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The Impact of Prenatal Depression in Patients of High Risk Pregnancy Clinic on Obstetric Outcomes

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Abstract

Prenatal depression is common and has been associated with risky maternal behavior, postpartum depression, and atypical child development. Still, its association with adverse perinatal outcomes is complex. The aim of our study was to look for this potential association in our region. The medical charts of women who were treated at our High-Risk Pregnancy Clinic and gave birth at our hospital were reviewed. The Edinburgh Postnatal Depression Scale (EPDS) was used to discover prenatal depression. Patients who reported past or current mental illness were excluded. We enrolled 202 women at a mean age of 32.81. Twin pregnancy was the most common reason for referral to the clinic (17.3%). The mean EPDS score was 4.63 (±4.66), with 15.3% scoring 10 or more. A significant correlation was found between the EPDS score and intrapartum fetal heart rate abnormalities, as well as with low birth weight. There were significant associations between the EPDS score and the maternal status of genetic disorder carrier, and the number of previous pregnancies, miscarriages, and elective termination of pregnancy. This study demonstrates a significant impact of the maternal psychological state on the obstetric outcome. In addition, we observed a significant association between maternal obstetric history, genetic data, and the risk of prenatal depression. Our study shows that completing the EPDS questionnaire is a very important part of the pregnancy follow-up, as it illuminates risk factors for prenatal depression and adverse perinatal outcomes.

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Data Availability

We used confidential data from the medical charts of our patients. Distribution of this data was not approved by our Institutional Review Board.

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Acknowledgments

We wish to thank Ms. I. Levi for her support in implementing the EPDS questionnaire in our clinic.

Funding

This research did not receive any specific grant or honoraria, and did not used any relationship from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Maternal Fetal Medicine outpatient clinic, Department of Obstetrics and Gynecology, Baruch Padeh Medical Center, Poriya, Tiberias, Israel

    Sofia Soltsman

  2. Nursing school / Social work school, Zefat Academic College, Safed, Israel

    Yeela Tomsis

  3. Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel

    Sofia Soltsman & Anat Konforty

  4. Emergency medicine program, Zefat Academic College, Safed, Israel

    Izhar Ben Shlomo

Authors
  1. Sofia Soltsman
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  2. Yeela Tomsis
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  3. Anat Konforty
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  4. Izhar Ben Shlomo
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Contributions

S. Soltsman - study concept and design, data collection, manuscript writing and editing. Y. Tomsis - study concept, data analysis, manuscript writing and editing. A. Konforty - study concept and design, data collection, manuscript editing. I. Ben Shlomo - study concept, manuscript editing. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Sofia Soltsman.

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Ethics Approval

The study was conducted retrospectively from data obtained for clinical purposes, and was approved by the Institutional Review Board (approval No. 0074–17-POR).

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Soltsman, S., Tomsis, Y., Konforty, A. et al. The Impact of Prenatal Depression in Patients of High Risk Pregnancy Clinic on Obstetric Outcomes. Psychiatr Q 92, 1673–1684 (2021). https://doi.org/10.1007/s11126-021-09925-8

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  • DOI: https://doi.org/10.1007/s11126-021-09925-8

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