Skip to main content
Log in

Untreated prenatal maternal depression and the potential risks to offspring: a review

  • Review Article
  • Published:
Archives of Women's Mental Health Aims and scope Submit manuscript

Abstract

Research exploring the effects of prenatal maternal depression on a developing fetus and child is underrepresented in the literature. Empirical papers have typically focused on the effects of postpartum depression (after birth) instead of prepartum depression (before birth). Disparate empirical findings have produced ongoing debate regarding the effects of prenatal depression on a developing fetus and later in infancy and early childhood. Even more controversial is determining the role of antidepressant medication on offspring outcomes and whether research that does not include the proper control population (e.g., unmedicated depressed participants) can adequately address questions about risks and benefits of treatment during pregnancy. The current review systematically summarizes the literature focusing on unmedicated prenatal depression and offspring outcome and concludes that prepartum depression is highly prevalent, is associated with negative outcomes in offspring, and remains understudied.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

Notes

  1. Prepartum, prenatal, and antenatal will be used interchangeably in the present paper and refer to period of time before birth. Similarly, antepartum, postpartum and postnatal will be used interchangeably.

References

  • Allister L, Lester BM, Carr S, Liu J (2001) The effects of maternal depression on fetal heart rate response to vibroacoustic stimulation. Dev Neuropsychol 20:639–651

    PubMed  CAS  Google Scholar 

  • Cohen J (1992) A power primer. Psych Bull 112:155–159

    Article  CAS  Google Scholar 

  • Cole PM, Zahn-Waxler C, Fox NA, Usher BA, Welsh JD (1996) Individual differences in emotion regulation and behavior problems in preschool children. J Abnorm Psychol 105:518–529

    Article  PubMed  CAS  Google Scholar 

  • Davey Smith G, Hart C, Upton M, Hole D, Gillis C, Watt G, Hawthorne V (2000) Height and risk of death among men and women: aetiological implications of associations with cardiorespiratory disease and cancer mortality. J Epidem Community Health 54:97–103

    Article  CAS  Google Scholar 

  • Davidson RJ (2000) Affective style, psychopathology, and resilience: brain mechanisms and plasticity. Am Psychol 55:1196–1214

    Article  PubMed  CAS  Google Scholar 

  • Dayan J, Creveuil C, Marks MN, Conroy S, Herlicoviez M, Dreyfus M, Tordjman S (2006) Prenatal depression, prenatal anxiety, and spontaneous preterm birth: a prospective cohort study among women with early and regular care. Psychosom Med 68:938–946

    Article  PubMed  Google Scholar 

  • Diego MA, Field T, Hernandez-Reif M, Cullen C, Schanberg S, Kuhn C (2004) Prepartum, postpartum, and chronic depression effects on newborns. Psychiatry 67:63–80

    Article  PubMed  Google Scholar 

  • Diego MA, Field T, Hernandez-Reif M (2005) Prepartum, postpartum and chronic depression effects on neonatal behavior. Infant Behav Dev 28:155–164

    Article  Google Scholar 

  • Diego MA, Field T, Hernandez-Reif M, Schanberg S, Kuhn C, Gonzalez-Quintero VH (2009) Prenatal depression restricts fetal growth. Early Hum Dev 85:65–70

    Article  PubMed  Google Scholar 

  • Elgar FJ, McGrath PJ, Waschbusch DA, Stewart SH, Curtis LJ (2004) Mutual influences on maternal depression and child adjustment problems. Clin Psychol Rev 24:441–459

    Article  PubMed  Google Scholar 

  • Ertel KA, Koenen KC, Rich-Edwards JW, Gillman MW (2010a) Maternal depressive symptoms not associated with reduced height in young children in a US prospective cohort study. PLoS One 5(10):e13656

    Article  PubMed  Google Scholar 

  • Ertel KA, Koenen KC, Rich-Edwards JW, Gillman MW (2010b) Antenatal and postpartum depressive symptoms are differentially associated with early childhood weight and adiposity. Paed Perinatal Epidem 24:179–189

    Article  Google Scholar 

  • Evans J, Heron J, Francomb H, Oke S, Golding J (2001) Cohort study of depressed mood during pregnancy and after childbirth. Brit Med J 323:257–260

    Article  PubMed  CAS  Google Scholar 

  • Field T (2010) Prenatal depression and selective serotonin reuptake inhibitors. Int J Neurosci 120:163–167

    Article  PubMed  CAS  Google Scholar 

  • Field T, Diego M, Hernandez-Reif M, Schanberg S, Kuhn C, Yando R, Bendell D (2002) Prenatal depression effects on the foetus and neonate in different ethnic and socio-economic status groups. J Reprod Infant Psychol 20:149–157

