Effects of posttraumatic stress disorder on pregnancy outcomes
| Autor: | Kimberly A. Yonkers, Kathleen Belanger, Heather B. Howell, Jessica Medina, Karalee Poschman, Megan V. Smith, Shari S. Rogal |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
medicine.medical_specialty behavioral disciplines and activities Article Cohort Studies Stress Disorders Post-Traumatic Child of Impaired Parents Pregnancy mental disorders Prevalence Humans Medicine Prospective Studies Psychiatry Mini-international neuropsychiatric interview Primary Health Care business.industry Obstetrics Panic disorder Infant Newborn Pregnancy Outcome Infant Infant Low Birth Weight medicine.disease Psychiatry and Mental health Clinical Psychology Low birth weight Premature birth Minor depressive disorder Female medicine.symptom business Infant Premature Anxiety disorder Cohort study |
| Zdroj: | Journal of Affective Disorders. 102:137-143 |
| ISSN: | 0165-0327 |
| DOI: | 10.1016/j.jad.2007.01.003 |
| Popis: | Background The purpose of this study was to determine the association between posttraumatic stress disorder (PTSD), diagnosed prospectively during pregnancy, and the risk of delivering a low birth weight ( Methods Pregnant women were recruited from obstetrics clinics and screened for major and minor depressive disorder, panic disorder, PTSD, and substance use. Current episodes of PTSD were diagnosed according to the MINI International Neuropsychiatric Interview, and pregnancy outcomes were abstracted from hospital records. Results Among the 1100 women included in analysis, 31 (3%) were in episode for PTSD during pregnancy. Substance use in pregnancy, panic disorder, major and minor depressive disorder, and prior preterm delivery were significantly associated with a diagnosis of PTSD. Preterm delivery was non-significantly higher in pregnant women with (16.1%) compared to those without (7.0%) PTSD (OR = 2.82, 95% C.I. 0.95, 8.38). Low birth weight (LBW) was present in 6.5% of women and was not significantly associated with a diagnosis of PTSD in pregnancy after adjusting for potential confounders. However, LBW was significantly associated with minor depressive disorder (OR = 1.82, 95% C.I. 1.01, 3.29). Limitations There was a low prevalence of PTSD in this cohort, resulting in limited power. Conclusions These data suggest a possible association between PTSD and preterm delivery. Coupled with the association found between LBW and a depressive disorder, these results support the utility of screening for mental health disorders in pregnancy. |
| Databáze: | OpenAIRE |
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