Pregnancy outcomes after recurrent pregnancy loss: a longitudinal cohort study on stress and depression.

Abstract:

RESEARCH QUESTION:Are self-reported symptoms of stress and depression associated with pregnancy outcomes within the first year after referral to a tertiary recurrent pregnancy loss unit? DESIGN:Prospective cohort study with online questionnaires using the Major Depression Inventory (MDI) and Cohen's Stress Scale (PSS) at referral and after 1 year. The study was conducted between 2010 and 2014. A total of 301 women who had experienced recurrent pregnancy loss completed the first questionnaire. One year after referral, 185 women (61%) completed a follow-up questionnaire. RESULTS:A score above the threshold for major depression on the MDI at referral was not a predictor for outcome in the first pregnancy after referral; OR (95% CI) for live birth 1.71 (0.66 to 4.44), neither was increasing scores on the PSS: OR 0.98 (95% CI 0.94 to 1.02). At follow-up, women who had achieved a pregnancy resulting in a live birth had significantly lower scores on both the MDI: 13.45 (11.05) versus 11.04 (11.07); difference -2.41 (95% CI -4.60 to -0.23); and the PSS: mean 17.69 (7.59) versus 13.03 (6.83); difference -4.66 (95% CI -6.04 to -3.28), respectively. This was not the case for women who did not have a successful pregnancy. Women who experienced recurrent pregnancy loss after a successful birth were less likely to report symptoms corresponding to major depression than women who had only experienced losses (n = 7 [5%] versus 19 [12%]; P = 0.04). CONCLUSIONS:Self-reported emotional distress did not affect future chance of live birth. A live born child decreased emotional distress.

journal_name

Reprod Biomed Online

authors

Kolte AM,Olsen LR,Christiansen OB,Schmidt L,Nielsen HS

doi

10.1016/j.rbmo.2018.12.006

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

599-605

issue

4

eissn

1472-6483

issn

1472-6491

pii

S1472-6483(18)30632-1

journal_volume

38

pub_type

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