The Influence of Anxiety and Depressive Symptoms During Pregnancy on Birth Size

Background Mental health problems during pregnancy can influence fetal growth. However, studies examining the influence of maternal mental health across the normal range of birth outcomes are uncommon. This study examined the associations between symptoms of maternal depression and anxiety during pr...

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Bibliographic Details
Published in:Paediatric and perinatal epidemiology 2014-03, Vol.28 (2), p.116-126
Main Authors: Broekman, Birit F. P., Chan, Yiong-Huak, Chong, Yap-Seng, Kwek, Kenneth, Sung, Sharon Cohan, Haley, Charlotte Louise, Chen, Helen, Chee, Cornelia, Rifkin-Graboi, Anne, Gluckman, Peter D., Meaney, Michael J., Saw, Seang-Mei
Format: Article
Language:English
Subjects:
Adult
Anxiety
Anxiety - complications
Anxiety - psychology
Asian Continental Ancestry Group
Birth Weight
birthlength
birthweight
depression
Depression - complications
Depression - psychology
Female
Fetal Development
Gestational Age
Humans
Infant, Newborn
Mental depression
Mental health
Mothers - psychology
Pregnancy
Pregnancy Complications - etiology
Pregnancy Complications - psychology
Psychiatric Status Rating Scales
Risk Factors
Singapore - epidemiology
Surveys and Questionnaires
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Summary:Background Mental health problems during pregnancy can influence fetal growth. However, studies examining the influence of maternal mental health across the normal range of birth outcomes are uncommon. This study examined the associations between symptoms of maternal depression and anxiety during pregnancy on birth size among term Asian infants. Methods One thousand forty‐eight Asian pregnant women from a cohort Growing Up in Singapore Towards Healthy Outcomes were recruited between 2009 to 2010 at two Singaporean maternity hospitals. At 26 weeks gestation, depressive symptoms were measured with the Edinburgh Postnatal Depression Scale (EPDS) and the Beck Depression Inventory II (BDI‐II), and anxiety was measured with the Spielberger State‐Trait Anxiety Inventory (STAI). Health personnel recorded birthweight, birthlength, gestational age, and head circumference at birth. Results Nine hundred forty‐six women who delivered term infants had complete data. For this sample, the mean birthweight was 3146.6 g [standard deviation (SD) 399.0], the mean birthlength was 48.9 cm (SD 2.0). After controlling for several potential confounders, there was a significant negative association between STAI and birthlength [β = −0.248, confidence interval (CI) [−0.382, −0.115], P 
ISSN:0269-5022
1365-3016
DOI:10.1111/ppe.12096