Table 4.

Consequences of Untreated Perinatal Depression

OutcomesMagnitude of risk
Maternal and Offspring Mortality
 Perinatal suicideRelative risk ∼ 2.29
 StillbirthRelative risk ∼ 1.510
 Postnatal mortality of offspringRelative risk ∼ 1.97
Pregnancy and Delivery Complications
 Gestational hypertensive disordersRelative risk ∼ 1.35
 Pre-eclampsiaRelative risk ∼ 1.56
 Pre-term birthRelative risk ∼ 1.4 to 2.41216
 Low birthweightRelative risk ∼ 1.7 to 2.014,15
 Intrauterine growth restrictionRelative risk ∼ 4.416
 Head growthMean difference: −0.08 mm/week17
 Body growthMean difference: −4.4g/week17
 Low 5-minute APGAR scoreRelative risk ∼ 1.512
Postpartum Complications
 Infant malnutritionRelative risk ∼ 1.48
 Infant physical illnessRelative risk ∼ 1.7 to 2.67,8
 Infant hospitalizationRelative risk ∼ 1.47
 Childhood maltreatmentRelative risk ∼ 3.0116
 Exclusively breastfeedingRelative risk ∼ 0.5-0.819,20
 Partner depressionRelative risk ∼ 1.2 to 1.726,27
 Offspring depressionRelative risk ∼ 1.724
  • Abbreviation: APGAR score, Apgar srtands for “Appearance, Pulse, Grimace, Activity, and Respiration.” In the test, these five things are used to check a baby’s health. Relative risk, risk ratio and/or odds ratio.

  • Notes: Superscripts indicate citations describing the magnitude of the relative risk; A relative risk of two-fold or more (Risk ≥2.0) is generally accepted as being clinically significant at the level of an individual patient.36