    Article  Google Scholar 

  • Field T, Diego M, Dieter J, Hernandez-Reif M, Schanberg S, Kuhn C, Yando R, Bendell D (2004) Prenatal depression effects on the fetus and the newborn. Infant Behav Dev 27:216–229

    Article  Google Scholar 

  • Field T, Diego M, Hernandez-Reif M, Figueiredo B, Schanberg S, Kuhn C (2008) Chronic prenatal depression and neonatal outcome. Int J Neurosci 118:95–103

    Article  PubMed  Google Scholar 

  • Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T (2005) Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol 106:1071–1083

    Article  PubMed  Google Scholar 

  • Gillman M, Rich-Edwards JW, Huh S, Majzoub JA, Oken E, Taveras EM, Rifas-Shiman SL (2006) Maternal corticoptropin-releasing hormone levels during pregnancy and offspring adiposity. Obesity 14:1647–1653

    Article  PubMed  CAS  Google Scholar 

  • Goodman J, Santangelo G (2011) Group treatment for postpartum depression: a systematic review. Arch Women’s Ment Health 14:277–293

    Article  Google Scholar 

  • Gotlib IH, Whiffen VE, Mount JH, Milne K, Cordy NI (1989) Prevalence rates and demographic characteristics associated with depression in pregnancy and the postpartum. J Consult Clin Psychol 57:269–274

    Article  PubMed  CAS  Google Scholar 

  • Groome LJ, Watson JE, Dykman RA (1994) Heart rate changes following habituation testing of the motor responses in normal human fetuses. Early Hum Dev 36:69–77

    Article  PubMed  CAS  Google Scholar 

  • Grush LR, Cohen LS (1998) Treatment of depression during pregnancy: balancing the risks. Harvard Rev Psychiat 6:105–109

    Article  CAS  Google Scholar 

  • Leonardi-Bee J, Smyth A, Britton J, Coleman T (2008) Environmental tobacco smoke and fetal health: systematic review and meta-analysis. Arch Dis Child Fetal Neonatal Ed 93:351–361

    Article  Google Scholar 

  • Marcus SM, Flynn HA, Blow F, Barry K (2005) A screening study of antidepressant treatment rates and mood symptoms in pregnancy. Arch Women Ment Health 8:25–27

    Article  CAS  Google Scholar 

  • Misri S, Kendrick K (2007) Treatment of perinatal mood and anxiety disorders: a review. Canadian J Psychiatr 52:489–498

    Google Scholar 

  • Oberlander T, Warburton W, Misri S, Aghajanian J, Hertzman C (2006) Neonatal outcomes after prenatal exposure to selective serotonin reuptake inhibitor antidepressants and maternal depression using population-based linked health data. Arch Gen Psychiat 63:898–906

    Article  PubMed  Google Scholar 

  • Porges SW (1992) Vagal tone: a physiologic marker of stress vulnerability. Pediatric 90:498–504

    CAS  Google Scholar 

  • Rahman A, Iqbal Z, Bunn J, Lovel H, Harrington R (2004) Impact of maternal depression on infant nutritional status and illness. Arch Gen Psychiat 61:946–952

    Article  PubMed  Google Scholar 

  • Sandman CA, Wadhwa PD, Dunkel-Schetter C (1994) Psychobiological influences of stress and HPA regulation on the human fetus and infant birth outcomes. Ann NY Acad Sci 739:198–210

    Article  PubMed  CAS  Google Scholar 

  • Steer RA, Scholl TO, Hediger ML, Fischer RL (1992) Self-reported depression and negative pregnancy outcomes. J Clin Epid 45:1093–1099

    Article  CAS  Google Scholar 

  • Suppaseemanont W (2006) Depression in Pregnancy: drug safety and nursing management. Amer J Maternal/Child Nurs 31:10–15

    Article  Google Scholar 

  • Suri R, Altshuler L, Hendrick V, Rasgon N, Lee E, Mintz J (2004) The impact of depression and fluoxetine treatment on obstetrical outcome. Arch Women Ment Health 7:193–200

    CAS  Google Scholar 

  • Thayer JF, Friedman BH, Borkovec TD (1996) Autonomic characteristics of generalized anxiety disorder and worry. Biol Psychiatry 39:255–266

    Article  PubMed  CAS  Google Scholar 

  • World Health Organization (2001) A message from the Director General. Available from: URL: http://www.who.int/whr/2001/dg_message/en/index.html

Download references

Acknowledgments

This work was supported by the National Alliance for Research on Schizophrenia and Depression (NARSAD). Special thanks to Brett Sharpe for help with database searches.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Deana B. Davalos.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Davalos, D.B., Yadon, C.A. & Tregellas, H.C. Untreated prenatal maternal depression and the potential risks to offspring: a review. Arch Womens Ment Health 15, 1–14 (2012). https://doi.org/10.1007/s00737-011-0251-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00737-011-0251-1

Keywords

Navigation