Antenatal depression: Associations with birth and neonatal outcomes among women attending maternity care in Harare, Zimbabwe.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2023
2023
Historique:
received:
08
06
2021
accepted:
21
06
2022
medline:
10
7
2023
pubmed:
7
7
2023
entrez:
7
7
2023
Statut:
epublish
Résumé
Antenatal depression is highly prevalent and is associated with negative birth and neonatal outcomes. However, the mechanisms and causality behind these associations remain poorly understood as they are varied. Given the variability in whether associations are present, there is need to have context-specific data to understand the complex factors that go into these associations. This study aimed to assess the associations between antenatal depression and birth and neonatal outcomes among women attending maternity care in Harare, Zimbabwe. We followed 354 pregnant women in second or third trimester, attending antenatal care services in two randomly selected clinics in Harare, Zimbabwe. Antenatal depression was assessed using the Structured Clinical Interview for DSM-IV. Birth outcomes included birth weight, gestational age at delivery, mode of delivery, Apgar score, and initiation of breastfeeding within one-hour postdelivery. Neonatal outcomes at six weeks postdelivery included infant's weight, height, illness, feeding methods and maternal postnatal depressive symptoms. The association between antenatal depression and categorical and continuous outcomes were assessed by logistic regression and point-biserial correlation coefficient, respectively. Multivariable logistic regression determined the confounding effects on statistically significant outcomes. Prevalence of antenatal depression was 23.7%. It was associated with low birthweight [AOR = 2.30 (95% CI: 1.08-4.90)], exclusive breastfeeding [AOR = 0.42 (95%CI: 0.25-0.73)] and postnatal depressive symptoms [AOR = 4.99 (95%CI: 2.81-8.85)], but not with any other birth or neonatal outcomes measured. The prevalence of antenatal depression in this sample is high with significant associations demonstrated for birth weight, maternal postnatal depressive symptoms and infant feeding methods Effective management of antenatal depression is thus crucial to the promotion of maternal and child health.
Identifiants
pubmed: 37418441
doi: 10.1371/journal.pone.0270873
pii: PONE-D-21-18898
pmc: PMC10328234
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0270873Subventions
Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : FIC NIH HHS
ID : D43 TW010313
Pays : United States
Informations de copyright
Copyright: © 2023 Kaiyo-Utete et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Déclaration de conflit d'intérêts
The authors have declared that no conflicting interests exists
Références
Br Med Bull. 2012;101:57-79
pubmed: 22130907
BMC Pregnancy Childbirth. 2019 Jan 31;19(1):53
pubmed: 30704428
Arch Womens Ment Health. 2018 Oct;21(5):505-516
pubmed: 29644439
BMJ. 2020 Nov 11;371:m4022
pubmed: 33177069
Bull World Health Organ. 2012 Feb 1;90(2):139G-149G
pubmed: 22423165
BJPsych Int. 2020 Aug;17(3):56-59
pubmed: 34287427
BMC Pregnancy Childbirth. 2018 Jun 28;18(1):271
pubmed: 29954348
Arch Gen Psychiatry. 2010 Oct;67(10):1012-24
pubmed: 20921117
Matern Child Nutr. 2019 Apr;15(2):e12709
pubmed: 30426668
Acta Obstet Gynecol Scand. 2016 Apr;95(4):396-404
pubmed: 26826608
Matern Child Health J. 2015 Jun;19(6):1306-37
pubmed: 25452215
J Acquir Immune Defic Syndr. 2014 Dec 1;67 Suppl 4:S179-87
pubmed: 25436816
Int J MCH AIDS. 2015;3(1):16-21
pubmed: 27621982
BMC Pregnancy Childbirth. 2020 Jul 22;20(1):416
pubmed: 32698779
J Health Care Poor Underserved. 2012 Feb;23(1):226-41
pubmed: 22643473
Prev Med. 2017 Sep;102:100-111
pubmed: 28694059
J Womens Health (Larchmt). 2010 Nov;19(11):2071-7
pubmed: 20849286
PLoS One. 2014 Dec 30;9(12):e116333
pubmed: 25549334
AIDS Behav. 2020 Jun;24(6):1807-1815
pubmed: 31813076
Psychol Med. 2014 Apr;44(5):927-36
pubmed: 23822932
PLoS One. 2015 Jun 26;10(6):e0129705
pubmed: 26114867
Acta Psychiatr Scand. 2009 May;119(5):350-64
pubmed: 19298573
Gen Hosp Psychiatry. 2016 Jan-Feb;38:109-14
pubmed: 26607330
J Matern Fetal Neonatal Med. 2021 May;34(10):1606-1612
pubmed: 31328591
BMC Pregnancy Childbirth. 2016 Oct 10;16(1):301
pubmed: 27724876
Sci Rep. 2019 Apr 17;9(1):6213
pubmed: 30996270
Gen Hosp Psychiatry. 2009 Jul-Aug;31(4):327-33
pubmed: 19555792
Trop Med Int Health. 2009 Feb;14(2):156-66
pubmed: 19187514
BMC Pregnancy Childbirth. 2020 Apr 6;20(1):197
pubmed: 32252675
BMC Pregnancy Childbirth. 2019 Jan 29;19(1):49
pubmed: 30696409
Braz J Psychiatry. 2012 Dec;34(4):446-50
pubmed: 23429816
J Pediatr Adolesc Gynecol. 2016 Feb;29(1):11-7
pubmed: 26165914
Reprod Health. 2011 May 02;8:9
pubmed: 21535876
J Psychiatr Res. 2021 Apr;136:32-38
pubmed: 33548828
Breastfeed Med. 2015 Jul-Aug;10(6):300-4
pubmed: 26090921
Front Psychiatry. 2014 Dec 10;5:175
pubmed: 25540627
Int Breastfeed J. 2020 Feb 18;15(1):10
pubmed: 32070375
Breastfeed Med. 2019 Oct;14(8):551-559
pubmed: 31424266
Acta Psychiatr Scand. 2001 Oct;104(4):243-9
pubmed: 11722298
BMC Pregnancy Childbirth. 2016 Apr 04;16:72
pubmed: 27044437
Br J Psychiatry. 1987 Jun;150:782-6
pubmed: 3651732
S Afr J Psychiatr. 2018 Nov 12;24:1176
pubmed: 30473880
J Affect Disord. 2017 Sep;219:86-92
pubmed: 28531848
Int J Ment Health Syst. 2015 May 23;9:21
pubmed: 27408619
J Nutr. 2014 Jul;144(7):1113-9
pubmed: 24828026
Arch Womens Ment Health. 2010 Jun;13(3):201-6
pubmed: 19760051
Int Breastfeed J. 2019 Jul 9;14:30
pubmed: 31333755
Paediatr Perinat Epidemiol. 2015 Nov;29(6):505-14
pubmed: 26236987
Bull World Health Organ. 2017 Aug 01;95(8):574-583
pubmed: 28804169
Depress Res Treat. 2016;2016:4518979
pubmed: 27635258
PLoS One. 2020 Jan 10;15(1):e0227323
pubmed: 31923245
J Affect Disord. 2015 Jan 15;171:142-54
pubmed: 25305429
PLoS One. 2017 Jan 17;12(1):e0169907
pubmed: 28095461
J Clin Psychiatry. 2013 Apr;74(4):e321-41
pubmed: 23656857
BMC Pregnancy Childbirth. 2020 Mar 6;20(1):147
pubmed: 32138708
JAMA Psychiatry. 2016 Aug 1;73(8):826-37
pubmed: 27276520