Do depressive symptoms among pregnant women assisted in Primary Health Care services increase the risk of prematurity and low birth weight?

Autor:	Bonatti AT; Universidade Estadual Paulista 'Júlio de Mesquita Filho', Faculdade de Medicina de Botucatu, Botucatu, SP, Brazil.; Scholarship holder at the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil., Roberto APDSC; Secretaria Municipal de Saúde de Botucatu, Botucatu, SP, Brazil., Oliveira T; Universidade Estadual Paulista 'Júlio de Mesquita Filho', Faculdade de Medicina de Botucatu, Botucatu, SP, Brazil., Jamas MT; Universidade Estadual Paulista 'Júlio de Mesquita Filho', Faculdade de Medicina de Botucatu, Botucatu, SP, Brazil., Carvalhaes MABL; Universidade Estadual Paulista 'Júlio de Mesquita Filho', Faculdade de Medicina de Botucatu, Botucatu, SP, Brazil., Parada CMGL; Universidade Estadual Paulista 'Júlio de Mesquita Filho', Faculdade de Medicina de Botucatu, Botucatu, SP, Brazil.; Scholarship holder at the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil.
Jazyk:	English; Portuguese; Spanish; Castilian
Zdroj:	Revista latino-americana de enfermagem [Rev Lat Am Enfermagem] 2021 Sep 03; Vol. 29, pp. e3480. Date of Electronic Publication: 2021 Sep 03 (Print Publication: 2021).
DOI:	10.1590/1518-8345.4932.3480
Abstrakt:	Objective: to investigate associations between depressive symptoms during pregnancy, low birth weight, and prematurity among women with low-risk pregnancies assisted in public Primary Health Care services. Method: prospective cohort with 193 pregnant women, using the Edinburgh Postnatal Depression Scale, telephone interviews, and medical records available in the health services. Associations of interest were obtained using the Cox regression model. Results: the participants were aged 24.9 years old (median) and had 11 years of schooling (median); 82.4% lived with their partners, and gestational age at the birth was 39 weeks (median). Twenty-five percent of the participants scored ≥13 on the Edinburgh scale. Depressive symptoms did not appear associated with low birth weight (RR=2.06; CI95%=0.56-7.61) or prematurity (RR=0.86; CI95%=0.24-3.09) in the adjusted analysis. However, premature labor increased the risk of low birth weight (RR=4.81; CI95%=1.01-23.0) and prematurity (RR=7.70; CI95%=2.50-23.7). Additionally, each week added to gestational age decreased the risk of low birth weight (RR=0.76; CI95%=0.61-0.95). Conclusion: the presence of depressive symptoms among women with low-risk pregnancies was not associated with low birth weight or prematurity.
Databáze:	MEDLINE
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