Open Access, Peer-reviewed
eISSN 2093-758X
    J Korean Acad Nurs. 2012 Aug;42(4):477-485. Korean.
    Published online Aug 31, 2012.
    https://doi.org/10.4040/jkan.2012.42.4.477
    © 2012 Korean Society of Nursing Science
    Original Article

    Effects of Antenatal Depression and Antenatal Characteristics of Pregnant Women on Birth Outcomes: A Prospective Cohort Study

    Hae Won Kim,1 and Yeon Yi Jung2
      • 1Department of Nursing, College of Medicine, Kwandong University, Gangreung, Korea.
      • 2Clinical Quality Improvement Team, Samsung Medical Center, Seoul, Korea.
    • Address reprint requests to: Jung, Yeon Yi. Department of Quality Assurance Samsung Medical Center, 50 Irwon-dong, Ganmam-gu, Seoul 135-710, Korea. Tel: +82-2-3410-3055, Fax: +82-2-3410-2850, Email: yoenyi.jung@samsung.com
    Received December 09, 2011; Accepted July 17, 2012.

    Abstract

    Purpose

    This study was done to evaluate the effects of antenatal depression on birth outcomes.

    Methods

    The participants were 255 pregnant women who were followed in a prospective study. Of these, 197 cases were examined included birth weight, Apgar scores at 5 minute, premature contraction, complication of labor, delivery types and laboratory data. Descriptive statistics, ANOVA, Chi square test of linear by linear association, Kruskal Wallis test, Relative Risk, univariate and adjusted multiple logistic regression were used for data analysis with SPSS/Win.

    Results

    Level of antenatal depression was associated with low birth weight (χ2=7.69, p=.010). High risk pregnancy was a predictor of low birth weight (OR=6.98 [1.21-40.30]) and baby's weight (OR=2.12, [1.05-4.28]). Prepregnancy body mass index (BMI) was a predictor of complications in labor (OR=3.59, [1.03-12.48]). But there were no significant effects of antenatal depression on other birth outcomes.

    Conclusion

    The results of this study indicate that women with antenatal depression, high risk pregnancy, prepregnancy BMI≥23 kg/M2 should be monitored and managed to ensure favorable birth outcomes.

    Keywords
    Depression; Low birth weight; Pregnant women; Obstetric labor complications

    Tables

    Table 1
    Birth Outcomes and Antenatal Mother's Variables (N=197)

    Table 2
    Association and Differences in Birth Outcomes by Antenatal Depression Levels

    Table 3
    Relative Ratio of Antenatal Depression and Antenatal Factors in Birth Outcomes

    Table 4
    Determinants of Birth Outcomes: An Adjusted Odds Ratios of Antenatal Depression and Antenatal Factors

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    MeSH Terms
    Depression*
    Adult
    Apgar Score
    Body Mass Index
    Cohort Studies
    Delivery, Obstetric
    Female
    Humans
    Infant, Low Birth Weight
    Infant, Newborn
    Logistic Models
    Male
    Middle Aged
    Odds Ratio
    Pregnancy
    Pregnancy Complications
    Prospective Studies
    Socioeconomic Factors
    Women/psychology*
    Metrics
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