Effects of relaxation interventions during pregnancy on maternal mental health, and pregnancy and newborn outcomes: A systematic review and meta-analysis

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(1), P. e0278432 - e0278432

Published: Jan. 25, 2024

Background Stress during pregnancy is detrimental to maternal health, and birth outcomes various preventive relaxation interventions have been developed. This systematic review meta-analysis aimed evaluate their effectiveness in terms of mental outcomes. Method The protocol for this published on PROSPERO with registration number CRD42020187443. A search major databases was conducted. Primary were health problems (stress, anxiety, depression), (gestational age, labour duration, delivery mode) (birth weight, Apgar score, preterm birth). Randomized controlled trials or quasi-experimental studies eligible. Meta-analyses using a random-effects model conducted sufficient data. For other narrative undertaken. Result We reviewed 32 comprising 3,979 pregnant women aged 18 40 years. Relaxation included yoga, music, Benson relaxation, progressive muscle (PMR), deep breathing (BR), guided imagery, mindfulness hypnosis. Intervention duration ranged from brief experiment (~10 minutes) 6 months daily relaxation. showed therapy reduced stress (-4.1 points; 95% Confidence Interval (CI): -7.4, -0.9; 9 trials; 1113 participants), anxiety (-5.04 CI: -8.2, -1.9; 10 1965 participants) depressive symptoms (-2.3 -3.4, -1.3; 7 733 participants). has also increased offspring weight (80 g, 1, 157; 8 1239 explained by PMR (165g, 100, 231; 4 587 sub-group analysis. In five evaluating physiological responses, optimized blood pressure, heart rate respiratory rate. Four labour. score only improved significantly two six trials. One three significant increase length, one gestational age. Two examining mode spontaneous vaginal decreased instrumental cesarean section following intervention. Discussion found consistent evidence beneficial effects reducing stress, improving some addition, we positive effect inconsistent High quality adequately powered are needed examine impacts newborns Conclusion addition benefits mothers, provided hold promise newborn outcomes; therefore, approach strongly merits further research.

Language: Английский

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Understanding Perinatal Mental Health: A Systems Science Approach to Identify Common Drivers and Opportunities for Intervention

International Journal of Mental Health Nursing, Journal Year: 2025, Volume and Issue: 34(1)

Published: Jan. 30, 2025

ABSTRACT PNDA are complex health conditions affecting up to one in five women. The causes of not well understood and no proven prevention exists. This study aimed: (1) understand professionals' perspectives the common drivers contributing amongst women from regional rural areas Australia; (2) identify clinical practice related PNDA‐associated challenges; (3) inform for intervention. We conducted four online Group Model Building (GMB) workshops with professionals southwest Victoria, Australia. Informed by local data, participants built a model that progressed connection circles causal loop diagrams (CLD) capture shared understanding key rates within region. CLD was thematically analysed were grouped. GMB transcripts inductively identifying emergent themes about intervention ideas. revealed 28 stakeholders perceived be driving increasing PNDA. An additional three major identified transcripts: Social determinants women's health; Health system issues; Negative birth experiences. Three proposed, improve collaboration between services departments, increase training availability, continuity care. Our findings suggest dedicated pathways large smaller necessary address rising

Language: Английский

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Associations of maternal perinatal depressive disorders with autism spectrum disorder in offspring: Findings from a data-linkage cohort study

Australian & New Zealand Journal of Psychiatry, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 3, 2025

Background: There is limited research on the association between maternal depression and autism spectrum disorder, existing studies face significant limitations, including inadequate control for confounders, reliance self-reported data, small sample sizes lack of investigation into mediating factors. This study addresses these gaps by examining direct relationship potential effects preterm birth, low birth weight Apgar scores. Methods: We analysed linked administrative health data involving 223,068 mother–offspring pairs in New South Wales, Australia. Maternal perinatal depressive disorders offspring disorder were assessed using International Classification Diseases, Tenth Revision, Australian Modification (ICD-10 AM). A generalised linear model was employed to examine association. The mediation scores through analysis. Results: After adjusting a range mothers with antenatal, postnatal overall had 61% (risk ratio = 1.61, 95% confidence interval [1.12, 2.32]), 85% 1.85, [1.20, 2.86]) 80% 1.80, [1.33, 2.43]) higher risk respectively. Only about 1.29% 1.31% effect antenatal mediated scores, Low no Conclusion: are associated an increased offspring. Preterm weak mediators this Early intervention strategies that aim enhance mental mitigate exposed needed.

Language: Английский

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The See-saw effect of Neuroactive Steroids and Endocrine Disrupting Compounds on Maternal Mental Health Status

NeuroToxicology, Journal Year: 2025, Volume and Issue: 108, P. 48 - 56

Published: March 3, 2025

Language: Английский

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Association of early pregnancy telomere length and mitochondrial copy number with gestational diabetes mellitus and depressive symptoms

Psychoneuroendocrinology, Journal Year: 2025, Volume and Issue: unknown, P. 107431 - 107431

Published: March 1, 2025

Language: Английский

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Depression, anxiety, and stress symptoms in pregnant women before and during the COVID-19 pandemic

Journal of Psychosomatic Research, Journal Year: 2021, Volume and Issue: 149, P. 110586 - 110586

Published: July 27, 2021

Language: Английский

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Evaluating depression and anxiety throughout pregnancy and after birth: impact of the COVID-19 pandemic

American Journal of Obstetrics & Gynecology MFM, Journal Year: 2022, Volume and Issue: 4(3), P. 100605 - 100605

