depression showed similar results.Conclusion(s)We found an association between screening for depressive symptoms during pregnancy and better neonatal outcomes. However, this result does not necessarily infer causality. Any association may represent a previously unknown benefit to screening, which could support the case for universal antenatal depression screening. |
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| Keywords: | Antenatal Edinburgh postnatal depression scale EPDS LBW Low birth weight Pregnancy Preterm PTB Premature birth |
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