Epidemiology of mental disorders during pregnancy and link to birth outcome: a large-scale retrospective observational database study including 38,000 pregnancies
Abstract
Purpose To investigate the real-life epidemiology of mental disorders during pregnancy and their impact on birth outcome in an unselected low-risk population in Germany.Methods Claims data of the Techniker Krankenkasse (TK) were analyzed as part of a retrospective observational study over a one-year period from 01/2008 to 12/2008 including 38,174 pregnant women. ICD-10 codes were clustered into four diagnostic groups: depression, anxiety disorders, somatoform/dissociative disorders and acute stress reactions. The relationship between mental disorders, birth mode and infant weight was tested using chi-squared tests and multivariate logistic regression. Main outcome measures included the prevalence of mental disorders during pregnancy, performed cesarean sections and infants born underweight.Results N = 16,639 cases with at least one diagnosis from the four mental disorder diagnostic groups were identified: 9.3% cases of depression, 16.9% cases with an anxiety disorder, 24.2% cases with a somatoform/dissociative disorder, and 11.7% cases of acute stress reactions. Women diagnosed with a mental disorder were more likely to deliver their child by cesarean section ([depression: OR =1.26 (95% CI 1.14-1.39); anxiety: OR 1.11 (95% CI 1.02-1.19); somatoform disorders: OR 1.12 (95% CI 1.05-1.20); acute stress reactions: OR 1.17 (95% CI 1.07-1.28)]. Furthermore, infants of women diagnosed with an ICD-10 code for depression during pregnancy were more likely to be underweight and/or delivered preterm [OR =1.34 (95% CI 1.06-1.69)].Conclusions We observed substantially high prevalence rates of mental disorders during pregnancy which urgently warrant more awareness for validated screening and adequate treatment options.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In Germany, among 38,174 pregnant women in 2008, 43.6% had at least one ailment in the field of mental disorders.
“In total, 43.6% of 38,174 pregnant women had at least one ailment in the field of mental disorders in 2008 [3].”
From Mental health-related telemedicine interventions for pregnant women and new mothers: a systematic literature review (2023) · cites this paper as [3]
In Germany, the prevalence of prenatal depression is 9.3% and the prevalence of prenatal anxiety disorders is 16.9%.
“A recent large-scale observational database study found a prevalence of 9.3% for prenatal depression and 16.9% for prenatal anxiety disorders in Germany (1).”
From Acceptance, experiences, and needs of hospitalized pregnant women toward an electronic mindfulness-based intervention: A pilot mixed-methods study (2022) · cites this paper as [1]
Cites
Grote, N. K., Bridge, J. A., Gavin, A. R., Melville, J. L., Iyengar, S., & Katon, W. J. (2010) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2010.111 · Cited by 1,882 · see citing works
Postpartum depression: current status and future directions
O'Hara, M. W., & McCabe, J. E. (2013) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-050212-185612 · Cited by 1,750 · see citing works
Prevalence of Depression During Pregnancy: Systematic Review
Bennett, H. A., Einarson, A., Taddio, A., Koren, G., & Einarson, T. R. (2004) · Obstetrics & Gynecology · doi:10.1097/01.aog.0000116689.75396.5f · Cited by 1,725 · see citing works
<scp>WHO</scp> Statement on Caesarean Section Rates
Betran, A., Torloni, M., Zhang, J., Gülmezoglu, A., & the WHO Working Group on Caesarean Section (2016) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.13526 · Cited by 1,238 · see citing works
Risk factors for depressive symptoms during pregnancy: a systematic review
Lancaster, C. A., Gold, K. J., Flynn, H. A., Yoo, H., Marcus, S. M., & Davis, M. M. (2010) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2009.09.007 · Cited by 1,208 · see citing works
Alder, J., Fink, N., Bitzer, J., Hösli, I., & Holzgreve, W. (2007) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.1080/14767050701209560 · Cited by 872 · see citing works
Impact of Maternal Age on Obstetric Outcome
Cleary‐Goldman, J., Malone, F. D., Vidaver, J., Ball, R. H., Nyberg, D. A., Comstock, C. H., Saade, G. R., Eddleman, K. A., Klugman, S. D., Dugoff, L., et al. (2005) · Obstetrics and Gynecology · doi:10.1097/01.aog.0000158118.75532.51 · Cited by 867 · see citing works
Grigoriadis, S., VonderPorten, E. H., Mamisashvili, L., Tomlinson, G., Dennis, C.-L., Koren, G., Steiner, M., Mousmanis, P., Cheung, A., Radford, K., et al. (2013) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.12r07968 · Cited by 797 · see citing works
Yildiz, P. D., Ayers, S., & Phillips, L. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.10.009 · Cited by 768 · see citing works
A meta‐analysis of the association between Caesarean section and childhood asthma
