The specific and combined role of domestic violence and mental health disorders during pregnancy on new-born health
| Autor: | Adriana Cristina Argeu, Guilherme V. Polanczyk, Luis Augusto Rohde, Sandra Josefina Ferraz Elllero Grisi, Bacy Fleitlich-Bilyk, Alexandre Archanjo Ferraro, Euripedes Constantino Miguel |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Urban Population Birth weight RECÉM-NASCIDO DE BAIXO PESO Prenatal care lcsh:Gynecology and obstetrics Mental health disorders Domestic violence Young Adult 03 medical and health sciences 0302 clinical medicine Pregnancy Risk Factors medicine Humans Infant Health 030212 general & internal medicine Psychiatry Poverty lcsh:RG1-991 Sexual violence Birth length business.industry Mental Disorders Public health Infant Newborn Obstetrics and Gynecology Mental health 030227 psychiatry Pregnancy Complications Prenatal Exposure Delayed Effects Infant Small for Gestational Age Premature Birth Anxiety Female Pregnant Women medicine.symptom business Psychosocial Brazil Research Article |
| Zdroj: | BMC Pregnancy and Childbirth, Vol 17, Iss 1, Pp 1-10 (2017) BMC Pregnancy and Childbirth Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP |
| ISSN: | 1471-2393 |
| DOI: | 10.1186/s12884-017-1438-x |
| Popis: | Background Addressing impaired foetal growth is recognized as a public health priority. Certain risk factors for this condition, such as poor nutritional status at birth, have been found to be highly correlated with poverty. However, the role of psychosocial factors, specifically the mother’s mental health and exposure to violence during pregnancy, have yet to be further explored. Our objective was to determine if there is a measurable association between combined psychosocial factors, specifically domestic violence and mental disorders, and birth outcomes, specifically birth nutritional status and preterm delivery. Methods We followed 775 women from an underserved, urban area, beginning their 28th week of gestation. Diagnostic interviews were performed to determine if any of the mothers had any of the following disorders: mood disorder, anxiety, obsessive–compulsive disorder (OCD), substance dependence, psychotic disorder, or anti-social personality disorder. Physical, psychological, and sexual domestic violence were also assessed. Results Domestic violence and mental disorders were highly correlated in our sample. About 27.15% of the women in our study experienced domestic violence, and about 38.24% of them were diagnosed with mental disorders. The main association we found between combined psychosocial factors and neonate outcomes was between anxiety (IRR = 1.83; 95%CI = 1.06–3.17)/physical violence (IRR = 1.95; 95%CI = 1.11–3.42) and the rate of small-for-gestational age (SGA) in new-borns. More specifically, the combination of anxiety (beta = −0.48; 95%CI = −0.85/−0.10) and sexual violence (beta = −1.58; 95%CI = −2.61/−0.54) was also associated with birth length. Maternal risk behaviours such as smoking, drinking, inadequate prenatal care, and inadequate weight gain could not sufficiently explain these associations, suggesting that these psychosocial factors may be influencing underlying biological mechanisms. Conclusion Domestic violence against women and mental disorders amongst pregnant women are extremely prevalent in under-resourced, urban areas and ultimately, have detrimental effects on birth outcomes. It is imperative that actions be taken to prevent violence and improve mental health during pregnancy. Electronic supplementary material The online version of this article (doi:10.1186/s12884-017-1438-x) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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