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Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute
Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute

Journal of Health and Medical Sciences

ISSN 2622-7258

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doi
open access

Published: 27 March 2020

Considering Xenobiotics as Risk Factors for Postpartum Depression: A Qualitative Systematic Review

Hailey A Mitchell, Sarah Edali, Anne TM Konkle

University of Ottawa (Canada)

journal of social and political sciences
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doi

10.31014/aior.1994.03.01.105

Pages: 119-131

Keywords: Postpartum Depression, Environment, Toxicants, Xenobiotics, Prenatal, Perinatal, Exposure, Maternal Mental Health

Abstract

Postpartum depression is a serious mental health condition with onset of symptoms appearing anytime within the first four months after delivery (e.g. irritability, severe sadness, profound feelings of hopelessness, etc.). Environmental toxicants are synthetic (i.e. manufactured) or naturally found chemicals that are not produced by organisms as a result of cellular metabolism (e.g. tobacco smoke, pesticides, etc.). There is limited consideration for how exposure to environmental toxicants/xenobiotics can create adverse psychological health effects, specifically postpartum depression. The purpose of this systematic review was to determine if the literature supports a link between exposure to environmental toxicants/xenobiotics during the prenatal/perinatal period and postpartum depression and if so, to identify whether there are specific classes of xenobiotics that provide a higher risk for postpartum depression. Several databases were used to search the online literature, with the following inclusion criteria: articles published in English, publication years between 1995-2018, and with women of reproductive age (15-49 years old). The article selection process comprised of screening each article by title/abstract, followed by screening those articles based on full-text. Six categories of xenobiotics were identified among the thirty included articles. Active/passive smoke exposure was largely found to increase the risk of developing postpartum depression; dietary supplements provided mixed results; antidepressants demonstrated preventative effects; particulate air pollution was found to be associated with postpartum depression; oral contraceptives (DMPA) exhibited an increase in postpartum depressive symptoms; and organochlorine pesticides had no associative risk. Quality assessments were performed for all of the included articles, with the majority being assessed as satisfactory. This systematic review presents as a foundation for encouraging future research to investigate the link between environment and mental health, in order to attain a greater perspective.