Thavagnanam, S., Fleming, J., Bromley, A., Shields, M. D., & Cardwell, C. R. (2008) · Clinical & Experimental Allergy · doi:10.1111/j.1365-2222.2007.02780.x · Cited by 651 · see citing works
Jarde, A., Morais, M., Kingston, D., Giallo, R., MacQueen, G. M., Giglia, L., Beyene, J., Wang, Y., & McDonald, S. D. (2016) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2016.0934 · Cited by 616 · see citing works
Barnes, T. R. E., Drake, R., Paton, C., Cooper, S. J., Deakin, J. F. W., Ferrier, I. N., Gregory, C. J., Haddad, P. M., Howes, O. D., Jones, I. R., et al. (2019) · Journal of Psychopharmacology · doi:10.1177/0269881119889296 · Cited by 607 · see citing works
Cardwell, C. R., Stene, L. C., Joner, G., Cinek, O., Svensson, J., Goldacre, M. J., Parslow, R. C., Pozzilli, P., Brigis, G., Stoyanov, D., et al. (2008) · Diabetologia · doi:10.1007/s00125-008-0941-z · Cited by 590 · see citing works
Antibiotic prophylaxis versus no prophylaxis for preventing infection after cesarean section
Smaill, F. M., & Grivell, R. M. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007482.pub3 · Cited by 575 · see citing works
Caesarean delivery and risk of atopy and allergic disesase: meta‐analyses
Bager, P., Wohlfahrt, J., & Westergaard, T. (2008) · Clinical & Experimental Allergy · doi:10.1111/j.1365-2222.2008.02939.x · Cited by 503 · see citing works
Viguera, A. C., Nonacs, R., Cohen, L. S., Tondo, L., Murray, A., & Baldessarini, R. J. (2000) · American Journal of Psychiatry · doi:10.1176/appi.ajp.157.2.179 · Cited by 488 · see citing works
Neuroleptic Withdrawal in Schizophrenic Patients
Gilbert, P. L. (1995) · Archives of General Psychiatry · doi:10.1001/archpsyc.1995.03950150005001 · Cited by 434 · see citing works
Indications for and Risks of Elective Cesarean Section
Mylonas, I. G., & Friese, K. (2015) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2015.0489 · Cited by 389 · see citing works
Elevated risks of pregnancy complications and adverse outcomes with increasing maternal age
Luke, B., & Brown, M. B. (2007) · Human Reproduction · doi:10.1093/humrep/del522 · Cited by 375 · see citing works
Martini, J., Petzoldt, J., Einsle, F., Beesdo‐Baum, K., Höfler, M., & Wïttchen, H. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.01.012 · Cited by 364 · see citing works
A review of longitudinal studies on antenatal and postnatal depression
Underwood, L., Waldie, K., D’Souza, S., Peterson, E. R., & Morton, S. (2016) · Archives of Women s Mental Health · doi:10.1007/s00737-016-0629-1 · Cited by 364 · see citing works
Barnes, T. R. E. (2011) · Journal of Psychopharmacology · doi:10.1177/0269881110391123 · Cited by 357 · see citing works
Pregnant women with posttraumatic stress disorder and risk of preterm birth
Yonkers, K. A., Smith, M. V., Forray, A., Epperson, C. N., Costello, D., Lin, H., & Belanger, K. (2014) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2014.558 · Cited by 331 · see citing works
Maternal age and risk of stillbirth: a systematic review
Huang, L., Sauve, R. S., Birkett, N., Fergusson, D. A., & van Walraven, C. (2008) · Canadian Medical Association Journal · doi:10.1503/cmaj.070150 · Cited by 296 · see citing works
Prevalence, onset and comorbidity of postpartum anxiety and depressive disorders
Reck, C., Struben, K., Backenstrass, M., Stefenelli, U., Reinig, K., Fuchs, T., Sohn, C., & Mundt, C. (2008) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2008.01264.x · Cited by 288 · see citing works
Self-citationThe influence of obesity and diabetes on the risk of cesarean delivery
Ehrenberg, H. M., Durnwald, C. P., Catalano, P. M., & Mercer, B. M. (2004) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2004.06.057 · Cited by 275 · see citing works
Depression during pregnancy and postpartum
Becker, M., Weinberger, T., Chandy, A., & Schmukler, S. (2016) · Current Psychiatry Reports · doi:10.1007/s11920-016-0664-7 · Cited by 263 · see citing works
Impact of Caesarean section on subsequent fertility: a systematic review and meta-analysis
Gurol‐Urganci, I., Bou-Antoun, S., Lim, C. P., Cromwell, D. A., Mahmood, T., Templeton, A., & van der Meulen, J. (2013) · Human Reproduction · doi:10.1093/humrep/det130 · Cited by 226 · see citing works
Fetal growth restriction and birth defects with newer and older antiepileptic drugs during pregnancy
Veiby, G., Daltveit, A. K., Engelsen, B. A., & Gilhus, N. E. (2014) · Journal of Neurology · doi:10.1007/s00415-013-7239-x · Cited by 196 · see citing works
Howard, L. M., Ryan, E., Trevillion, K., Anderson, F., Bick, D., Bye, A., Byford, S., O’Connor, S. J. M., Sands, P., Demilew, J., et al. (2018) · The British Journal of Psychiatry · doi:10.1192/bjp.2017.9 · Cited by 188 · see citing works
Karlström, A., Lindgren, H. E., & Hildingsson, I. (2013) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.12129 · Cited by 165 · see citing works
