Maternal and Fetal Outcomes Among Women with Depression

被引:108
作者
Bansil, Pooja [1 ]
Kuklina, Elena V. [2 ]
Meikle, Susan F. [3 ]
Posner, Samuel F. [4 ]
Kourtis, Athena P. [4 ]
Ellington, Sascha R. [5 ]
Jamieson, Denise J. [4 ]
机构
[1] CONRAD, Atlanta, GA 30341 USA
[2] Quantell Inc, Mchenry, MD USA
[3] Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, Bethesda, MD USA
[4] Ctr Dis Control & Prevent, Div Reprod Hlth, Atlanta, GA USA
[5] Sci Applicat Int Corp, Atlanta, GA USA
关键词
SEROTONIN-REUPTAKE INHIBITORS; SUBSTANCE USE DISORDERS; LOW-BIRTH-WEIGHT; POSTPARTUM DEPRESSION; PREGNANCY; RISK; SYMPTOMS; PREVALENCE; DIAGNOSES; DELIVERY;
D O I
10.1089/jwh.2009.1387
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: To compare maternal and fetal outcomes among women with and without diagnosed depression at the time of delivery. Methods: Hospital discharge data from the 1998-2005 Nationwide Inpatient Sample (NIS) were used to examine delivery-related hospitalizations for select maternal and fetal outcomes by depression diagnosis. Results: The rate of depression per 1000 deliveries increased significantly from 2.73 in 1998 to 14.1 in 2005 (p<0.001). Women diagnosed with depression were significantly more likely to have cesarean delivery, preterm labor, anemia, diabetes, and preeclampsia or hypertension compared with women without depression. Fetal outcomes significantly associated with maternal depression were fetal growth restriction, fetal abnormalities, fetal distress, and fetal death. Conclusions: These findings suggest that depression is associated with adverse maternal and fetal outcomes. Our results provide additional impetus to screen for depression among women of reproductive age, especially those who plan to become pregnant.
引用
收藏
页码:329 / 334
页数:6
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