Impact of antenatal common mental disorders upon perinatal outcomes in Ethiopia: the P-MaMiE population-based cohort study.
نویسندگان
چکیده
OBJECTIVES To examine the impact of antenatal psychosocial stressors, including maternal common mental disorders (CMD), upon low birth weight, stillbirth and neonatal mortality, and other perinatal outcomes in rural Ethiopia. METHODS A population-based sample of 1065 pregnant women was assessed for symptoms of antenatal CMD (Self-Reporting Questionnaire-20: SRQ-20), stressful life events during pregnancy (List of Threatening Experiences: LTE) and worry about the forthcoming delivery. In a sub-sample of 654 women from six rural sub-districts, neonatal birth weight was measured on 521 (79.7%) singleton babies within 48 h of delivery. Information about other perinatal outcomes was obtained shortly after birth from the mother's verbal report and via the Demographic Surveillance System. RESULTS After adjusting for potential confounders, none of the psychosocial stressors were associated with lower mean birth weight, stillbirth or neonatal mortality. Increasing levels of antenatal CMD symptoms were associated both with prolonged labour (>24 h) (SRQ 1-5: RR 1.4; 95% CI 1.0-1.9, SRQ >or= 6: RR 1.6; 95% CI 1.0-2.6) and delaying initiation of breast-feeding more than eight hours (SRQ 1-5: RR 1.4; 95% CI 0.8 to 2.4, SRQ >or= 6: RR 2.8; 95% CI 1.3-6.1). Worry about delivery was also associated with labour longer than 24 h (RR 1.5; 95% CI 1.0-2.1). CONCLUSIONS This study provides preliminary evidence of important public health consequences of poor maternal mental health in low-income countries but does not replicate the strong association with low birth weight found in South Asia.
منابع مشابه
Maternal common mental disorders and infant development in Ethiopia: the P-MaMiE Birth Cohort
BACKGROUND Chronicity and severity of early exposure to maternal common mental disorders (CMD) has been associated with poorer infant development in high-income countries. In low- and middle-income countries (LAMICs), perinatal CMD is inconsistently associated with infant development, but the impact of severity and persistence has not been examined. METHODS A nested population-based cohort of...
متن کاملSociocultural practices in Ethiopia: association with onset and persistence of postnatal common
non-Western societies has been hypothesised to protect against the onset of postnatal common mental disorders (CMD: characterised by significant levels of depressive, anxiety and somatic symptoms). Epidemiological studies from non-Western countries challenge this view, finding the prevalence of postnatal CMD to be largely comparable with that seen in Western countries. Specific postnatal practi...
متن کاملAuthor's response to reviews Title: Maternal common mental disorders and infant development in Ethiopia: the P-MaMiE Birth Cohort Authors:
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Neonatal and Fetal Outcomes of Pregnant Mothers with Hypertensive Disorder of Pregnancy at Hospitals in Wolaita Zone, Southern Ethiopia
Background & aim: Hypertensive disorders of pregnancy are among the severe medical disorders peculiar to pregnancy. It is one of the risk factors during pregnancy either for the mother or fetus or both. Therefore, this study aimed to assess fetal and neonatal outcomes of mothers with hypertensive disorders of Pregnancy. Methods: This hospital-based cross-sectional study was conducted on neonate...
متن کاملSociocultural practices in Ethiopia: association with onset and persistence of postnatal common mental disorders
BACKGROUND Traditional perinatal practices may protect against postnatal common mental disorders (CMD) in non-Western societies. AIMS To evaluate the association between perinatal practices and postnatal CMD in rural Ethiopia. METHOD A population-based sample of 1065 women was followed up from pregnancy until 2 months postpartum. Qualitative investigation informed the development of scales ...
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ورودعنوان ژورنال:
- Tropical medicine & international health : TM & IH
دوره 14 2 شماره
صفحات -
تاریخ انتشار 2009