Associations of antenatal maternal psychological distress with infant birth and development outcomes: Results from a South African birth cohort

MacGinty, RP; Kariuki, Symon M.; Barnett, Whitney; Wedderburn, Catherine J.; Hardy, Anneli; Hoffman, Nadia; Newton, Charles R.; Zar, Heather J.; Donald, Kirsten A.; Stein, Dan J.

doi:10.1016/j.comppsych.2019.152128

Cited by 26 publications

(24 citation statements)

References 72 publications

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“…The SRQ-20 has been used extensively to screen for probable CMD in primary care settings throughout sub-Saharan Africa [ 22 – 24 ]. The SRQ-20 has also been previously used with pregnant women, including across African countries [ 25 – 27 ].…”

Section: Methodsmentioning

confidence: 99%

Common mental disorders and intimate partner violence against pregnant women living with HIV in Cameroon: a cross-sectional analysis

Parcesepe¹,

Cordoba²,

Gallis³

et al. 2021

BMC Pregnancy Childbirth

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Background Women living with HIV are at increased risk of poor mental health and intimate partner violence (IPV). Mental health disorders have been consistently associated with suboptimal HIV-related outcomes. Little is known about the prevalence or correlates of mental health disorders among pregnant women living with HIV in sub-Saharan Africa. Methods This study assessed the prevalence of probable common mental disorders (CMD), i.e., depressive or anxiety disorders, and the relationship between probable CMD and recent IPV among pregnant women living with HIV in Cameroon. The sample included 230 pregnant women living with HIV aged > 18 enrolled in care at 10 HIV clinics in Cameroon. Probable CMD was assessed with the WHO Self Reporting Questionnaire (SRQ-20). Multivariable logistic regression was conducted to assess the relationship between IPV and probable CMD. Results Almost half (42%) of participants had probable CMD using a 7/8 cut-off of the SRQ-20. Emotional, physical, and sexual IPV were reported by 44, 37, and 31% of respondents, respectively. In multivariable regression analyses, all forms of IPV assessed were significantly associated with greater odds of probable CMD. Conclusions Pregnant women living with HIV in Cameroon had a high prevalence of probable CMD and IPV. Screening and services to address IPV and mental health are urgently needed for this population. Integrated interventions to both prevent and screen and address IPV and probable CMD should be developed, implemented, and evaluated.

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Section: Methodsmentioning

confidence: 99%

Common mental disorders and intimate partner violence against pregnant women living with HIV in Cameroon: a cross-sectional analysis

Parcesepe¹,

Cordoba²,

Gallis³

et al. 2021

BMC Pregnancy Childbirth

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“…In LMICs, these challenges are often experienced on a background of structural inequality, marked gender divisions, and a lack of access to Universal Health Coverage, such that women are particularly vulnerable. 13,14 Maternal psychological distress is negatively associated with measures of neonatal health including weight for age and head circumference, 13 and positively associated with ongoing respiratory morbidity in children. 6,15,16 Maternal alcohol exposure during pregnancy adversely impacts lung function at 6weeks, but this effect disappears by one-year.…”

Section: In-utero Exposuresmentioning

confidence: 99%

Improving lung health in low-income and middle-income countries: from challenges to solutions

et al. 2021

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Low-and middle-income countries (LMICs) bear a disproportionately high burden of the global morbidity and mortality caused by chronic respiratory diseases (CRDs) including asthma, chronic obstructive pulmonary disease, bronchiectasis and post-tuberculous lung disease. CRDs are strongly associated with poverty, infectious diseases, and other non-communicable diseases, and contribute to complex multi-morbidity, with significant consequences for the lives and livelihoods of those affected.The relevance of CRDs to health and socioeconomic wellbeing is expected to increase over time, as life expectancies rise and the competing risks of early childhood mortality and infectious diseases plateau. As such, the World Health Organization has identified the prevention and control of CRDs as an urgent development issue and essential to the achievement of the Sustainable Development Goals.In this review we focus on CRDs in low-and middle-income settings (LMICs). We discuss the early life origins of CRDs, challenges in prevention, diagnosis and management in LMICs, and pathways to solutions to achieve true Universal Health Coverage.

