title: [Preventing the risk of postpartum depression and premature childbirth by a psychosomatic approach: a randomized multicenter study].
abstract: OBJECTIVE
  Randomized studies to assess postnatal depression and preterm childbirth are rarely in conjunction; the 2 problems are treated separately regardless of their common risk factors. The main objective of this study was to evaluate the effects of a prenatal program based on a psychosomatic approach on the risk of postpartum depression (PPD) and preterm childbirth.
  
  
  METHODS
  Controlled clinical trial, randomized and multicenter study. A total of 184 pregnant women identified as vulnerable to PPD who had psychosocial risk factors associated with preterm childbirth were assigned to the experimental group (EG) (n=92) or control group (CG) (n=92), according to a computerized program. The EG participated in the program with a psychosomatic approach (10 sessions (one/week) for 2 h, 15 m) with a phone call between sessions; the objectives implicated the mother, father and baby contemplating pregnancy, childbirth and postpartum. Women in the EC made the usual program of the health center (8-10 weekly sessions of 2 hours), with no calls, with targets aimed at delivery. There were 2 evaluations: one in pregnancy and another in postpartum (T(1) and T(2)) including symptoms of depression (EPDS), social support (FSSQ), stress (scale events), the relationship (DAS) and the preterm childbirth.
  
  
  RESULTS
  There was a difference of 11.2 in the percentage of cases at risk of PPD (EPDS≥12): 45.5% (27) in the CG and 34.3% (24) in the EG, without reaching statistical significance (P=.26). The preterm delivery showed significance differences (P=.003), with a decrease in preterm childbirth 4 times lower in the EG.
  
  
  CONCLUSIONS
  Overall, the percentage of mothers at PPD risk was higher (P=.02) in women with preterm childbirth. It would be appropriate a global obstetrics and psychiatry approach.
authors.affiliation: Facultad de Enfermería, Universidad de Girona, Girona, Spain. assumpta.ortiz@udg.edu
authors.forename: Maria Assumpta
authors.initials: MA
authors.lastname: Ortiz Collado
authors.forename: Vicens
authors.initials: V
authors.lastname: Cararach
authors.forename: Claude-Emile
authors.initials: CE
authors.lastname: Tourne
mesh_terms: D000328:Adult; D019052:Depression, Postpartum / Q000517:prevention & control* / Q000523:psychology; D004311:Double-Blind Method; D005260:Female; D006126:Group Processes; D006801:Humans; D008137:Longitudinal Studies; D011247:Pregnancy; D047928:Premature Birth / Q000517:prevention & control* / Q000523:psychology; D011295:Prenatal Care / Q000379:methods* / Q000523:psychology; D012944:Social Support; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000150:complications; D016896:Treatment Outcome