Szegda, K., Markenson, G., Bertone-Johnson, E. R., & Chasan-Taber, L. (2014) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.3109/14767058.2013.845157 · Cited by 155 · see citing works
Management of psychotropic drugs during pregnancy
Chisolm, M. S., & Payne, J. L. (2016) · BMJ · doi:10.1136/bmj.h5918 · Cited by 135 · see citing works
Obstetric and Neonatal Outcomes After Antipsychotic Medication Exposure in Pregnancy
Coughlin, C. G., Blackwell, K. A., Bartley, C. A., Hay, M., Yonkers, K. A., & Bloch, M. H. (2015) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000000759 · Cited by 134 · see citing works
Cesarean section delivery and development of food allergy and atopic dermatitis in early childhood
Papathoma, E., Triga, M., Fouzas, S., & Dimitriou, G. (2016) · Pediatric Allergy and Immunology · doi:10.1111/pai.12552 · Cited by 125 · see citing works
Changed indications for cesarean sections
Stjernholm, Y. V., Petersson, K., & Eneroth‐Grimfors, E. (2009) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.3109/00016340903418777 · Cited by 120 · see citing works
Adhesions and perioperative complications of repeat cesarean delivery
Lyell, D. J. (2011) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2011.09.029 · Cited by 117 · see citing works
Gestational diabetes mellitus: A risk factor for non‐elective cesarean section
Gorgal, R., Gonçalves, E., de Barros, M. F., Namora, G., Magalhães, Â., Rodrigues, T., & Montenegro, N. A. M. D. M. (2011) · Journal of obstetrics and gynaecology research · doi:10.1111/j.1447-0756.2011.01659.x · Cited by 116 · see citing works
Prenatal Antidepressant Exposure and Risk of Spontaneous Abortion – A Population-Based Study
Kjaersgaard, M. I. S., Parner, E. T., Vestergaard, M., Sørensen, M. J., Olsen, J., Christensen, J., Bech, B. H., & Pedersen, L. H. (2013) · PLoS ONE · doi:10.1371/journal.pone.0072095 · Cited by 107 · see citing works
The influence of general anxiety and childbirth-specific anxiety on birth outcome
Reck, C., Zimmer, K., Dubber, S., Zipser, B., Schlehe, B., & Gawlik, S. (2013) · Archives of Women's Mental Health · doi:10.1007/s00737-013-0344-0 · Cited by 106 · see citing works
The use of psychotropic medication during pregnancy: how about the newborn?
Kieviet, N., Honig, & Dolman (2013) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s36394 · Cited by 100 · see citing works
Elevated Risk of Preeclampsia in Pregnant Women With Depression: Depression or Antidepressants?
Palmsten, K. K., Setoguchi, S., Margulis, A. V., Patrick, A. R., & Hernández–Dı́az, S. (2012) · American Journal of Epidemiology · doi:10.1093/aje/kwr394 · Cited by 90 · see citing works
Increasing prevalence of Addison's disease in German females: health insurance data 2008–2012
Meyer, G., Neumann, K., Badenhoop, K. W. J., & Linder, R. (2013) · European Journal of Endocrinology · doi:10.1530/eje-13-0756 · Cited by 88 · see citing works
Psychopharmacotherapy in Pregnancy and Breastfeeding
Vitale, S. G., Laganà, A. S., Muscatello, M. R. A., Rosa, V. L. L., Currò, V., Pandolfo, G., Zoccali, R. A., & Bruno, A. (2016) · Obstetrical & Gynecological Survey · doi:10.1097/ogx.0000000000000369 · Cited by 81 · see citing works
Effect of depressive and anxiety symptoms during pregnancy on risk of obstetric interventions
Bayrampour, H., Salmon, C., Vinturache, A., & Tough, S. (2015) · Journal of obstetrics and gynaecology research · doi:10.1111/jog.12683 · Cited by 76 · see citing works
Exposure to Selective Serotonin Reuptake Inhibitors in Early Pregnancy and the Risk of Miscarriage
Andersen, J. T., Andersen, N. L., Horwitz, H., Poulsen, H. E., & Jimenez‐Solem, E. (2014) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000000447 · Cited by 72 · see citing works
Guihard, P., & Blondel, B. (2001) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2001.00009.x · Cited by 70 · see citing works
Gawlik, S., Waldeier, L. M., Müller, M., Szabo, A., Sohn, C., & Reck, C. (2012) · Archives of Women s Mental Health · doi:10.1007/s00737-012-0320-0 · Cited by 63 · see citing works
Self-citationThe Influence of Anxiety and Depressive Symptoms During Pregnancy on Birth Size
Broekman, B. F. P., Chan, Y., Chong, Y. S., Kwek, K. Y. C., Sung, S. C., Haley, C. L., Chen, H., Chee, C. Y. I., Rifkin-Graboi, A. E., Gluckman, P. D., et al. (2013) · Paediatric and Perinatal Epidemiology · doi:10.1111/ppe.12096 · Cited by 62 · see citing works
Diabetes is associated with impairment of uterine contractility and high Caesarean section rate
Al-Qahtani, S., Heath, A., Quenby, S. M., Dawood, F. A., Floyd, R. V., Burdyga, T. V., & Wray, S. (2011) · Diabetologia · doi:10.1007/s00125-011-2371-6 · Cited by 57 · see citing works
Psychiatric illness in women requesting caesarean section
Sydsjö, G., Möller, L., Lilliecreutz, C., Bladh, M. K., Andolf, E. G., & Josefsson, A. (2014) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.12714 · Cited by 56 · see citing works
Maternal request: a reason for rising rates of cesarean section?
