Risks to fetal development associated with depression in pregnancy: A brief review
DOI:
https://doi.org/10.33448/rsd-v10i8.17130Keywords:
Depression; Fetal and Embryonic Development; Gestation; Fetus.Abstract
Objective: To observe the repercussions caused by depression during the gestational period, in an embryonic context, pointing out the main physical, hormonal and psychological changes caused by depression during and after pregnancy with the fetus. Methodology: A bibliographic survey of 30 relevant original publications on the subject was carried out, using the descriptors: Depression; Fetal and Embryonic Development; Gestation; Fetus, in the Scielo, Google Scholar and PUBMED databases. Inclusion and exclusion criteria of articles were used, totaling 23 publications used for the writing of the text. Results and discussion: Severe depression (PD) is a disease that affects about 300 million people worldwide and, during pregnancy, there is the presence of psychobiological and physiological effects on the female body and mind. These changes, together with the depression process lead to a psychopathological condition that directly affects the development of pregnancy, detaining the ability to cause changes in fetal development, associated with high risks for miscarriages, premature births and low birth weight, in addition , even after birth, long-term behavioral and emotional problems may be present. Final Considerations: Untreated depression during the gestational period is associated with risks for the mother and fetus, which can lead to situations of miscarriage or premature birth and impairment of fetal development and problems during adulthood. We also emphasize the need to carry out studies in in vivo and in vitro models for the dissemination of relatively safe data.
References
Arck, P. C., Rose, M., Hertwig, K., Hagen, E., Hildebrandt, M., & Klapp, B. F. (2001). Stress and immune mediators in miscarriage. Human Reproduction, 16(7), 1505-1511.
Ashman, S. B., Dawson, G., Panagiotides, H., Yamada, E., & Wilkinson, C. W. (2002). Stress hormone levels of children of depressed mothers. Development and psychopathology, 14(2), 333-349.
Busatto, E., Diaz, C. M. G., Teixeira, D. A., de Olivera, P. P., Benedetti, F. J., & Costenaro, R. G. S. (2021). Cuidados com o recém-nascido após alta hospitalar: orientações aos pais. Research, Society and Development, 10(2), e30610212541-e30610212541.
Camacho, R. S., Cantinelli, F. S., Ribeiro, C. S., Cantilino, A., Gonsales, B. K., Braguittoni, É., & Rennó Jr, J. (2006). Transtornos psiquiátricos na gestação e no puerpério: classificação, diagnóstico e tratamento. Archives of Clinical Psychiatry (São Paulo), 33(2), 92-102.
de Jesus Silva, M. M., Peres Rocha Carvalho Leite, E., Alves Nogueira, D., & Clapis, M. J. (2016). Depression in pregnancy. Prevalence and associated factors. Investigación y educación en enfermería, 34(2), 342-350.
de Sousa, T. J. D., de Faria, P. H. A., Dantas, K. L. S., Pinto, M. N. M., de Assis Malerba, G., Freitas, M. S., ... & Figueiredo, S. (2021). Plantas medicinales como alternativa terapéutica para el trastorno Depresivo Mayor (DMD). Revista Eletrônica Acervo Saúde, 13(2), e5646-e5646.
Estrela, C. (2018). Metodologia científica: ciência, ensino, pesquisa. Artes Médicas.
Hammen, C., & Brennan, P. A. (2003). Severity, chronicity, and timing of maternal depression and risk for adolescent offspring diagnoses in a community sample. Archives of general psychiatry, 60(3), 253-258.
Jordan, S., Davies, G. I., Thayer, D. S., Tucker, D., & Humphreys, I. (2019). Antidepressant prescriptions, discontinuation, depression and perinatal outcomes, including breastfeeding: a population cohort analysis. PloS one, 14(11), e0225133.
Kurki, T., Hiilesmaa, V., Raitasalo, R., Mattila, H., & Ylikorkala, O. (2000). Depression and anxiety in early pregnancy and risk for preeclampsia. Obstetrics & Gynecology, 95(4), 487-490.
Ludke, M., & André, M. E. (2011). Pesquisa em educação: abordagens qualitativas. Em Aberto, 5(31).
Mäki, P., Veijola, J., Räsänen, P., Joukamaa, M., Valonen, P., Jokelainen, J., & Isohanni, M. (2003). Criminality in the offspring of antenatally depressed mothers: a 33-year follow-up of the Northern Finland 1966 Birth Cohort. Journal of Affective Disorders, 74(3), 273-278.
Marcus, S. M. (2009). Depression during pregnancy: rates, risks and consequences. Journal of Population Therapeutics and Clinical Pharmacology, 16(1).
Moreira, M. C., & Sarriera, J. C. (2008). Satisfação e composição da rede de apoio social a gestantes adolescentes. Psicologia em estudo, 13(4), 781-789.
O'Keane, V., & Marsh, M. S. (2007). Depression during pregnancy. Bmj, 334(7601), 1003-1005.
Rocha, A. M., & Chow-Castillo, L. A. (2020). Os benefícios do Método Mãe Canguru na UTI neonatal. Educandi & Civitas, 3(1).
Silva, G. A. D. (2008). Estudo longitudinal sobre prevalência e fatores de risco para depressão pós-parto em mães de baixa renda (Doctoral dissertation, Universidade de São Paulo).
Silva, M. M. D. J., Lima, G. S., Monteiro, J. C. D. S., & Clapis, M. J. (2020). Depressão na gravidez: fatores de risco associados à sua ocorrência. SMAD. Revista eletrônica saúde mental álcool e drogas, 16(1), 1-12.
Souza, F. G. D. M. (1999). Tratamento da depressão. Brazilian Journal of Psychiatry, 21, 18-23.
Stewart, D. E. (2011). Depression during pregnancy. New England Journal of Medicine, 365(17), 1605-1611.
Sugiura-Ogasawara, M., Furukawa, T. A., Nakano, Y., Hori, S., Aoki, K., & Kitamura, T. (2002). Depression as a potential causal factor in subsequent miscarriage in recurrent spontaneous aborters. Human Reproduction, 17(10), 2580-2584.
Sundström Poromaa, I., Comasco, E., Georgakis, M. K., & Skalkidou, A. (2017). Sex differences in depression during pregnancy and the postpartum period. Journal of neuroscience research, 95(1-2), 719-730.
Vigod, S. N., Wilson, C. A., & Howard, L. M. (2016). Depression in pregnancy. Bmj, 352.
Vismari, L., Alves, G. J., & Palermo-Neto, J. (2008). Depressão, antidepressivos e sistema imune: um novo olhar sobre um velho problema. Archives of Clinical Psychiatry (São Paulo), 35(5), 196-204.
Yonkers, K. A., Wisner, K. L., Stewart, D. E., Oberlander, T. F., Dell, D. L., Stotland, N., ... & Lockwood, C. (2009). The management of depression during pregnancy: a report from the American Psychiatric Association and the American College of Obstetricians and Gynecologists. General hospital psychiatry, 31(5), 403-413.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Antonio Ycaro Rodrigues Lucena; Kassyo Lenno Sousa Dantas; Jusciellyson da Silva Nava; Mário Henrique de Souza Gomes Feitosa; Francis Aiala de Araújo Ferreira; Ísis Cristina de Sousa ; Janildes Maria Silva Gomes
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.