Published: March 4, 2022

BACKGROUNDThe COVID-19 pandemic presents unique social, economic, and psychological challenges for individuals globally. Thus, women who are pregnant face unprecedented mental health challenges.OBJECTIVEWe sought to determine the impact of on perinatal depression anxiety in a longitudinal pregnancy cohort. We hypothesized increased scores during after birth at all time points.STUDY DESIGNParticipants were enrolled Ontario Birth Study, cohort embedded clinical care Mount Sinai Hospital, Toronto, Canada. Perinatal assessed using 2-Item Patient Health Questionnaire Generalized Anxiety Disorder early pregnancy, whereas Edinburgh Postnatal Depression Scale used late birth. Logistic regression models created examine association with clinically elevated prepandemic group vs while adjusting covariates.RESULTSA total 1159 survey responses from 649 participants between March 1, 2019, February 28, 2021, conduct this study. Participants (n=416), (n=373), (n=370). Responses received or before 29, 2020, considered "prepandemic" responses, aforementioned date "pandemic" responses. Mean rank significantly higher (P=.02 P=.003, respectively) postpartum period. There was no significant antenatal scores. However, postnatally, mothers 2.6 times more likely score ≥13 than (95% confidence interval, 1.2–5.7; P=.02). Adjustment ethnicity income strengthened as odds ratio 3.3 1.4–8.0; P=.007).CONCLUSIONPandemic-associated increases confined period, highlighting need screening interventions mood disorders postnatally continues. The challenges. points. covariates. A P=.007). Pandemic-associated

Language: Английский

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Perinatal depression screening: a systematic review of recommendations from member countries of the Organisation for Economic Co-operation and Development (OECD)

Archives of Women s Mental Health, Journal Year: 2022, Volume and Issue: 25(5), P. 871 - 893

Published: July 18, 2022

Abstract Perinatal depression (PND) screening recommendations are made by national, state-based and professional organisations; however, there is disagreement regarding timing, provider responsible, setting, tool as well the follow-up referral pathways required post-screening. This systematic review aimed to identify, describe compare PND from member countries of Organisation for Economic Co-operation Development (OECD). Publications were identified through systematically searching PubMed, Google Guidelines International Network (GIN). Recommendations endorsement, frequency, responsible provider, tools/assessments extracted. Twenty-one publications, including guidelines, five included. Most in support using Edinburgh Postnatal Depression Scale. Details differed terminology used, frequency screening, mechanisms pathways. A broad range health providers considered be screening. first identify OECD countries; only online publications published English, Heterogeneity publication types inconsistency definitions rendered quality assessment inappropriate. While most generally endorsed exceptions associated details pertaining actual conduct vary between within countries. Developing clear, standardised based on current evidence necessary ensure clarity amongst healthcare a comprehensive approach early detection PND.

Language: Английский

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Prevalence of and relevant factors for depression and anxiety symptoms among pregnant women on the eastern seaboard of China in the post-COVID-19 era: a cross-sectional study

BMC Psychiatry, Journal Year: 2023, Volume and Issue: 23(1)

Published: Aug. 7, 2023

Antenatal depression and anxiety symptoms may have negative consequences for both mothers offspring, upward trends in the prevalence of these were especially apparent during COVID-19 epidemic. The purpose this study was to evaluate relevant factors influencing depressive Chinese pregnant women post-COVID-19 era.We conducted an online survey 1,963 Jiangsu Province, using a cross-sectional design, collected their general demographic data. nine-item Patient Health Questionnaire 9 (PHQ-9) used symptoms, seven-item Generalized Anxiety Disorder 7 (GAD-7) measure symptoms.The reported antenatal combined with 25.2%, 27.9%, 18.6%, respectively. Of respondents, moderate severe depression, 7.9% 7.7%, Binary logistic regression analysis demonstrated that age, low level education, rural area, unemployment, pregnancy complications, poor marital relationship, fair household income positively association (all P < 0.05). proportion reporting third trimester 1.91-fold higher than first trimester. Parity factor 0.05).In era, expected, it is vital establish hospital, community, family psychological health screening systems based on enhance early preventive measures.

Language: Английский

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Understanding the impact of an AI-enabled conversational agent mobile app on users’ mental health and wellbeing with a self-reported maternal event: a mixed method real-world data mHealth study

Frontiers in Global Women s Health, Journal Year: 2023, Volume and Issue: 4

Published: June 2, 2023

Maternal mental health care is variable and with limited accessibility. Artificial intelligence (AI) conversational agents (CAs) could potentially play an important role in supporting maternal wellbeing. Our study examined data from real-world users who self-reported a event while engaging digital wellbeing AI-enabled CA app (Wysa) for emotional support. The evaluated effectiveness by comparing changes depressive symptoms between higher engaged group of lower derived qualitative insights into the behaviors exhibited among based on their conversations AI CA.Real-world anonymised reported going through during conversation was analyzed. For first objective, completed two PHQ-9 assessments (n = 51) were grouped as either 28) or 23) number active session-days screenings. A non-parametric Mann-Whitney test (M-W) Common Language effect size used to evaluate differences symptoms. second Braun Clarke thematic analysis identify engagement behavior top quartile 10 51). Feedback demographic information also explored.Results revealed significant reduction user compared (M-W p .004) high (CL 0.736). Furthermore, themes that emerged expressed concerns, hopes, need support, reframing thoughts expressing victories gratitude.These findings provide preliminary evidence comfort using this AI-based emotionally intelligent mobile support across range events experiences.

Language: Английский

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