The effects of maternal depression,anxiety, and perceived stress during pregnancy on preterm birth: A systematic review |
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| Institution: | 1. The School of Psychology, The University of Queensland, St Lucia Campus, McElwain Building, Brisbane, QLD 4072, Australia;2. School of Nursing, Midwifery, and Social Work, The University of Queensland, Level 3, Chamberlain Building, St Lucia QLD 4072 Australia;3. Perinatal Research, Women''s and Newborn Services Royal Brisbane Women''s Hospital, The University of Queensland Centre for Clinical Research, Level 6 NHB, Herston 4029, Australia;4. School of Psychological Sciences, Clinical Psychology, University of Manchester, 2nd Floor Zochonis Building, Brunswick Street, Manchester M13 9PL, UK;1. Centre for the Psychology of Learning and Experimental Psychopathology, University of Leuven, Tiensestraat 102, Leuven 3000, Belgium;2. School of Psychology and CLS, University of Reading, Reading RG6 6AL, UK;3. Department of Psychology, Stellenbosch University, Stellenbosch, South Africa;4. Research Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London WC1E 7HB, UK;5. Experimental Psychology, University College London, Gower Street, London WC1E 6BT, UK;6. Department of Psychiatry, Cambridge University, Cambridge CB2 2AH, UK;7. John van Geest Centre for Brain Repair, Department of Clinical Neuroscience, Cambridge University, Cambridge CB2 3BY, UK;8. Department of Psychology, University of Bath, Bath BA2 7AY, UK;1. Department of Pediatrics, Faculty of Medicine, University of Calgary, Alberta Centre for Child, Family & Community Research – Child Development Centre, c/o 2888 Shaganappi Trail NW, Calgary, AB, Canada T3B 6A8;2. Maternal-Child Health, Research and Innovation, Population, Public, and Aboriginal Health, Alberta Health Services, Southport Atrium, ♯ 2240, 10101 Southport Rd. SW, Calgary, AB, Canada T2W 3N2;3. Alberta Innovates Health Solutions, Canada;1. School of Psychology, Deakin University, Victoria, Australia;2. Melbourne School of Psychological Sciences, The University of Melbourne, Victoria, Australia;1. School of Psychology, Charles Sturt University, Bathurst, NSW 2795, Australia;2. Karitane, Po Box 241 Villawood, NSW 2163, Australia;1. Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA;2. Women''s Behavioral Medicine, Women''s Medicine Collaborative, 146 West River Street, Providence, RI 02904, USA;1. The School of Psychology, St. Lucia Campus, McElwain Building, QLD 4072, The University of Queensland, Brisbane, Australia;2. School of Nursing and Midwifery, The University of Queensland, Herston Campus, Edith Cavell Building, Level 2, Brisbane, QLD 4029, Australia;3. School of Psychological Sciences, Clinical Psychology, University of Manchester, 2nd Floor Zochonis Building, Brunswick Street, Manchester M13 9PL, UK |
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| Abstract: | BackgroundExperiencing psychological distress such as depression, anxiety, and/or perceived stress during pregnancy may increase the risk for adverse birth outcomes, including preterm birth. Clarifying the association between exposure and outcome may improve the understanding of risk factors for prematurity and guide future clinical and research practices.AimThe aims of the present review were to outline the evidence on the risk of preterm associated with antenatal depression, anxiety, and stress.MethodsFour electronic database searches were conducted to identify quantitative population-based, multi-centre, cohort studies and randomised-controlled trial studies focusing on the association between antenatal depression, anxiety, and stress, and preterm birth published in English between 1980 and 2013.FindingsOf 1469 electronically retrieved articles, 39 peer-reviewed studies met the final selection criteria and were included in this review following the PRISMA and MOOSE review guidelines. Information was extracted on study characteristics; depression, anxiety and perceived stress were examined as separate and combined exposures. There is strong evidence that antenatal distress during the pregnancy increases the likelihood of preterm birth.ConclusionComplex paths of significant interactions between depression, anxiety and stress, risk factors and preterm birth were indicated in both direct and indirect ways. The effects of pregnancy distress were associated with spontaneous but not with medically indicated preterm birth. Health practitioners engaged in providing perinatal care to women, such as obstetricians, midwives, nurses, and mental health specialists need to provide appropriate support to women experiencing psychological distress in order to improve outcomes for both mothers and infants. |
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| Keywords: | Pregnancy Depression Anxiety Stress Preterm birth |
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