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. 2022 Apr;25(2):473-484.
doi: 10.1007/s00737-022-01213-z. Epub 2022 Feb 21.

Depressive symptoms during pregnancy and after birth in women living in Sweden who received treatments for fear of birth

Ingegerd Hildingsson  1 , Christine Rubertsson  2
Affiliations

Depressive symptoms during pregnancy and after birth in women living in Sweden who received treatments for fear of birth

Ingegerd Hildingsson et al. Arch Womens Ment Health. 2022 Apr.

Abstract

The aim of this study was to investigate the prevalence of depressive symptoms and associated factors in women who underwent treatments for fear of birth; internet-based cognitive therapy, counseling with midwives, continuity with a known midwife or standard care. A secondary analysis was performed using data collected from four samples of women identified with fear of birth and receiving treatment with different methods. A questionnaire was used to collect data in mid-pregnancy and at follow-up 2 months after birth. Depressive symptoms were assessed using the Edinburgh Postnatal Depressive Scale. In mid-pregnancy, 32% of the 422 women with fear of birth also reported a co-morbidity with depressive symptoms. At postpartum follow-up, 19% reported depressive symptoms 2 months after birth, and 12% showed continued or recurrent depressive symptoms identified both during pregnancy and postpartum. A history of mental health problems was the strongest risk factor for presenting with depressive symptoms. None of the treatment options in this study was superior in reducing depressive symptoms. This study showed a significant co-morbidity and overlap between fear of birth and depressive symptoms. Screening for depressive symptoms and fear of birth during pregnancy is important to identify women at risk and offer specific treatment.

Keywords: Depressive symptoms; EPDS; Fear of birth; Postpartum; Pregnancy.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
The formation of the treatment groups based on the projects
See this image and copyright information in PMC

References

    1. Aguilera-Martín Á, Gálvez-Lara M, Blanco-Ruiz M, García-Torres F. Psychological, educational, and alternative interventions for reducing fear of childbirth in pregnant women: A systematic review. J Clin Psychol. 2021;77(3):525–555. doi: 10.1002/jclp.23071. - DOI - PubMed
    1. Avalos LA, Raine-Bennett T, Chen H, Adams AS, Flanagan T. Improved perinatal depression screening, treatment, and outcomes with a universal obstetric program. Obstet Gynecol. 2016;127(5):917–925. doi: 10.1097/AOG.0000000000001403. - DOI - PMC - PubMed
    1. Ayers S, Bond R, Bertullies S, Wijma K. The aetiology of post-traumatic stress following childbirth: a meta-analysis and theoretical framework. Psychol Med. 2016;46(6):1121–1134. doi: 10.1017/S0033291715002706. - DOI - PubMed
    1. Bennett HA, Einarson A, Taddio A, Koren G, Einarson TR. Prevalence of depression during pregnancy: systematic review. Obstet Gynecol. 2004;103(4):698–709. doi: 10.1097/01.AOG.0000116689.75396.5f. - DOI - PubMed
    1. Cox JPL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatr. 1987;150:82–786. doi: 10.1192/bjp.150.6.782. - DOI - PubMed

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