Kottmel, A., Hoesli, I. M., Traub, R., Urech, C., Huang, D. J., Leeners, B., & Tschudin, S. (2012) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-012-2273-y · Cited by 53 · see citing works
Exposure to Selective Serotonin Reuptake Inhibitors in Early Pregnancy and the Risk of Miscarriage
Yuen, S., Rezai, S., & Henderson, C. E. (2015) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000000656 · Cited by 53 · see citing works
Bruno, A., Laganà, A. S., Leonardi, V., Greco, D., Merlino, M., Vitale, S. G., Triolo, O., Zoccali, R. A., & Muscatello, M. R. A. (2017) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.1080/14767058.2017.1362554 · Cited by 49 · see citing works
Is regional anaesthesia better than general anaesthesia for caesarean section?
Bowring, J., Fraser, N., Vause, S., & Heazell, A. E. P. (2006) · Journal of Obstetrics and Gynaecology · doi:10.1080/01443610600720345 · Cited by 44 · see citing works
Obstetrical Management of the Older Gravida
Franz, M. B., & Husslein, P. W. (2010) · Women s Health · doi:10.2217/whe.10.26 · Cited by 34 · see citing works
Mode of delivery and subsequent fertility
Evers, E. C., McDermott, K. C., Blomquist, J. L., & Handa, V. L. (2014) · Human Reproduction · doi:10.1093/humrep/deu197 · Cited by 34 · see citing works
Adhesion prevention after cesarean delivery: evidence, and lack of it
Walfisch, A., Beloosesky, R., Shrim, A., & Hallak, M. (2014) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2014.05.027 · Cited by 34 · see citing works
Brandão, H. V., Vieira, G. O., Vieira, T. D. O., Camargos, P. A. M., Teles, C. A. D. S., Guimarães, A. C., Cruz, Á. A., & Cruz, C. M. S. (2016) · BMC Pediatrics · doi:10.1186/s12887-016-0594-x · Cited by 29 · see citing works
Larsen, E. R., & Saric, K. (2016) · Acta Neuropsychiatrica · doi:10.1017/neu.2016.60 · Cited by 22 · see citing works
Einarson, A., Selby, P. L., & Koren, G. (2001) · PubMed Central · Cited by 21 · see citing works
Smith, D., Stringer, E. M., Vladutiu, C. J., Zink, A. H., & Strauss, R. A. (2015) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2015.01.056 · Cited by 20 · see citing works
4-Wochen-Prävalenz somatoformer Störungen und assoziierte psychosoziale Beeinträchtigung
Schoepf, D., Heun, R., Weiffenbach, O., Herrmann, S., & Maier, W. (2003) · Der Nervenarzt · doi:10.1007/s00115-001-1241-8 · Cited by 20 · see citing works
Arikan, I., Barut, A., Harma, M., Harma, I. M., Gezer, S., & Ulubaşoğlu, H. (2012) · PubMed · Cited by 17 · see citing works
Effect of Uterine Rupture on a Hospital's Future Rate of Vaginal Birth After Cesarean Delivery
Riddell, C. A., Kaufman, J. S., Hutcheon, J. A., Strumpf, E., Teunissen, P. W., & Abenhaim, H. A. (2014) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000000545 · Cited by 15 · see citing works
Analysis of Subgroup of Pregnant Women in Germany
Voigt, M., Zygmunt, M., Henrich, W., Straube, S., Carstensen, M., & Briese, V. (2008) · Geburtshilfe und Frauenheilkunde · doi:10.1055/s-2008-1038848 · Cited by 7 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Goetz, M., Schiele, C., Müller, M., Matthies, L. M., Deutsch, T. M., Spano, C., Graf, J., Zipfel, S., Bauer, A., Brucker, S. Y., et al. (2020) · Journal of Medical Internet Research · doi:10.2196/17593 · Cited by 81 · see citing works
Self-citationMaternal antenatal stress and mental and behavioral disorders in their children
Tuovinen, S., Lahti‐Pulkkinen, M., Girchenko, P. V., Heinonen, K., Lahti, J. M. T., Reynolds, R. M., Hämäläinen, E. K., Villa, P., Kajantie, E., Laivuori, H. M., et al. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.09.063 · Cited by 58 · see citing works
Stentzel, U., Grabe, H. J., Schmidt, S., Tomczyk, S., van den Berg, N., & Beyer, A. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-04790-0 · Cited by 52 · see citing works
“6% of 38,174 pregnant women had at least one ailment in the field of mental disorders in 2008 [3].”
