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Cited by 15Maternal Mental Health During Pregnancy and PostpartumGrief, Bereavement, and Mental HealthMaternal and Neonatal Healthcare

Are Past Adverse Pregnancy Outcomes Associated with Maternal Anxiety and Depressive Symptoms in a Sample of Currently Pregnant Women?

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Abajobir, Amanuel Alemu, Alati, Rosa, Kisely, Steve, Najman, Jake Moses·2017·Ethiopian Journal of Health Sciences
DOI 10.4314/ejhs.v27i4.6PMC PMC5615024
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Abstract

BACKGROUND: There has been a great deal of concern about the mental health of women whose pregnancies involve miscarriage, termination of a pregnancy (ToP), child death or where a child has been given up for adoption. Despite this concern there has been remarkably little population-based research which has addressed the long-term consequences of pregnancy loss and child death. This study investigated the maternal mental health consequences of women whose pregnancies involve miscarriage, ToP, child death or where a child has been given up for adoption at two different time points, adjusting for socio-demographic characteristics and baseline mental health. METHODS: The Mater-University of Queensland Study of Pregnancy is a prospective pre-birth cohort study. Women were recruited early in pregnancy over the period 1981 to 1983 at their first antenatal clinic visit (FCV). Women were interviewed again at the 14-year follow-up. Data from 4403 mothers were analysed using maternal reports of a prior history of giving a child up for adoption, miscarriage, ToP, and neonatal, infant and/or child deaths. Symptoms of maternal anxiety and depression were measured at FCV and the 14-year follow-up using the Delusions-Symptoms-States Inventory. We carried out logistic regression analysis using Stata 13. Odds ratios (ORs) with 95% confidence intervals (CIs) were used to display the findings. RESULTS: A prior miscarriage was associated with anxiety (adjusted OR (AOR) = 1.30; 95% CI: 1.10-1.66) and depressive (AOR = 1.70; 95% CI: 1.21-2.39) symptoms at the 14-year follow-up. Having had a neonatal, infant and/or child deaths was associated with symptoms of depression at 14-year follow-up (AOR = 2.12; 95% CI: 1.06-4.25). CONCLUSION: The period after a child loss which involves a new pregnancy may be associated with relatively good mental health despite the fact that some mothers have experienced previous adverse pregnancy outcomes.

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  • Absence of longitudinal studies investigating long-term consequences in parents after stillbirth is a general problem within this research field.

    “Thus, absence of longitudinal studies investigating long-term consequences in parents after SB is a general problem within this research field [56].”

    From Depression, anxiety, PTSD, and OCD after stillbirth: a systematic review (2021) · cites this paper as [56]

    The Introduction (page unavailable) describes limited evidence and brief follow-up periods as problems in research on adverse pregnancy outcomes. But it also identifies four longitudinal studies of maternal outcomes after child death, including one on long-term effects. The paper therefore supports a shortage of long-term research, not an absence of longitudinal studies specifically concerning parents after stillbirth. (LLM, conf=0.87)

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Authors
Abajobir, A. A., Alati, R., Kisely, S., & Najman, J. M.
Affiliations
  • The University of Queensland (AU)
  • Dalhousie University (CA)
Corresponding author
Abajobir, Amanuel Alemu
ORCID
Venue
Ethiopian Journal of Health Sciences
Publisher
African Journals Online (AJOL)
Published
2017-06-29
Volume
27
Issue
4
Pages
351
ISSN
1029-1857 (ISSN-L)
DOI
10.4314/ejhs.v27i4.6
PMC
PMC5615024
OpenAlex
W2725508373
Cited by
15
References
43
Citations by year
2025: 1 · 2024: 1 · 2023: 2 · 2021: 4 · 2020: 3 · 2019: 4
FWCI
1.80
Type
journal article
Language
en
Open access
Licence
cc-by-nc-nd
Locations
  • Ethiopian Journal of Health Sciences (publishedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • eSpace (Curtin University) (submittedVersion)
  • Griffith Research Online (submittedVersion, cc-by)
Funders
  • Medical Research Council
  • National Health and Medical Research Council
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
Keywords
adverse pregnancy outcomes, maternal anxiety, maternal depression, miscarriage, abortion, neonatal death, infant death, child death, adoption, maternal mental health
MeSH terms
Abortion, Spontaneous, Abortion, Induced, Adolescent, Adoption, Adult, Anxiety, Depression, Female, Humans, Infant, Pregnancy, Pregnancy Complications, Pregnancy Outcome, Prenatal Care, Prospective Studies, Queensland, Risk Factors, Logistic Models, Odds Ratio, Pregnant People, Pregnant Women, Young Adult, Perinatal Death, Infant Death

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