Is perinatal major depression affecting obstetrical outcomes? Commentary on “Impact of maternal depression on perinatal outcome in hospitalized women-a prospective study”
We have read with great interest the paper by Hermon et al. (2019) regarding the impact of maternal depression on perinatal outcomes, wherein the authors observed the association of maternal depression with preterm delivery. We would like to congratulate the authors, although we would like to make two considerations on this study. The first is that the recruited pregnant women had medical diseases that can contribute per se to the development of antenatal depression (e.g., obesity) (Steinig et al. 2017). The second is that the authors used an Edinburgh Postnatal Depression Scale (EPDS) cutoff score < or ≥ 10. However, there is not a complete agreement about what is the most appropriate EPDS score to detect women with or without depression (O’Connor et al. 2016). EPDS is properly a tool to assess the severity of depression and not to make diagnosis of perinatal major depression (PMD), and a score > 15 indicates the risk to fulfill the criteria of PMD according to the...
Compliance with ethical standards
This study was approved by the local institutional ethical review board (Comitato Etico Milano Area 2, Fondazione IRCCS Ca’Granda Ospedale Maggiore Policlinico).
Conflict of interest
The authors declare that they have no conflict of interest.