References

  1. Alibekova, R., Huang, J.-P., Lee, T. S.-H., Au, H.-K., & Chen, Y.-H. (2016). Effects of smoking on perinatal depression and anxiety in mothers and fathers: A prospective cohort study. Journal of Affective Disorders, 193, 18–26. https://doi.org/10.1016/j.jad.2015.12.027
  2. American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association
  3. Barakat, R., Perales, M., Garatachea, N., Ruiz, J. R., & Lucia, A. (2015). Exercise during pregnancy. A narrative review asking: What do we know? British Journal of Sports Medicine, 49(21), 1377. https://doi.org/10.1136/bjsports-2015-094756
  4. Belson, M. G., Schier, J. G., & Patel, M. M. (2005). Case definitions for chemical poisoning. MMWR. Recommendations and Reports : Morbidity and Mortality Weekly Report. Recommendations and Reports, 54(RR-1), 1–24.
  5. Boland, A., Cherry, G., & Dickson, R. (2017). Doing a Systematic Review: A Student’s Guide. Retrieved from https://books.google.ca/books?id=H1AlDwAAQBAJ
  6. CASP Systematic Review Checklist. (2018). [PDF]. Retrieved January 10, 2019, from https://casp-uk.net/wp- content/uploads/2018/03/CASP-Systematic-Review-Checklist-2018_fillable-form.pdf
  7. Casper, R. C., Gilles, A. A., Fleisher, B. E., Baran, J., Enns, G., & Lazzeroni, L. C. (2011). Length of prenatal exposure to selective serotonin reuptake inhibitor (SSRI) antidepressants: Effects on neonatal adaptation and psychomotor development. Psychopharmacology, 217(2), 211–219. https://doi.org/10.1007/s00213-011-2270- z
  8. Chen, H.-L., Cai, J.-Y., Zha, M.-L., & Shen, W.-Q. (2018). Prenatal smoking and postpartum depression: A meta- analysis. Journal of Psychosomatic Obstetrics & Gynecology, 0(0), 1–9. https://doi.org/10.1080/0167482X.2017.1415881
  9. Chien, L.-Y., & Ko, Y.-L. (2004). Fatigue during pregnancy predicts caesarean deliveries. Journal of Advanced Nursing, 45(5), 487–494. https://doi.org/10.1046/j.1365-2648.2003.02931.x
  10. Coletta, J. M., Bell, S. J., & Roman, A. S. (2010). Omega-3 Fatty Acids and Pregnancy. Reviews in Obstetrics and Gynecology, 3(4), 163–171.
  11. Covidence systematic review software, Veritas Health Innovation, Melbourne, Australia. Available at www.covidence.org
  12. Dagher, R. K., & Shenassa, E. D. (2012). Prenatal health behaviors and postpartum depression: Is there an association? Archives of Women’s Mental Health, 15(1), 31–37. https://doi.org/10.1007/s00737-011-0252-0
  13. Danielewicz, H., Myszczyszyn, G., Dębińska, A., Myszkal, A., Boznański, A., & Hirnle, L. (2017). Diet in pregnancy—More than food. European Journal of Pediatrics, 176(12), 1573–1579. https://doi.org/10.1007/s00431-017-3026-5
  14. Derbyshire, E., & Costarelli, V. (2008). Dietary factors in the aetiology of postnatal depression. Nutrition Bulletin, 33(3), 162–168. https://doi.org/10.1111/j.1467-3010.2008.00703.x
  15. Downs, S. H., & Black, N. (1998). The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. Journal of Epidemiology and Community Health, 52(6), 377. https://doi.org/10.1136/jech.52.6.377
  16. Dubovicky, M., Belovicova, K., Csatlosova, K., & Bogi, E. (2017). Risks of using SSRI / SNRI antidepressants during pregnancy and lactation. Interdisciplinary Toxicology, 10(1), 30–34. https://doi.org/10.1515/intox- 2017-0004
  17. Ellsworth-Bowers, E. R., & Corwin, E. J. (2012). Nutrition and the psychoneuroimmunology of postpartum depression. Nutrition Research Reviews, 25(1), 180–192. https://doi.org/10.1017/S0954422412000091
  18. Falck, A. J., Mooney, S., Kapoor, S. S., White, K. M. R., Bearer, C., & El Metwally, D. (2015). Developmental Exposure to Environmental Toxicants. Pediatric Clinics of North America, 62(5), 1173–1197. https://doi.org/10.1016/j.pcl.2015.05.005
  19. Fard, F. E., Mirghafourvand, M., Mohammad-Alizadeh Charandabi, S., Farshbaf-Khalili, A., Javadzadeh, Y., & Asgharian, H. (2017). Effects of zinc and magnesium supplements on postpartum depression and anxiety: A randomized controlled clinical trial. Women & Health, 57(9), 1115–1128. https://doi.org/10.1080/03630242.2016.1235074
