ArticleBMC pregnancy and childbirth2019
Impact of maternal antepartum depressive and anxiety symptoms on birth outcomes and mode of delivery: a prospective cohort study in east and west coasts of Malaysia.
Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.
- Depression and antidepressant use in pregnancy and adverse maternal and offspring outcomes: a systematic review and meta-analysis.Molecular psychiatry · 2025Pooled it
- Post-traumatic stress disorder and adverse pregnancy and birth outcomes: a population-based study.European journal of psychotraumatology · 2026Article
- Heterogeneous effects of sleep and psychological health on pregnancy outcomes in donor insemination: a prospective cohort study.Frontiers in public health · 2026Article
- Association between depression during pregnancy and preterm birth: Results from population cohorts and mouse experimental models.PloS one · 2026Article
- Association between history of pregnancy loss and preterm birth: the mediating role of maternal anxiety.BMC pregnancy and childbirth · 2025Article
- Depressive, anxiety symptoms and their co-occurrence among women seeking antenatal care in Bangladesh.Scientific reports · 2025Article
- Article
- Enhancing Access to Mental Health Services for Antepartum and Postpartum Women Through Telemental Health Services at Wellbeing Centers in Selected Health Facilities in Bangladesh: Implementation Research.JMIR pediatrics and parenting · 2025Article
- Risk factors for antenatal anxiety: a cross-sectional study in field antenatal clinics in Sri Lanka.BMJ open · 2024Article
- Prevalence of depression among pregnant women and its correlation with the choice of delivery method.Annals of medicine and surgery (2012) · 2024Article
- Prevalence and determinants of antenatal depression and its association with intimate partner violence: a cross-sectional study at Hospital Melaka, Malaysia.Frontiers in psychiatry · 2024Article
- Review
- Sleep, light exposure at night, and psychological wellbeing during pregnancy.BMC public health · 2023Article
- Psychiatric disorders during pregnancy in asymptomatic and mildly symptomatic SARS-CoV-2 positive women: Prevalence and effect on outcome.Psychiatry research · 2023Article
- Maternal wellbeing of Malaysian mothers after the birth of a preterm infant.BMC pregnancy and childbirth · 2023Article
- Maternal Depression during Pregnancy and Postpartum Period among the Association of Southeast Asian Nations (ASEAN) Countries: A Scoping Review.International journal of environmental research and public health · 2023Article
- Article
- Psychometric Features of the Edinburgh Postnatal Depression Scale Among Malaysian Women: A Cross-Sectional Study.Cureus · 2023Article
- Effects of prenatal subjective well-being on birth outcomes and child development: A longitudinal study.European psychiatry : the journal of the Association of European Psychiatrists · 2022Article
- Effect of individual or comorbid antenatal depression and anxiety on birth outcomes and moderation by maternal traumatic experiences and resilience.Journal of affective disorders reports · 2022Article
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7 authors at 2 institutions in 2 countries.
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Abstract
backgroundAntepartum depressive and anxiety symptoms (ADS and AAS) are prevalent in Malaysia. Prior evidence linking maternal ADS and AAS with adverse birth outcomes and caesarean section (CS) or instrumental delivery is conflicting. There is no research in Malaysia on the association between maternal mental disorders and adverse birth outcomes and mode of delivery. This study aims to investigate the independent effect of maternal ADS and AAS on low birth weight (LBW), preterm birth (PTB) and CS or instrumental delivery among women in east and west coasts of Malaysia.
methodsWe used data from a prospective cohort study of 799 pregnant women from health clinics of two states in east and west coasts of Malaysia. Baseline data were measured at the third trimester of pregnancy on ADS, AAS, socioeconomic condition, anthropometric status, reproductive history and intimate partner violence. Birth outcomes and mode of delivery were determined at the time of delivery. Univariate and multiple Cox's regressions were applied to assess the association between ADS and AAS and LBW, PTB and CS or instrumental delivery.
resultsADS was significantly associated with an increased risk of giving birth to LBW babies in both east coast (RR = 3.64; 95% CI 1.79-7.40) and west coast (RR = 3.82; 95% CI 1.86-7.84), but not with PTB. AAS was associated with increased risk of both LBW (RR = 2.47; 95% CI 1.39-4.38) and PTB (RR = 2.49; 95% CI 1.16-5.36) in the east coast, but not in west coast. The risk of CS or instrumental delivery was evident among women with ADS (RR = 2.44; 95% CI 1.48-4.03) in west coast only.
conclusionADS predicts LBW in both coasts, AAS predicts LBW and PTB in east coast, and ADS predicts CS or instrumental delivery in west coast. Policies aimed at detection and management of ADS and AAS during antenatal check-up in health clinics may help improve birth outcomes and reduce obstetric interventions.
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