|The association between gestational diabetes mellitus, antipsychotics and severe mental illness in pregnancy: A multicentre study.Galbally M, Frayne J, Watson SJ, Morgan V, Snellen M. Aust N Z J Obstet Gynaecol. 2019 May 29.
Women with psychotic disorders had a significantly elevated risk for GDM (20.9%) compared with women with non-psychotic severe mental illnesses during pregnancy, and nearly threefold the expected population rate (8.3%). Furthermore, women using specific antipsychotic agents – risperidone (P = 0.016), clozapine (P < 0.001) and higher-dose quetiapine (P = 0.029) – also had a higher risk of developing GDM.
Efficacy of Digital Cognitive Behavioral Therapy for the Treatment of Insomnia Symptoms Among Pregnant Women: A Randomized Clinical Trial.
Felder JN, Epel ES, Neuhaus J, Krystal AD, Prather AA. JAMA Psychiatry. 2020 Jan 22.
208 pregnant women were randomized to receive digital CBT-I (n?=?105) or standard treatment (n?=?103) for insomnia.
In this trial, digital CBT was an effective, scalable, safe, and acceptable intervention for improving insomnia symptoms during pregnancy.
Changes in psychopathological symptoms during pregnancy and after delivery: A prospective-longitudinal study in women with and without anxiety and depressive disorders prior to pregnancy.
Asselmann E, Kunas SL, Wittchen HU, Martini J. J Affect Disord. 2019 Nov 23;263:480-490.
Peripartum psychopathological symptoms are higher in women with versus without lifetime anxiety and depressive disorders prior to pregnancy.
The Association Between the Use of Antenatal Care Smartphone Apps in Pregnant Women and Antenatal Depression: Cross-Sectional Study.
Mo Y, Gong W, Wang J, Sheng X, Xu DR.
JMIR Mhealth Uhealth. 2018 Nov 29;6(11). Free Article
In a study from the Hunan Province, in a group of 1304 pregnant women, 71.31% (930/1304) used antenatal care apps on their smartphone. Higher usage of apps was associated with urban residency, nonmigrant status, first pregnancy, planned pregnancy, and opportunity to communicate with peer pregnant women. The cutoff score of the Edinburgh Postnatal Depression Scale was 10, and 46.11% (601/1304) of the pregnant women had depression. Depression was associated with the availability of disease-screening functions in the apps (odds ratio (OR) 1.78, 95% CI 1.03-3.06) and spending 30 minutes or more using the app (OR 2.05, 95% CI 1.19-3.52). Using apps with social media features was a protective factor for antenatal depression (OR 0.33, 95% CI 0.12-0.89).
Prenatal maternal stress and risk of neurodevelopmental disorders in the offspring: a systematic review and meta-analysis.
Manzari N, Matvienko-Sikar K, Baldoni F, O’Keeffe GW, Khashan AS. Soc Psychiatry Psychiatr Epidemiol. 2019 Nov;54(11):1299-1309. Review.
Prenatal stress was significantly associated with an increased risk of both ASD (pooled OR 1.64 [95% CI 1.15-2.34]; I2 = 90%; 15 articles) and ADHD (pooled OR 1.72 [95% CI 1.27-2.34]; I2 = 85%; 12 articles).
Suicide Ideation among Pregnant Women: The Role of Different Experiences of Childhood Abuse.
Sun XZJ, et al. J Affect Disord 2020 January.
After adjustment for depression, pregnant women with a history of childhood physical abuse had an increased risk of suicidal ideation (OR?=?3.63, 95%CI: 1.32–10.03). Pregnant women with both a history of childhood abuse and depression had an even greater risk of suicidal ideation compared to those with neither risk factor (OR?=?17.78, 95%CI 7.20-43.92).