BackgroundReturning to work after maternity leave: a systematic literature review
Franzoi, I. G., Sauta, M. D., Luca, A. D., & Granieri, A. (2024) · Archives of Women s Mental Health · doi:10.1007/s00737-024-01464-y · Cited by 63 · see citing works
Runkle, J. D., Matthews, J. L., Sparks, L., McNicholas, L., & Sugg, M. M. (2021) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2021.152145 · Cited by 44 · see citing works
Cena, L., Gigantesco, A., Mirabella, F., Palumbo, G., Camoni, L., Trainini, A., & Stefana, A. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.09.015 · Cited by 40 · see citing works
Müller, M., Matthies, L. M., Goetz, M., Abele, H., Brucker, S. Y., Bauer, A., Graf, J., Zipfel, S., Hasemann, L., Wallwiener, M., et al. (2020) · Trials · doi:10.1186/s13063-020-04873-3 · Cited by 33 · see citing works
Self-citationEllman, L. M., Murphy, S. K., Maxwell, S. D., Calvo, E. M., Cooper, T. B., Schaefer, C. A., Bresnahan, M. A., Susser, E., & Brown, A. S. (2019) · Schizophrenia Research · doi:10.1016/j.schres.2019.07.002 · Cited by 34 · see citing works
A new scale for fear of childbirth: the Fear of Childbirth Questionnaire (FCQ)
Slade, P., Balling, K., Houghton, G., & Sheen, K. (2021) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2021.1928615 · Cited by 32 · see citing works
Cummins, A., Baird, K., Melov, S. J., Melhem, L., Hilsabeck, C., Hook, M., Elhindi, J., & Pasupathy, D. (2023) · Women and Birth · doi:10.1016/j.wombi.2022.08.002 · Cited by 29 · see citing works
Davis, D. L., Sheehy, A., Nightingale, H. J., Smith, S.-A. D.-V., Taylor, J., & Cummins, A. M. (2023) · Midwifery · doi:10.1016/j.midw.2023.103619 · Cited by 21 · see citing works
Awini, E., Agyepong, I. A., Owiredu, D., Gyimah, L., Ashinyo, M. E., Yevoo, L. L., Aye, S. G. E. V., Abbas, S., de Chavez, A. C., Kane, S. S., et al. (2023) · BMJ Open · doi:10.1136/bmjopen-2022-069545 · Cited by 21 · see citing works
Dörsam, A. F., Bye, A., Graf, J., Howard, L. M., Throm, J. K., Müller, M., Wallwiener, S., Zipfel, S., Micali, N., & Giel, K. E. (2022) · International Journal of Eating Disorders · doi:10.1002/eat.23780 · Cited by 17 · see citing works
Self-citationKallas, K.-A., Marr, K., Moirangthem, S., Heude, B., Koehl, M., van der Waerden, J. E. B., & Downes, N. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12031120 · Cited by 16 · see citing works
Stress and Depressive Symptoms Among Demographically Diverse American Pregnant Women
Herbell, K., Zauszniewski, J. A., & Williams, E. M. (2019) · Issues in Mental Health Nursing · doi:10.1080/01612840.2019.1662145 · Cited by 15 · see citing works
Biological factors and consequences of pregnancy-related anxiety – What do we know so far?
Mikolajkow, A., & Małyszczak, K. (2022) · Psychiatria Polska · doi:10.12740/pp/144138 · Cited by 16 · see citing works
Bischoff, M., Howland, V., Klinger-König, J., Tomczyk, S., Schmidt, S., Zygmunt, M., Heckmann, M., van den Berg, N., Bethke, B., Corleis, J., et al. (2019) · BMC Psychiatry · doi:10.1186/s12888-019-2279-0 · Cited by 15 · see citing works
Schiele, C., Goetz, M., Hassdenteufel, K., Müller, M., Graf, J., Zipfel, S., & Wallwiener, S. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.939577 · Cited by 12 · see citing works
“However, the average education of the participants was considerably higher than the average education in Germany.”
