ABSTRACT
Handling depression is one of the greatest challenges facing pregnant women across the globe. The level of antenatal depression and anxiety has a prevalence rate of above five percent but less than twelve. Escalated depression has been associated with increasing maternal and infant mortality because of the development of secondary disorders such as preeclampsia and other obstetric-related conditions. The objective of this review was to determine the relationship that exists between depression and anxiety and preeclampsia in early pregnancy
The present paper draws conclusions on the etiology and potential predisposing factors of preeclampsia based on the studies consulted which ascertained the existence of a correlation between antenatal anxiety and depression and preeclampsia which should serve as the baseline for the assessment of the pathogenesis and future direction, the existing literature has
Subject(s)
Humans , Women , Adult , Middle Aged , Anxiety , Pregnancy Trimester, First/psychology , Depression , Risk Factors , Maternal Mortality , Infant MortalityABSTRACT
Background: Second trimester short cervical length identifies women at increased risk for an early spontaneous Preterm birth [sPTB], hence raising a compelling needed for Cervical Assessment for prediction and possible Preventing Preterm Delivery
Objective of the study: to assess the implications associated with a short cervical length as well as the use of ultrasonographic-derived cervical length measurement in predicting preterm birth. Methods: the present review includes relevant randomized controlled trials [RCTs] that investigated the in Medline [via PubMed], Cochrane Library and Embase. Retrospective and Prospective Cohort studies, Case-control and Randomised controlled trials. There were no restrictions by outcomes examined, language or publication status
Results: The critical search results yielded 6 articles [randomized trials=2, cohort studies=3, case-control study=l] representing 653 patients . Five of the 6 presented similar pregnancy outcomes [spontaneous preterm birth or pregnancy Joss < 24 weeks' gestation] between the ultrasound-indicated and the history-indicated cerclage groups. 45-69% of the patients followed with cervical ultrasound were able to avoid cerclage
Conclusion: Evidence from randomized trials supports that transvaginal ultrasound is predictive of preterm birth in women with prior preterm birth and a short cervix. The thresholds proposed vary from 15 mm to 28 mm and cerclage is thus recommended