Psychosocial factors in pregnancy and birthweight: Path analysis

Dolatian, Mahrokh; Mahmoodi, Zohreh; Majd, Hamid Alavi; Moafi, Farnoosh; Ghorbani, Maryam; Mirabzadeh, Arash

doi:10.1111/jog.12991

Cited by 22 publications

(25 citation statements)

References 47 publications

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“…3 Adjusted model used to assess factors associated with term low birth weight 17,18]. A mother's level of schooling affects her use of health care services, as women with higher socioeconomic status often attend more prenatal visits, have better knowledge regarding nutrition [43] and generally understand and observe health professionals' recommendations during pregnancy [44].…”

Section: Discussionmentioning

confidence: 99%

“…The provision of fewer prenatal health services, characterized by lower numbers of visits, has been associated with negative perinatal outcomes, such as TLBW [10,11,14]. The prevention of LBW is also conditional on compliance with nutritional guidance and lifestyle recommendations during pregnancy [43,44], including the use of multivitamin supplements containing calcium, iron and folic acid, all micronutrients essential to proper fetal growth [29], in addition to the prevention of risk behaviors, e.g. use of tobacco, alcohol and other drugs [1,45,[48][49][50][51][52].…”

Section: Discussionmentioning

confidence: 99%

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Factors associated with low birth weight at term: a population-based linkage study of the 100 million Brazilian cohort

Falcão

Silva

Almeida

et al. 2020

BMC Pregnancy Childbirth

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Background Factors associated with low birth weight at term (TLBW), a proxy for intrauterine growth restriction (IUGR), are not well-elucidated in socioeconomically vulnerable populations. This study aimed to identify the factors associated with TLBW in impoverished Brazilian women. Methods Records in the 100 Million Brazilian Cohort database were linked to those in the National System of Information on Live Births (SINASC) to obtain obstetric, maternal, birth and socioeconomic data between 2001 and 2015. Multivariate logistic regression was performed to investigate associations between variables of exposure and TLBW. Results Of 8,768,930 term live births analyzed, 3.7% presented TLBW. The highest odds of TLBW were associated with female newborns (OR: 1.49; 95% CI: 1.47–1.50), whose mothers were black (OR: 1.20; 95% CI: 1.18–1.22), had a low educational level (OR: 1.57; 95% CI: 1.53–1.62), were aged ≥35 years (OR: 1.44; 95% CI: 1.43–1.46), had a low number of prenatal care visits (OR: 2.48; 95% CI: 2.42–2.54) and were primiparous (OR: 1.62; 95% CI: 1.60–1.64). Lower odds of TLBW were found among infants whose mothers lived in the North, Northeast and Center-West regions of Brazil compared to those in the South. Conclusion Multiple aspects were associated with TLBW, highlighting the need to comprehensively examine the mechanisms underlying these factors, especially in more vulnerable Brazilian populations, in order to contribute to the elaboration of health policies and promote better conditions of life for poor and extremely poor mothers and children.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors associated with low birth weight at term: a population-based linkage study of the 100 million Brazilian cohort

Falcão

Silva

Almeida

et al. 2020

BMC Pregnancy Childbirth

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“…Psychosocial stress can be triggered from many different sources [5], and is often more prevalent among those with low socioeconomic status (SES) [6]. Increased stressful life events, perceived stress, and a lack of social support are associated with increased symptoms of depression during pregnancy [7][8][9]. Social support may buffer the effects of stress, although existing studies testing this hypothesis are limited [3].…”

Section: Introductionmentioning

confidence: 99%

Relationships between psychosocial factors during pregnancy and preterm birth in Puerto Rico

et al. 2020

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Psychosocial stress during pregnancy has been associated with adverse pregnancy outcomes including preterm birth (PTB). This has not been studied in Puerto Rico, an area with high PTB rates. Our objective was to develop a conceptual model describing the interrelationships between measures of psychosocial stress and depression, a result of stress, among pregnant women in Puerto Rico and to examine their associations with PTB. We used data from the Puerto Rico Testsite for Exploring Contamination Threats pregnancy cohort (PROTECT, N = 1,047) to examine associations among depression and different continuous measures of psychosocial stress using path analysis. Psychosocial stress during pregnancy was assessed using validated measures of perceived stress, negative life experiences, neighborhood perceptions and social support. Logistic regression was used to examine associations between psychosocial stress measures in tertiles and PTB. Perceived stress, negative life experiences, and neighborhood perceptions influenced depression through multiple pathways. Our model indicated that perceived stress had the strongest direct effect on depression, where one standard deviation (SD) increase in perceived stress was associated with a 57% SD increase in depression. Negative life experiences were directly but also indirectly, through perceived stress, associated with depression. Finally, neighborhood perceptions directly influenced negative life experiences and perceived stress and consequently had an indirect effect on depression. Psychosocial stress was not associated with PTB across any of the measures examined. Our study examined interrelationships between multiple measures of psychosocial stress and depression among a pregnant Puerto Rican population and identified negative neighborhood perceptions as important upstream factors leading to depression. Our findings highlight the

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“…If these parents receive no support in coping with these circumstances, they may adopt ineffective coping strategies 6 , which can affect the quality of the mother’s personal and social life and her ability to take care of the infant and may thus increase her anxiety 6– 8 . Under such circumstances, the mother needs emotional support from her spouse and even the society, and providing this support can diminish her anxiety 9 . Paying attention to the mother's needs and identifying the factors causing stress in her are necessary to reduce her anxiety 10 .…”

Section: Introductionmentioning

confidence: 99%

The effect of cognitive-behavioral counseling on anxiety in the mothers of infants in the NICU: A randomized controlled trial

et al. 2017

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Background: Pressures and tensions in everyone’s life can cause a wide range of mental disorders such as anxiety. One of these tensions is the birth of a baby who requires special care, which can cause personal and social problems for the mother if no appropriate measures are taken to help them. The present study was conducted to determine the effect of cognitive-behavioral counseling on anxiety in the mothers of infants in the Neonatal Intensive Care Unit. Methods: This randomized controlled trial recruited 90 women presenting to Kowsar Hospital in Qazvin in 2016. They were enrolled by convenience sampling and randomly assigned to control and intervention groups. Eight sessions were held for each group. Beck Anxiety Inventory was filled by mothers at the beginning of intervention, at the end of the eighth session and three weeks after the intervention. The data was analyzed by generalized estimating equations (GEE) method. Results: According to the results, maternal anxiety showed no significant differences between the two groups before intervention (p = 0.408 and p = 0.881). Based on GEE test, the mean score of anxiety was significantly different in the two groups (p = 0.026) immediately and three weeks after the intervention in that it was lower in the intervention group. Friedman test results also confirmed the reducing trend of mean score of anxiety in the three stages (p = 0.000). Conclusions: Counseling has a positive effect on reducing the anxiety of mothers of children with special needs, therefore it can be used to improve their condition.

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Psychosocial factors in pregnancy and birthweight: Path analysis

Abstract: According to the path analysis model, psychosocial and economic factors can directly/indirectly affect birthweight.

Cited by 22 publications

References 47 publications

Factors associated with low birth weight at term: a population-based linkage study of the 100 million Brazilian cohort

Factors associated with low birth weight at term: a population-based linkage study of the 100 million Brazilian cohort

Relationships between psychosocial factors during pregnancy and preterm birth in Puerto Rico

The effect of cognitive-behavioral counseling on anxiety in the mothers of infants in the NICU: A randomized controlled trial

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