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a between 2007 and 2011 to compare outcomes of all women with depression who had 5 or more prenatal care visits compared with those with less than 5 visits. Outcomes included preterm delivery, intrauterine fetal demise, neonatal death, neonatal respiratory distress syndrome, placental abruption, maternal blood transfusion, and CDC severe maternal morbidity index score. To compare outcomes, we used chi-square and multivariate logistic regression controlling for socioeconomic status, age, parity, gestational age, ethnicity, diabetes, and hypertension. RESULTS: Of the 18,511 women with depression in our sample, those with limited prenatal care had higher risk of placental abruption, intrauterine fetal demise, preterm delivery, low birthweight (<2500 grams), neonatal respiratory distress syndrome, and severe maternal morbidity. Rates of neonatal death were significantly higher in the chi-square analysis (0.81% vs 0.15%, p = 0.002), however this difference did not persist in the multivariate analysis when controlling for potential confounding variables. CONCLUSION: In women with depression during pregnancy, limited prenatal care is associated with greater odds of adverse neonatal and maternal outcomes, including intrauterine fetal demise and severe maternal morbidity. These associations should be considered when providing care to pregnant women with depression. Additionally, further examination of the obstacles limiting access to regular prenatal care in this patient population should be pursued. © 2019 by the American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved....

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