BackgroundMethodInfluentialSelf-citationSulley, S., Adzrago, D., Mamudu, L., Odame, E., Atandoh, P. H., Tagoe, I., Ruggieri, D., Kahle, L., & Williams, F. (2023) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2023.102322 · Cited by 13 · see citing works
Screening for Detection of the Risk of Perinatal Mental Disorders among Women in Poland
Kaźmierczak, M., Gebuza, G., Gierszewska, M., Bannach, M., Mieczkowska, E., Dombrowska-Pali, A., & Czubkowska, M. (2020) · Issues in Mental Health Nursing · doi:10.1080/01612840.2019.1677829 · Cited by 13 · see citing works
The Implementation of Antenatal Care with Telehealth Towards Pregnant Women’s Mental Health
Tendean, A. F., Dewi, A., & Wirasto, A. (2021) · JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) · doi:10.18196/jmmr.v10i2.11399 · Cited by 13 · see citing works
Mirzakhani, K., Khadivzadeh, T., Farıdhosseını, F., & Ebadi, A. (2020) · PubMed Central · doi:10.30476/ijcbnm.2020.85666.1285 · Cited by 13 · see citing works
Societal costs of untreated perinatal mood and anxiety disorders in Vermont
Platt, I. S., Pendl-Robinson, E. L., Dehus, E., O’Neil, S., Vohra, D., Kenny, M. J., Pentenrieder, L., & Zivin, K. (2024) · Archives of Women s Mental Health · doi:10.1007/s00737-024-01429-1 · Cited by 10 · see citing works
An, S., & Sun, S. (2023) · BMC Public Health · doi:10.1186/s12889-023-17310-2 · Cited by 8 · see citing works
Schauer, M., Latartara, E., Alonso-Espías, M., Rossetti, E., Gebert, P., Henrich, W., & Hinkson, L. (2022) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-022-06509-0 · Cited by 7 · see citing works
Wu, H.-N., Liang, Y., Li, L., Jiang, H., & Xu, L.-L. (2024) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-024-07557-4 · Cited by 7 · see citing works
Prenatal programming of child neurocognitive abilities and maternal mental health
Tuovinen, S., Lahti‐Pulkkinen, M., Rantalainen, V. J., Kajantie, E., & Räikkönen, K. (2020) · Current Opinion in Endocrine and Metabolic Research · doi:10.1016/j.coemr.2020.09.001 · Cited by 7 · see citing works
Stress level and general mental state in Polish pregnant women during COVID-19 pandemic
Mikolajkow, A., & Małyszczak, K. (2021) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2021.1976402 · Cited by 7 · see citing works
Jain, D., Jain, A. K., Metz, G. A. S., Ballanyi, N., Sood, A., Linder, R., & Olson, D. M. (2021) · Frontiers in Reproductive Health · doi:10.3389/frph.2021.673118 · Cited by 6 · see citing works
Shariatpanahi, M., Faramarzi, M., Barat, S., Farghadani, A., & Shirafkan, H. (2023) · International Journal of Systemic Therapy · doi:10.1080/2692398x.2023.2174773 · Cited by 5 · see citing works
Saito, J., Tachibana, Y., Wada, Y. S., Yakuwa, N., Kawasaki, H., Suzuki, T., Sago, H., Yamatani, A., & Murashima, A. (2022) · Journal of Pharmaceutical Health Care and Sciences · doi:10.1186/s40780-022-00241-2 · Cited by 6 · see citing works
Psychiatric emergencies during pregnancy and puerperium in low - And middle-income countries
Thela, L. T., Paruk, S., Bhengu, B. R., & Chiliza, B. (2024) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2024.102478 · Cited by 5 · see citing works
Geng, Y., Liu, W., Yu, Z., Zhang, H., Li, Y., & Zhao, W. (2025) · BMC Medicine · doi:10.1186/s12916-025-03877-7 · Cited by 5 · see citing works
Patterns of attentional bias in antenatal depression: an eye-tracking study
Xu, Y. Q., Zheng, P., Feng, W., Chen, L., Sun, S., Liu, J., Tang, W., Bao, C., Xu, L., Xu, D., et al. (2023) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2023.1288616 · Cited by 4 · see citing works
Trinh, T. G., Schwarze, C. E., Müller, M., Goetz, M., Haßdenteufel, K., Wallwiener, M., & Wallwiener, S. (2022) · Geburtshilfe und Frauenheilkunde · doi:10.1055/a-1844-9246 · Cited by 4 · see citing works
Self-citationCesárea e depressão pós-parto: uma revisão dos fatores de risco
Rua, M. O., Soares, G. F. G., Lima, C. S. D. A., Martins, E. R., Pereira, L. F., Nakahata, N. T., da Rocha, L. P. L., Alves, A. F. C., Amamura, J. P. K., & Leão, J. C. (2021) · Revista Eletrônica Acervo Científico · doi:10.25248/reac.e5727.2021 · Cited by 4 · see citing works