  20. Frandsen, M., Thow, M., & Ferguson, S. G. (2017). Profile of Maternal Smokers Who Quit During Pregnancy: A Population-Based Cohort Study of Tasmanian Women, 2011–2013. Nicotine & Tobacco Research, 19(5), 532–538. https://doi.org/10.1093/ntr/ntw222
  21. Freeman, M. P. (2006). Omega-3 fatty acids and perinatal depression: A review of the literature and recommendations for future research. Prostaglandins, Leukotrienes and Essential Fatty Acids, 75(4), 291– 297. https://doi.org/10.1016/j.plefa.2006.07.007
  22. Glenville, M. (2006). Nutritional supplements in pregnancy: Commercial push or evidence based? Current Opinion in Obstetrics & Gynecology, 18(6), 642–647. https://doi.org/10.1097/GCO.0b013e328010214e
  23. Guyatt, G. H., Sackett, D. L., & Cook, D. J. (1994). Users’ guides to the medical literature. II. How to use an article about therapy or prevention. B. What were the results and will they help me in caring for my patients? Evidence-Based Medicine Working Group. JAMA, 271(1), 59–63. https://doi.org/10.1001/jama.271.1.59
  24. Hall, W. A., Hauck, Y. L., Carty, E. M., Hutton, E. K., Fenwick, J., & Stoll, K. (2009). Childbirth Fear, Anxiety, Fatigue, and Sleep Deprivation in Pregnant Women. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 38(5), 567–576. https://doi.org/10.1111/j.1552-6909.2009.01054.x
  25. Hantsoo, L., Ward-O’Brien, D., Czarkowski, K., Gueorguieva, R., Price, L., & Epperson, C. (2014). A randomized, placebo-controlled, double-blind trial of sertraline for postpartum depression. Psychopharmacology, 231(5), 939–948. https://doi.org/10.1007/s00213-013-3316-1
  26. Hawari, F. I., Obeidat, N. A., Abu Alhalawa, M., Al-Busaidi, Z., Amara, B., Baddar, S., ... Elkholy, H. (2019). Respiratory health and quality of life in young exclusive, habitual smokers—A comparison of waterpipe smokers, cigarette smokers and non-smokers. International Journal of Chronic Obstructive Pulmonary Disease, 14, 1813–1824. https://doi.org/10.2147/COPD.S205050
  27. Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from http://handbook.cochrane.org.
  28. Home - CASP - Critical Appraisal Skills Programme. (2018, March 27). Retrieved January 10, 2019, from https://casp-uk.net/
  29. Hormonal Contraception. (2018). Retrieved November 19, 2018, from Sex & U website: https://www.sexandu.ca/contraception/hormonal-contraception/
  30. Howard, L., Hoffbrand, S. E., Henshaw, C., Boath, L., & Bradley, E. (2005). Antidepressant prevention of postnatal depression. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD004363.pub2
  31. Huang, H.-L., Chuang, L.-T., Li, H.-H., Lin, C.-P., & Glew, R. H. (2013). Docosahexaenoic acid in maternal and neonatal plasma phospholipids and milk lipids of Taiwanese women in Kinmen: Fatty acid composition of maternal blood, neonatal blood and breast milk. Lipids in Health and Disease, 12(1), 27. https://doi.org/10.1186/1476-511X-12-27
  32. Jin, J. (2014). Oral Contraceptives. JAMA, 311(3), 321–321. https://doi.org/10.1001/jama.2013.283505
  33. Kalayasiri, R., Supcharoen, W., & Ouiyanukoon, P. (2018). Association between secondhand smoke exposure and quality of life in pregnant women and postpartum women and the consequences on the newborns. Quality of Life Research, 7(4), 905–912. https://dx.doi.org/10.1007/s11136-018-1783-x
  34. Khan, S., Arif, A. A., Laditka, J. N., & Racine, E. F. (2015). Prenatal exposure to secondhand smoke may increase the risk of postpartum depressive symptoms. 37(3), 406–411. https://dx.doi.org/10.1093/pubmed/fdv083
  35. Laniado-Laborín, R. (2009). Smoking and Chronic Obstructive Pulmonary Disease (COPD). Parallel Epidemics of the 21st Century. International Journal of Environmental Research and Public Health, 6(1), 209–224. https://doi.org/10.3390/ijerph6010209
  36. Lauring, J. R., Lehman, E. B., Deimling, T. A., Legro, R. S., & Chuang, C. H. (2016). Combined hormonal contraception use in reproductive-age women with contraindications to estrogen use. American Journal of Obstetrics and Gynecology, 215(3), 330.e1-330.e7. https://doi.org/10.1016/j.ajog.2016.03.047
  37. Leung, B. M. Y., & Kaplan, B. J. (2009). Perinatal Depression: Prevalence, Risks, and the Nutrition Link—A Review of the Literature. 109(9), 1566–1575. https://dx.doi.org/10.1016/j.jada.2009.06.368
