Evidence mapPaperPMID 39863010Full record

SynthesisAmerican journal of obstetrics & gynecology MFM2025

Treatment for anxiety, depression, and stress in pregnant people experiencing antepartum hospitalization: a systematic review and meta-analysis.

John R Soehl, Kathryn Anthony, Adam K Lewkowitz, Lauren Fletcher, L G Ward, Emily S Miller

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in American journal of obstetrics & gynecology MFM, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

John R SoehlWarren Alpert School of Medicine at Brown University, Department of Maternal Fetal Medicine, Providence, RI (Soehl, Lewkowitz and Miller). Electronic address: jsoehl@wihri.org.
Kathryn AnthonyWarren Alpert School of Medicine at Brown University, Department of Obstetrics & Gynecology, Providence, RI (Anthony).
Adam K LewkowitzWarren Alpert School of Medicine at Brown University, Department of Maternal Fetal Medicine, Providence, RI (Soehl, Lewkowitz and Miller).
Lauren FletcherBrown University Champlin Memorial Medical Library, Providence RI (Fletcher).
L G WardWarren Alpert School of Medicine at Brown University, Department of Psychiatry and Human Behavior, Providence, RI (Ward).
Emily S MillerWarren Alpert School of Medicine at Brown University, Department of Maternal Fetal Medicine, Providence, RI (Soehl, Lewkowitz and Miller).

Funding

Mindfulness, Optimism and Resilience for Perinatal Health and Empowerment (MORPHE) Trial P20GM139767 · MIRIAM HOSPITAL · 2025 to 2025
$1.2M
Collaborative Care Model for Perinatal Depression Support Services – Population-Level Upstream Systems Change (COMPASS-PLUS): A Hybrid Type 2 Cluster Randomized TrialR01NR021126 · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · 2025 to 2025
$744k
A novel app-based cognitive behavioral therapy intervention for preventing postpartum depressionK23HD103961 · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · 2025 to 2025
$179k
Trauma-Informed Obstetric Care: Development and Implementation of a Stakeholder-Informed Toolkit for Obstetric Providers and PatientsK23HD107296 · MIRIAM HOSPITAL · 2025 to 2025
$161k
NICHD NIH HHS K23 HD103961NICHD NIH HHS K23 HD107296NIGMS NIH HHS P20 GM139767NINR NIH HHS R01 NR021126
6 · The paper itself

Abstract

objectiveTo systematically evaluate inpatient interventions to reduce symptoms of anxiety, depression, or stress in pregnant individuals during antepartum hospitalization. DATA SOURCES: Searches were conducted in Ovid MEDLINE, Embase, CINAHL Plus, Cochrane CENTRAL, and PsycINFO from database inception through April 2023. STUDY ELIGIBILITY CRITERIA: Randomized controlled trials and cohort studies were eligible for inclusion if an intervention was compared to treatment as usual (TAU) to reduce symptoms of anxiety, depression, or stress among pregnant individuals admitted to a hospital's antepartum unit. STUDY APPRAISAL AND SYNTHESIS

methodsTwo authors independently screened all abstracts for eligibility and reviewed all potentially eligible full-text articles for inclusion. The primary outcome was the score on the assessment for symptoms of anxiety, depression, or stress after the intervention. The Hedges method was used to detect standardized mean difference (SMD) in studies using different psychometric scales, and weighted mean differences (WMD) were used in studies using the same psychometric scales. Risk of bias was assessed using the Cochrane Handbook for Systematic Reviews of Interventions.

resultsOf 1185 articles originally identified, 19 full-text manuscripts were reviewed, and 3 studies (all randomized controlled studies)-corresponding to 226 patients randomized to an intervention and 263 patients randomized to TAU-were included. Compared to TAU, interventions significantly reduced mean scores on validated scales assessing symptoms of anxiety (SMD -0.65 [95% Confidence Interval (CI) -0.83, -0.46]), depression (WMD -0.52 [95% CI -0.76, -0.28]), and stress (WMD -0.57 [95% CI -0.82, -0.31]).

conclusionThough data are limited, interventions given to birthing people who experience antepartum hospitalization modestly-but significantly-reduce symptoms of anxiety, depression, and stress. These data highlight a need for further high-quality trials to support the mental health needs of this high-risk population.

fundingThis project was supported by the Department of Maternal Fetal Medicine at the Alpert School of Medicine of Brown University. AKL was supported by NICHD (K23HD103961). ESM was supported by NICHD (R01HD105499) and NINR (R01NR021126-01). LGW was supported by K23HD107296-01A1 and P20GM139767. SYSTEMATIC REVIEW REGISTRATION: PROSPERO, CRD42023444189 El resumen está disponible en Español al final del artículo.

Indexed as

AnxietyDepressionPregnancy ComplicationsPregnant PeopleStress, PsychologicalFemaleHospitalizationHumansPregnancyRandomized Controlled Trials as Topicantepartumanxietydepressionhospitalizationinterventionsmeditationmindfulnesspregnancystresssupport

Identifiers

PMID39863010
PMCPMC11892731

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.