Cited by 691Pregnancy and preeclampsia studiesMaternal Mental Health During Pregnancy and PostpartumNeurological Complications and Syndromes

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Depression and anxiety in early pregnancy and risk for preeclampsia

Kurki, T·2000·Obstetrics & Gynecology

DOI 10.1016/s0029-7844(99)00602-x

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Abstract

OBJECTIVE: To examine whether depression and anxiety in early pregnancy are associated with preeclampsia in an unselected nulliparous population. METHODS: In this prospective population-based study during pregnancy at outpatient maternity clinics in the Helsinki metropolitan area, depression was assessed by a Finnish modification of the short form of the Beck Depression Inventory and anxiety by one established question. Preeclampsia was defined as elevated blood pressure (BP) (more than 140/100 mmHg) and proteinuria (0.3 g during 24 hours or more). Age, smoking, alcohol consumption, marital status, socioeconomic status, and bacterial vaginosis were analyzed as potentially confounding factors in a multiple logistic regression analysis. RESULTS: Six hundred twenty-three consecutive nulliparous women with singleton pregnancies were studied at ten to 17 (median 12) weeks' gestation and at delivery. Of them, 28 (4.5%) women developed preeclampsia. Depression (mean Beck score 4.5, range 3-17) was observed in 185 (30%), women and anxiety was observed in 99 (16%) in early pregnancy. In multivariate analysis, after adjustment for potentially confounding factors, depression was associated with increased risk (odds ratio [OR] 2.5; 95% confidence interval [CI] 1.1, 5.4) for preeclampsia, as was anxiety (OR 3.2; 95% CI 1.4, 7.4). Either depression or anxiety, or both, were associated with increased risk (OR 3.1; 95% CI 1.4, 6.9) for preeclampsia. Bacterial vaginosis together with depression was associated with increased risk (OR 5.3; 95% CI 1.8, 15.0) for preeclampsia. CONCLUSION: Depression and anxiety in early pregnancy are associated with risk for subsequent preeclampsia, a risk further increased by bacterial vaginosis.

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Authors: Kurki, T.
Affiliations: Social Insurance Institution (FI)
Corresponding author: Kurki, T
Venue: Obstetrics & Gynecology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2000-04
Volume: 95
Issue: 4
Pages: 487-490
ISSN: 0029-7844 (ISSN-L)
DOI: 10.1016/s0029-7844(99)00602-x
OpenAlex: W2019143627
Cited by: 690
References: 32
Citations by year: 2026: 6 · 2025: 15 · 2024: 28 · 2023: 32 · 2022: 36 · 2021: 29 · 2020: 32 · 2019: 33 · 2018: 34 · 2017: 29 · 2016: 25 · 2015: 42 · 2014: 46 · 2013: 49 · 2012: 27
FWCI: 11.64
Type: journal article
Language: en
Open access: closed
Locations: Obstetrics and Gynecology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Health Sciences › Medicine › Clinical Neurology › Neurological Complications and Syndromes
Keywords: preeclampsia, depression, anxiety, early pregnancy, nulliparous women, bacterial vaginosis, risk factors, maternal mental health, proteinuria, blood pressure
MeSH terms: Adolescent, Adult, Anxiety, Depression, Female, Humans, Pre-Eclampsia, Pregnancy, Pregnancy Complications, Pregnancy Trimester, First, Pregnancy Trimester, Second, Prospective Studies, Risk Factors

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Depression and anxiety in early pregnancy and risk for preeclampsia

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