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“…Antepartum depression has been associated with adverse perinatal outcomes such as low birth weight, preterm and intrauterine growth retardation, although these finding have not been consistent [ 19 , 27 , 46 ]. Addressing adverse perinatal outcomes associated with maternal mental health is crucial in neonatal mortality reduction in LMIC.…”

Section: Discussionmentioning

confidence: 99%

“…Although, they found an association between APD and the disruption of daily function. Recently, Mac Girth and his coworkers (2020), investigated the associations between APD and infant and developmental outcomes using a South African birth cohort [ 27 ]. Therefore, we investigated the prevalence, associated factors and perinatal outcomes of antepartum depression among a cohort of pregnant women in Ibadan, Nigeria using the Ibadan Pregnancy Cohort Study.…”

Section: Introductionmentioning

confidence: 99%

Prevalence, associated factors and perinatal outcomes of antepartum depression in Ibadan Nigeria

Adeoye

Sogbesan

Esan

2022

BMC Pregnancy Childbirth

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Background Antepartum depression is the most common mental health disorder in pregnancy and it is also a risk factor for adverse perinatal outcomes. Low and middle income countries like Nigeria bear a higher burden of antepartum depression compared with high income countries. Prioritizing mental health issues among pregnant women is crucial to achieving the Sustainable Development Goals. We determined the prevalence, associated factors and perinatal outcomes of antepartum depression among pregnant women in Ibadan, Nigeria. Methods A prospective cohort study was conducted among 1745 pregnant women enrolled early in pregnancy (≤ 20 weeks) at four comprehensive obstetric facilities within Ibadan metropolis. Antepartum depression was ascertained during the third trimester using the Edinburg Postpartum Depression Scale ≥ 12. The primary exposure was antepartum depression and the outcome variables were the perinatal outcomes. The associated factors assessed included sociodemographic, obstetric, psychological, and lifestyle characteristics. Bi-variate logistic and Poisson regression analyses were used to assess the factors and relative risk for perinatal outcomes of antepartum depression. Results The prevalence of antepartum depression was 14.1%. The significant factors associated with APD after adjusting for confounders were: high income (≥ 20, 000) which was protective (AOR) = 0.59; 95% CI: (0.40 – 0.88); p-value: 0.010] and perceived stress increased the odds of APD in a monotonic fashion: moderate stress [AOR = 2.39; 95% CI: (1.01 – 5.7); p-value: 0.047], high stress [AOR = 6.43; 95% CI: (2.28 – 18.2); p-value: < 0.001]. Preterm delivery was the only significant perinatal outcome [Relative Risk (RR) = 1.66; 95% CI (1.14 – 2.39); p-value = 0.007]. Depression did not increase the risk of having low birth weight babies (p = 0.513), macrosomia (p = 0.894), birth asphyxia (p = 0.317), and caesarean section (p = 0.298). Conclusions APD was prevalent among our study population. The significant factors identified in this study can be targeted to reduce the occurrence of APD among pregnant women in Nigeria through appropriate social and public health interventions which include APD screening, counselling, and the provision of emotional support for pregnant women during antenatal care.

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Associations of antenatal maternal psychological distress with infant birth and development outcomes: Results from a South African birth cohort

Cited by 26 publications

References 72 publications

Common mental disorders and intimate partner violence against pregnant women living with HIV in Cameroon: a cross-sectional analysis

Common mental disorders and intimate partner violence against pregnant women living with HIV in Cameroon: a cross-sectional analysis

Improving lung health in low-income and middle-income countries: from challenges to solutions

Prevalence, associated factors and perinatal outcomes of antepartum depression in Ibadan Nigeria

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