Maternal stress and depression Mental and Behavioural Disorders Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Pregnancy and post-partum 2. Age 18 - 45 years 3. Healthy volunteers 4. Patient under Grampian Healthcare
Exclusion criteria
Exclusion criteria: 1. Medical conditions (including obstetric complications) or currently taking medication affecting the immune, endocrine (thyroid dysfunction, diabetes), metabolic, hepatic, renal, and gastrointestinal systems; coagulation disorders and anaemia 2. A history of psychiatric disorders other than depression (mania/hypomania, psychosis, active suicidal ideation, schizophrenia, eating disorders not associated with depression, personality disorders, epilepsy) 3. Taking anti-depressant medication or other remedies for depression (St Johns Wort) 4. A history of alcohol or drug abuse, and tobacco use 5. Assisted conception 6. Taking supplementary fish oils or flax seed 8. Spontaneous miscarriage and termination of pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Differences in depression scores, inflammatory cytokines and CRP concentrations and omega-3 FA status between women at high-risk (a history of psycho-social risk factors associated with perinatal depression) and low-risk of depression 2. Correlations between omega-6 to omega-3 FA ratio, inflammatory cytokines and CRP concentrations and depression scores Time points: 1. Baseline (13 weeks gestation) 2. 24 weeks gestation 3. 34 weeks gestation 4. 36 hours post-delivery 5. 6 weeks post-partum 6. 12 weeks post-partum 7. 24 weeks post-partum | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Incidence of depression in women at high-risk of depression (a history of psycho-social risk factors associated with perinatal depression) and low-risk of depression (measured by the ANRQ and PNRQ) (the ANRQ is used only at baseline; the PNRQ is used only at 36 hours post-delivery) 2. Comparison of depression scores measured by the EDP/EPDS and the HADS 3. Comparison of omega-3 and omega-6 FA intakes measured by the SCGFFQ and erythrocyte membrane content Time points: 1. Baseline (13 weeks gestation) 2. 24 weeks gestation 3. 34 weeks gestation 4. 36 hours post-delivery 5. 6 weeks post-partum 6. 12 weeks post-partum 7. 24 weeks post-partum | — |
Countries
United Kingdom