  38. Mbah, A. K., Salihu, H. M., Dagne, G., Wilson, R. E., & Bruder, K. (2013). Exposure to environmental tobacco smoke and risk of antenatal depression: Application of latent variable modeling. 16(4), 293–302. https://dx.doi.org/10.1007/s00737-013-0347-x
  39. Meltzer-Brody, S., Howard, L. M., Bergink, V., Vigod, S., Jones, I., Munk-Olsen, T., ... Milgrom, J. (2018). Postpartum psychiatric disorders. Nature Reviews. Disease Primers, 4, 18022. https://doi.org/10.1038/nrdp.2018.22
  40. Miller, L. J. (2002). Postpartum Depression. JAMA, 287(6), 762–765. https://doi.org/10.1001/jama.287.6.762 Miller, L. J., & LaRusso, E. M. (2011). Preventing Postpartum Depression. Psychiatric Clinics of North America, 34(1), 53–65. https://doi.org/10.1016/j.psc.2010.11.010
  41. Molyneaux, E., Telesia, L. A., Henshaw, C., Boath, E., Bradley, E., & Howard, L. (2018). Antidepressants for preventing postnatal depression. Cochrane Database of Systematic Reviews, 2018(4), 1–45. http://dx.doi.org/10.1002/14651858.CD004363.pub3
  42. Munafò, M. R., Heron, J., & Araya, R. (2008). Smoking patterns during pregnancy and postnatal period and depressive symptoms. Nicotine & Tobacco Research, 10(11), 1609–1602. https://doi.org/10.1080/14622200802412895
  43. O’Hara, M. W. (2009). Postpartum depression: What we know. Journal of Clinical Psychology, 65(12), 1258–1269. https://doi.org/10.1002/jclp.20644
  44. Papadopoulos, A., Guida, F., Cénée, S., Cyr, D., Schmaus, A., Radoï, L., ... Stücker, I. (2011). Cigarette smoking and lung cancer in women: Results of the French ICARE case–control study. Lung Cancer, 74(3), 369–377. https://doi.org/10.1016/j.lungcan.2011.04.013
  45. Pariser, S. F., Nasrallah, H. A., & Gardner, D. K. (1997). Postpartum Mood Disorders: Clinical Perspectives. 6(4), 421–434.
  46. Pedersen, L. H. (2017). The risks associated with prenatal antidepressant exposure: Time for a precision medicine approach. Expert Opinion on Drug Safety, 16(8), 915–921. https://doi.org/10.1080/14740338.2017.1341872
  47. Pope, A. M., Snyder, M. A., & Mood, L. H. (1995). Overview of Environmental Health Hazards (1st ed.). Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK232390/
  48. Robertson, E., Grace, S., Wallington, T., & Stewart, D. E. (2004). Antenatal risk factors for postpartum depression: A synthesis of recent literature. General Hospital Psychiatry, 26(4), 289–295. https://doi.org/10.1016/j.genhosppsych.2004.02.006
  49. Salimi, S., Terplan, M., Cheng, D., & Chisolm, M. S. (2015). The Relationship Between Postpartum Depression and Perinatal Cigarette Smoking: An Analysis of PRAMS Data. Journal of Substance Abuse Treatment, 56(Complete), 34–38. https://doi.org/10.1016/j.jsat.2015.03.004
  50. Schipper-Kochems, S., Fehm, T., Bizjak, G., Fleitmann, A. K., Balan, P., Hagenbeck, C., ... Franz, M. (2019). Postpartum Depressive Disorder—Psychosomatic Aspects. GEBURTSHILFE UND FRAUENHEILKUNDE, 79(4), 375–381. https://doi.org/10.1055/a-0759-1981
  51. Schweitzer, A. (2006). Dietary Supplements During Pregnancy. The Journal of Perinatal Education, 15(4), 44–45. https://doi.org/10.1624/105812406X107834
  52. Segre, L., & Davis, W. (2013). Postpartum Depression and Perinatal Mood Disorders in the DSM (p. 4). Retrieved from Postpartum Support International website: https://www.postpartum.net/wp- content/uploads/2014/11/DSM-5-Summary-PSI.pdf
  53. Seyfried, L. S., & Marcus, S. M. (2003). Postpartum mood disorders. International Review of Psychiatry, 15(3), 231–242. https://doi.org/10.1080/0954026031000136857
  54. Sheffield, P. E., Speranza, R., Chiu, Y.-H. M., Hsu, H.-H. L., Curtin, P. C., Renzetti, S., ... Wright, R. J. (2018). Association between particulate air pollution exposure during pregnancy and postpartum maternal psychological functioning. PLOS ONE, 13(4), e0195267. https://doi.org/10.1371/journal.pone.0195267
  55. Singata-Madliki, M., Hofmeyr, G. J., & Lawrie, T. A. (2016). The effect of depot medroxyprogesterone acetate on postnatal depression: A randomised controlled trial. Journal of Family Planning and Reproductive Health Care, 42(3), 171. https://doi.org/10.1136/jfprhc-2015-101334
