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Impacto de desórdenes mentales antenatales comunes en los resultados perinatales en Etiopía: El P‐MaMiE, un estudio de cohortes basado en la comunidad
Author(s) -
Hanlon Charlotte,
Medhin Girmay,
Alem Atalay,
Tesfaye Fikru,
Lakew Zufan,
Worku Bogale,
Dewey Michael,
Araya Mesfin,
Abdulahi Abdulreshid,
Hughes Marcus,
Tomlinson Mark,
Patel Vikram,
Prince Martin
Publication year - 2009
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2008.02198.x
Subject(s) - medicine , psychosocial , pregnancy , population , low birth weight , obstetrics , birth weight , cohort , worry , cohort study , relative risk , pediatrics , environmental health , psychiatry , anxiety , confidence interval , genetics , biology
Summary 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 ≥ 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 ≥ 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.