The effects of maternal depression, anxiety, and perceived stress during pregnancy on preterm birth: a systematic review

Staneva, Aleksandra, Bogossian, Fiona, Pritchard, Margo and Wittowski, Anja (2015) The effects of maternal depression, anxiety, and perceived stress during pregnancy on preterm birth: a systematic review. Women and Birth, 28 3: 179-193. doi:10.1016/j.wombi.2015.02.003


Author Staneva, Aleksandra
Bogossian, Fiona
Pritchard, Margo
Wittowski, Anja
Title The effects of maternal depression, anxiety, and perceived stress during pregnancy on preterm birth: a systematic review
Journal name Women and Birth   Check publisher's open access policy
ISSN 1878-1799
1871-5192
Publication date 2015
Year available 2015
Sub-type Article (original research)
DOI 10.1016/j.wombi.2015.02.003
Open Access Status Not Open Access
Volume 28
Issue 3
Start page 179
End page 193
Total pages 15
Place of publication Amsterdam, Netherlands
Publisher Elsevier
Collection year 2016
Language eng
Formatted abstract
Background: Experiencing 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.

Aim: The aims of the present review were to outline the evidence on the risk of preterm associated with antenatal depression, anxiety, and stress.

Methods: Four 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.

Findings: Of 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.

Conclusion: Complex 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.
Keyword Pregnancy
Depression
Anxiety
Stress
Preterm birth
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes In Press, Corrected Proof

 
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Created: Fri, 13 Feb 2015, 08:48:01 EST by Dr Fiona Bogossian on behalf of School of Nursing, Midwifery and Social Work