Djidonou, A., Tchégnonsi, F. T., Ahouandjinou, C. C. M., Ebo, B. H., Bokossa, C., Degla, J., & Fiossi-Kpadonou, É. (2019) · Open Journal of Psychiatry · doi:10.4236/ojpsych.2019.93018 · Cited by 4 · see citing works
Polish Adaption of Pregnancy-Related Anxiety Questionnaire – Revised 2 (PRAQ-R2)
Mikolajkow, A., Fuchs, T., & Małyszczak, K. (2023) · Psychiatria Polska · doi:10.12740/pp/onlinefirst/156324 · Cited by 3 · see citing works
Silvan, E., Saisto, T., Mäkelä, T., Salmela‐Aro, K., Gissler, M., & Lampio, L. (2025) · Reproductive Health · doi:10.1186/s12978-025-01949-8 · Cited by 2 · see citing works
Wurisastuti, T., Mubasyiroh, R., Suryaputri, I. Y., Anastasia, H., Isfandari, S., Agustiya, R. I., Irmansyah, Kurniawan, A., & Wardhani, Y. F. (2025) · Korean Journal of Family Medicine · doi:10.4082/kjfm.24.0078 · Cited by 2 · see citing works
Effects of maternal depression and self-efficacy during pregnancy on postpartum bonding
Bergmann, R., Märthesheimer, S., Hagenbeck, C., Balan, P., Fehm, T. N., & Schaal, N. K. (2025) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2025.2541078 · Cited by 2 · see citing works
Kazakova, O., Kosidou, K., Cedic, S., Granfors, M., Ahlqvist, V. H., & Magnusson, C. (2025) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.70032 · Cited by 2 · see citing works
Duko, B., Desta, F., Sahiledengle, B., Tekalegn, Y., Tiruye, T. Y., Whitehead, L., Pereira, G. F., & Gebremedhin, A. T. (2026) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2026.152701 · Cited by 2 · see citing works
Schramm, K., Nees, J., Hoffmann, J., Bruckner, T. M., Haun, M. W., Maatouk, I., Stepan, H., & Schott, S. (2020) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-020-05662-8 · Cited by 2 · see citing works
Odendaal, H. J., Human, M., van der Merwe, C., Brink, L. T., Nel, D. G., & Goldstein, R. D. (2021) · PubMed · Cited by 2 · see citing works
Zargar, M., Sayyah, M., Nikbakht, R., & Abdipour, Z. (2023) · Central Nervous System Agents in Medicinal Chemistry · doi:10.2174/1871524923666230817102216 · Cited by 2 · see citing works
Kristoffersen, E. S., Børte, S., Hagen, K., Zwart, J., & Winsvold, B. S. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-040685 · Cited by 1 · see citing works
Damer, E. A., van Kampen, D., Edens, M. A., Hemels, M. A. C., Bijvank, B. S. W. A. N., & ter Horst, P. G. J. (2024) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2024.06.015 · Cited by 1 · see citing works
Adaptation of Pregnant Women in the Context of Socio-Demographic Factors and Labour Law
Syty, K., Wiktor, H., & Jakiel, G. (2024) · Teka Komisji Prawniczej PAN Oddział w Lublinie · doi:10.32084/tkp.8553 · Cited by 1 · see citing works
Shahrokhi, S., Basirat, Z., Kheirkhah, F., Mirtabar, S. M., Khafri, S., Rad, H. A., Bazgir, M. R., & Faramarzi, M. (2025) · Archives of Mental Health · doi:10.4103/amh.amh_195_24 · Cited by 1 · see citing works
Telemedicine in Obstetrics: Building Bridges in Reproductive Healthcare—A Literature Review
Hamdan, Z., Deleh, R. B., Khoury, J. A., Soufan, S., Haddad, R., Dabaj, E., Azar, S. T., Ghadieh, H. E., & Zoghbi, M. (2025) · Reproductive Medicine · doi:10.3390/reprodmed6040030 · Cited by 1 · see citing works
Karapanos, I., Greco, E., Fisher, J., Hindes, I., Fisher, S., Begum, Y., Miele, M., Dooley, J., Jovanović, N., & Iliodromiti, S. (2026) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-026-08751-9 · Cited by 1 · see citing works
Psychological Disorders in Pregnancy
Tschudin, S. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108863049.041 · Cited by 1 · see citing works
Knobbe, H., Damer, E. A., Edens, M. A., Bijvank, B. S. W. A. N., Hemels, M. A. C., & ter Horst, P. G. J. (2023) · British Journal of Clinical Pharmacology · doi:10.1111/bcp.15795 · Cited by 1 · see citing works
Letter to the editor on: “The unheard parental cry of a stillbirth: fathers and mothers”
Xue, R. (2021) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-021-06249-7 · Cited by 1 · see citing works
INTERVENSI DIGITAL ANTENATAL CARE TERHADAP KESEHATAN MENTAL IBU HAMIL
Tendean, A. F. (2023) · Klabat Journal of Nursing · doi:10.37771/kjn.v5i1.887 · Cited by 1 · see citing works
