CoChat
Sign Up
Cited by 21Maternal Mental Health During Pregnancy and PostpartumInfant Development and Preterm CareMaternal and Perinatal Health Interventions

Course of mental health and mother–infant bonding in hospitalized women with threatened preterm birth

Open access
Hanko, Cornelia, Bittner, Antje, Junge-Hoffmeister, Juliane, Mogwitz, Sabine, Nitzsche, Katharina, Weidner, Kerstin·2020·Archives of Gynecology and Obstetrics
DOI 10.1007/s00404-019-05406-3
Open this paper in CoChat — free accountOpen PDF

Abstract

Purpose Pregnancy complications (PC) with signs of threatened preterm birth are often associated with lengthy hospital stays, which have been shown to be accompanied by anxiety, depressive symptoms, and increased stress level. It remains unclear, whether the perinatal course of mental health of these women differs from women without PC and whether there may be differences in the postpartum mother-infant bonding.Methods In a naturalistic longitudinal study with two measurements (24-36th weeks of gestation and 6 weeks postpartum), we investigated depression (EPDS), anxiety (STAI-T), stress (PSS), and postpartum mother-infant bonding (PBQ) in women with threatened preterm birth (N = 75) and women without PC (N = 70). For data evaluation, we used means of frequency analysis, analysis of variance with repeated measurements, and t-tests for independent samples.Results The patient group showed significantly higher rates of depression, anxiety, and stress during inpatient treatment in pregnancy, as well as 6 weeks postpartum compared to the control group. While depression and anxiety decreased over time in both groups, stress remained at the same level 6 weeks postpartum as in pregnancy. We found no significant differences in mother-infant bonding between the two groups at all considered PBQ scales.Conclusion It is recommended to pay attention to the psychological burden of all obstetric patients as a routine to capture a psychosomatic treatment indication. A general bonding problem in women with threatened preterm birth was not found. Nevertheless, increased maternal stress, anxiety, and depressiveness levels during pregnancy may have a negative impact on the development of the fetus.

Integrity signals

Registry

Crossref · 10.1007/s00404-019-05406-3

Cites

68 of 68 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

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?

  • The depression outcome meta-analysis included 17 studies of 1,998 women.

    “Seventeen studies of 1,998 women were included in the meta-analysis of depression outcome42–58 (Table 1) and 7 studies of 851 women included in the anxiety outcome42,43,45–47,58,59 (Table 2).”

    From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications (2021) · cites this paper as [43]

  • Selection bias was possible in 7 studies that did not report participation rate and in 1 study with less than 50% participation.

    “Selection bias was possible in 7 studies43,49,51,52,55–57 which did not report the participation rate of eligible subjects and one study44 which reported < 50% participation rate.”

    From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications (2021) · cites this paper as [43]

  • Sample size calculations with power justifications were not reported by 13 included studies.

    “Although sample size calculations with power justifications were not reported by 13 investigators42–47,50,51,53–56,58 for their various primary outcomes, this does not diminish the validity of the reported prevalence of included studies.”

    From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications (2021) · cites this paper as [43]

  • The anxiety outcome meta-analysis included 7 studies of 851 women.

    “Seventeen studies of 1,998 women were included in the meta-analysis of depression outcome42–58 (Table 1) and 7 studies of 851 women included in the anxiety outcome42,43,45–47,58,59 (Table 2).”

    From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications (2021) · cites this paper as [43]

  • Study quality assessment showed 4 studies in the top quartile, 13 in the third quartile, and 1 in the second quartile.

    “Study quality assessment using the NIH quality assessment tool demonstrated 4 studies42,43,46,49 in the top quartile (rating ≥ 75%), 13 studies45,47,48,50–59 in the third quartile (with rating ≥ 50–74%), and a single study44 in the second quartile (rating < 50%) (Table 2).”

    From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications (2021) · cites this paper as [43]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Hanko, C., Bittner, A., Junge-Hoffmeister, J., Mogwitz, S., Nitzsche, K., & Weidner, K.
Affiliations
University Hospital Carl Gustav Carus (DE)
Corresponding author
Hanko, Cornelia
ORCID
Venue
Archives of Gynecology and Obstetrics
Publisher
Springer Science and Business Media LLC
Published
2019-12-11
Volume
301
Issue
1
Pages
119-128
ISSN
  • 0003-9128 (ISSN-L)
  • 0932-0067
  • 1432-0711
DOI
10.1007/s00404-019-05406-3
OpenAlex
W2994653764
Cited by
21
References
68
Citations by year
2026: 4 · 2025: 2 · 2024: 1 · 2023: 5 · 2022: 5 · 2021: 4
FWCI
2.31
Type
journal article
Language
en
Open access
Licence
Locations
  • Archives of Gynecology and Obstetrics (publishedVersion)
  • PubMed (publishedVersion)
  • Qucosa (Saxon State and University Library Dresden) (submittedVersion, cc-by-nc)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
threatened preterm labor, maternal mental health, mother-infant bonding, depression, anxiety, psychological stress, pregnancy complications, postpartum period, hospitalized pregnant women, psychosomatic treatment
MeSH terms
Adult, Female, Humans, Infant, Infant, Newborn, Longitudinal Studies, Mental Health, Mother-Child Relations, Mothers, Pregnancy, Pregnancy Complications, Surveys and Questionnaires, Premature Birth

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