  56. Singhal, S., Sarda, N., Gupta, S., & Goel, S. (2014). Impact of Injectable Progestogen Contraception in Early Puerperium on Lactation and Infant Health. Journal of Clinical and Diagnostic Research : JCDR, 8(3), 69–72. https://doi.org/10.7860/JCDR/2014/7775.4110
  57. Soma-Pillay, P., Nelson-Piercy, C., Tolppanen, H., & Mebazaa, A. (2016). Physiological changes in pregnancy. Cardiovascular Journal of Africa, 27(2), 89–94. https://doi.org/10.5830/CVJA-2016-021
  58. Song, C., Li, W., Leng, J., Wang, L., Li, W., Shi, F., ... Yang, X. (2018). Passive smoking and postpartum depression among Chinese women: A prospective cohort study in Tianjin, China. Women & Health, 0(0), 1– 13. https://doi.org/10.1080/03630242.2018.1478365
  59. Sousa, C., Rodrigues, M., Carvalho, A., Viamonte, B., Cunha, R., Guimarães, S., ... Pereira, J. M. (2019). Diffuse smoking-related lung diseases: Insights from a radiologic-pathologic correlation. Insights into Imaging, 10(1), 73. https://doi.org/10.1186/s13244-019-0765-z
  60. Sparling, T. M., Henschke, N., Nesbitt, R. C., & Gabrysch, S. (2017). The role of diet and nutritional supplementation in perinatal depression: A systematic review. Maternal & Child Nutrition, 13(1). https://doi.org/10.1111/mcn.12235
  61. Stocky, A., & Lynch, J. (2000). Acute psychiatric disturbance in pregnancy and the puerperium. Best Practice & Research Clinical Obstetrics & Gynaecology, 14(1), 73–87. https://doi.org/10.1053/beog.1999.0064
  62. Sunder, K. R., Wisner, K. L., Hanusa, B. H., & Perel, J. M. (2004). Postpartum depression recurrence versus discontinuation syndrome: Observations from a randomized controlled trial. The Journal of Clinical Psychiatry, 65(9), 1266–1268. https://doi.org/10.4088/jcp.v65n0916
  63. Talbot, L., & Maclennan, K. (2016). Physiology of pregnancy. Obstetric Anaesthesia, 17(7), 341–345. https://doi.org/10.1016/j.mpaic.2016.04.010
  64. Thundiyil, J. G., Solomon, G. M., & Miller, M. D. (2007). Transgenerational exposures: Persistent chemical pollutants in the environment and breast milk. Pediatric Clinics of North America, 54(1), 81–101, ix. https://doi.org/10.1016/j.pcl.2006.11.006
  65. Underwood, L., Waldie, K. E., D’Souza, S., Peterson, E. R., & Morton, S. M. B. (2017). A Longitudinal Study of Pre-pregnancy and Pregnancy Risk Factors Associated with Antenatal and Postnatal Symptoms of Depression: Evidence from Growing Up in New Zealand. Maternal and Child Health Journal, 21(4), 915–931. https://doi.org/10.1007/s10995-016-2191-x
  66. Vivilaki, V. G., Diamanti, A., Tzeli, M., Patelarou, E., Bick, D., Papadakis, S., ... Katsaounou, P. (2016). Exposure to active and passive smoking among Greek pregnant women. Tobacco Induced Diseases, 14(April). https://doi.org/10.1186/s12971-016-0077-8
  67. Wang, L., Fu, K., Li, X., Kong, B., & Zhang, B. (2018). Exposure to third-hand smoke during pregnancy may increase the risk of postpartum depression in China. Tobacco Induced Diseases, 16(April). https://doi.org/10.18332/tid/87141
  68. Weng, S.-C., Huang, J.-P., Huang, Y.-L., Lee, T. S.-H., & Chen, Y.-H. (2016). Effects of tobacco exposure on perinatal suicidal ideation, depression, and anxiety. BMC Public Health, 16. https://doi.org/10.1186/s12889- 016-3254-z
  69. World Health Organization. Reproductive Health and Research. (2006). Reproductive health
    indicators: Guidelines for their generation, interpretation and analysis for global monitoring. Geneva: Geneva : World Health Organization, c2006.
  70. World Health Organization. (2015). Thinking healthy: A manual for psychosocial management of perinatal depression, WHO generic field-trial version 1.0, 2015 (No. 9754004110). World Health Organization.
  71. Yalçın, S. S., Örün, E., Yalçın, S., & Aykut, O. (2015). Organochlorine pesticide residues in breast milk and maternal psychopathologies and infant growth from suburban area of Ankara, Turkey. International Journal of Environmental Health Research, 25(4), 364–372. https://doi.org/10.1080/09603123.2014.945515
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