Mikolajkow, A., & Małyszczak, K. (2023) · Journal of Pre-Clinical and Clinical Research · doi:10.26444/jpccr/166112
Editorial: Focus on maternal mental health during pregnancy and after childbirth
Fitch, M. I., & Hynie, M. (2024) · Frontiers in Global Women s Health · doi:10.3389/fgwh.2024.1393215 · Cited by 3 · see citing works
Hasemann, L., Elkenkamp, S., Müller, M., Bauer, A., Wallwiener, S., & Greiner, W. (2024) · Health Economics Review · doi:10.1186/s13561-024-00537-z
Self-citationKnabe, L., Tanaka, C., Tebeka, S., Neilson, S., Cauvin, C., Mercier, N., Cayron, D., Savelli, M., Deruelle, P., Fuchs, F., et al. (2025) · BMJ Open · doi:10.1136/bmjopen-2024-091923
Yi, F., Ren, L., & Ahn, S. (2025) · Research Square · doi:10.21203/rs.3.rs-6730714/v1
Scholz, A. S., & Wallwiener, S. (2025) · Elsevier eBooks · doi:10.1016/b978-3-437-21097-6.00002-0
Self-citationMetz, G. A. S., Hoover, T. D., & Linder, R. (2025) · Women s Health Reports · doi:10.1177/26884844251394236
Müller, M., Matthies, L. M., Goetz, M., Abele, H., Brucker, S. Y., Bauer, A., Graf, J., Zipfel, S., Hasemann, L., Wallwiener, M., et al. (2020) · Figshare · doi:10.6084/m9.figshare.13250846
Self-citationStentzel, U., Grabe, H. J., Schmidt, S., Tomczyk, S., van den Berg, N., & Beyer, A. (2023) · Figshare · doi:10.6084/m9.figshare.22721507
Stentzel, U., Grabe, H. J., Schmidt, S., Tomczyk, S., van den Berg, N., & Beyer, A. (2023) · Figshare · doi:10.6084/m9.figshare.22721498
Stentzel, U., Grabe, H. J., Schmidt, S., Tomczyk, S., van den Berg, N., & Beyer, A. (2023) · Figshare · doi:10.6084/m9.figshare.22721495
Stentzel, U., Grabe, H. J., Schmidt, S., Tomczyk, S., van den Berg, N., & Beyer, A. (2023) · Figshare · doi:10.6084/m9.figshare.22721501
Stentzel, U., Grabe, H. J., Schmidt, S., Tomczyk, S., van den Berg, N., & Beyer, A. (2023) · Figshare · doi:10.6084/m9.figshare.22721504
Hasemann, L., Elkenkamp, S., Müller, M., Bauer, A., Wallwiener, S., & Greiner, W. (2024) · Figshare · doi:10.6084/m9.figshare.26755789
Self-citationPerinatal mental health: Screening and impact on health outcomes
Sánchez, S., & Shah, S. (2025) · Seminars in Perinatology · doi:10.1016/j.semperi.2025.152209
Boah, M., Achumboro, R., Issaka, J., & Mahama, A. B. (2026) · Discover Public Health · doi:10.1186/s12982-026-02276-4
Depressive symptoms in mid-pregnancy are associated with DNA methylation marks in the placenta
Pettersson, N., Kyläniemi, M. K., Kaukonen, R., Konki, M., Scheinin, N. M., Kortesluoma, S., Karlsson, L., Karlsson, H., Lund, R., & Ekholm, E. M. K. (2026) · Placenta · doi:10.1016/j.placenta.2026.06.020
Existing practices, gaps and strategies to promote perinatal mental health in Ghana
Adjorlolo, S., Ohene, L. A., Naab, F., & Mortensen, B. M. (2026) · Frontiers in Global Women s Health · doi:10.3389/fgwh.2026.1835509
- Authors
- Wallwiener, S., Goetz, M., Lanfer, A., Gillessen, A., Suling, M., Feisst, M., Sohn, C., & Wallwiener, M.
- Affiliations
- Heidelberg University (DE)
- Techniker Krankenkasse (Germany) (DE)
- Corresponding author
- Wallwiener, Stephanie
- Venue
- Archives of Gynecology and Obstetrics
- Published
- 2019-02-08
- Volume
- 299
- Issue
- 3
- Pages
- 755-763
- ISSN
- 0003-9128 (ISSN-L)
- 0932-0067
- 1432-0711
- OpenAlex
- W2913934469
- Cited by
- 74
- References
- 66
- Citations by year
- 2026: 5 · 2025: 12 · 2024: 9 · 2023: 18 · 2022: 7 · 2021: 10 · 2020: 9 · 2019: 4
- FWCI
- 6.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Archives of Gynecology and Obstetrics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Institute of Women's Health, Tübingen, Germany
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
- Keywords
- maternal depression, anxiety disorders, somatoform disorders, dissociative disorders, acute stress response, cesarean section, infant underweight, preterm birth, birth outcomes, prevalence, low-risk pregnancy, mental health screening
- MeSH terms
- Adult, Anxiety, Mental Disorders, Cesarean Section, Depression, Female, Humans, Mental Health, Pregnancy, Pregnancy Outcome, Retrospective Studies, Risk Factors, Prevalence
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
