Sintomas depressivos na gestação e fatores associados: estudo longitudinal

Lima, Marlise de Oliveira Pimentel; Tsunechiro, Maria Alice; Bonadio, Isabel Cristina; Murata, Marcella

doi:10.1590/1982-0194201700007

Cited by 47 publications

(65 citation statements)

References 25 publications

(38 reference statements)

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“…No tocante aos determinantes intermediários, quanto ao nível educacional, sabe-se que gestantes com maior escolaridade apresentam menor chance de desenvolver sintomas depressivos (17) , sendo considerado um fator de proteção à sua saúde. Em contrapartida, o baixo nível de escolaridade é uma barreira para o acesso a informações e é um preditor significativo de mortalidade (18) .…”

Section: Discussionunclassified

Determinantes sociais da saúde de gestantes acompanhadas no pré-natal de alto risco

et al. 2020

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Determinantes sociais da saúde de gestantes acompanhadas no prénatal de alto riscoSocial determinants of health of high-risk pregnant women during prenatal follow-up RESUMO Objetivo: avaliar os determinantes sociais da saúde de gestantes acompanhadas no pré-natal de alto risco. Métodos: estudo observacional e transversal, realizado com 276 gestantes de alto risco. A coleta deu-se mediante aplicação de questionário estruturado acerca dos determinantes sociais da saúde, além de dados clínicos e obstétricos das mulheres. Os dados foram analisados através do programa estatístico Jamovi®, versão 0.9, e discutidos segundo o Modelo de Dahlgren e Whitehead. Resultados: as condições individuais; o comportamento e estilo de vida; a rede social e comunitária; e a condição de vida, tais como: trabalho, saúde, educação, saneamento básico e habitação podem constituir fator de risco ou de proteção à saúde da gestante. Conclusão: determinantes como idade, raça, tipo de gestação, nível educacional, a situação de moradia e o acesso aos serviços de saúde foram considerados favoráveis à saúde da maioria das gestantes, porém, a prevalência de gravidez não planejada como comportamento desfavorável. ABSTRACT Objective: to evaluate the social determinants of health of high-risk pregnant women during prenatal follow-up. Methods: observational and cross-sectional study with 276 high-risk pregnant women. Data were collected by applying a structured questionnaire about the social determinants of health, as well as clinical and obstetric data from highrisk pregnant women. Data were analyzed using the Jamovi® statistical software, version 0.9, and discussed according to the Dahlgren and Whitehead's Model. Results: individual conditions; behavior and lifestyle; social and community network; and the condition of life, such as work, health, education, sanitation and housing may constitute a risk or health protection factor for pregnant women. Conclusion: determinants such as age, race, type of pregnancy, educational level, housing situation and access to health services were considered favorable to the health of most pregnant women, but the prevalence of unplanned pregnancy as unfavorable behavior.

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Section: Discussionunclassified

Determinantes sociais da saúde de gestantes acompanhadas no pré-natal de alto risco

et al. 2020

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“…18 A longitudinal study conducted with 272 pregnant women to identify the frequency of depressive symptoms during pregnancy and to determine its association with sociodemographic, obstetric and health variables revealed that psychological violence was a risk factor for the presence of depressive symptoms during pregnancy and for postpartum depression symptoms when the main aggressors were the partner and family members. 19 However, it is important to point out that psychological violence is often unnoticed at the health services, therefore it is the less considered than the other types of violent acts. Thus, the high prevalence detected is important to sensitize health professionals, managers and researchers, as well as the victims themselves, for this type of violence and its negative repercussions on women's health, specifically regarding their mental health.…”

Section: Discussionmentioning

confidence: 99%

Violence and depressive symptoms during pregnancy in BRISA cohort: using structural equation modeling approach

Ribeiro

Batista

Ribeiro

et al. 2019

Rev. Bras. Saude Mater. Infant.

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Objectives: to analyze associations among violence against pregnant women, depressive symptoms during pregnancy and maternal depression symptoms. Methods: a sample of 1,139 mothers was conducted on a prenatal cohort study in the municipality of São Luís in Brazil. Psychological and physical violence against pregnant women were measured by the World Health Organization Violence Against Woman. Depressive symptoms during pregnancy were measured by the Escala de Depressão do Centro de Estudos Epidemiológicos (CES-D) (Depression Scale for Epidemiological Studies Center) and maternal depression symptoms were measured by the Edinburgh Postnatal Depression Scale (EPDS). The conceptual model of the structural equation modeling contained socioeconomic situation, social support, psychological and physical violence and depression during pregnancy as determinants of the maternal depression symptoms. Results: maternal depression symptoms were more frequently reported by pregnant women who suffered psychological violence (Standardized Coefficient, SC=0.256; p-value, p<0.001), physical violence (SC=0.221 p<0.001) and those who presented depressive symptoms during pregnancy SC=0.322, p<0.001). Depressive symptoms during pregnancy mediated the effects on physical and psychological violence on maternal depression. Conclusions: pregnant women who were submitted to psychological and physical violence and presented depressive symptoms during pregnancy frequently reported more of having maternal depression symptoms.

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“…It is important to emphasize the importance of the professionals to direct their attention to the complaints of these mothers, without trivializing them, involving them with positive thoughts in the attempt to reduce their anguish of childbirth, increasing maternal-fetal attachment and; when it deems necessary, to request support from specialized mental health professionals (Lima et al, 2017).…”

Section: Treatmentmentioning

confidence: 99%

The Influence of Postpartum Depression on Infant Behavior

Silva¹,

Bernardo²,

Silva

et al. 2018

AIMJ

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Postpartum depression can reach up to 15% of pregnant women in developed countries, 25% in underdeveloped countries and up to 40% throughout the perinatal period. Depressive mothers interact less with their children, they show less love and affection, and this may have an impact on the lives of these infants in the future. Babies who lived in this context had problems with language acquisition, cognitive impairment, delay in achieving developmental milestones, attachment insecure, low self-esteem. It is essential that the diagnosis of depression be made as early as possible so that therapeutic and preventive measures are implemented in a timely manner in order to provide healthy child growth and ensure the good mental health of these mothers.Keywords: Postpartum depression; childish behaviour; mother-child relationship; diagnosis; pharmacological treatment; combination therapy;

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Sintomas depressivos na gestação e fatores associados: estudo longitudinal

Cited by 47 publications

References 25 publications

Determinantes sociais da saúde de gestantes acompanhadas no pré-natal de alto risco

Determinantes sociais da saúde de gestantes acompanhadas no pré-natal de alto risco

Violence and depressive symptoms during pregnancy in BRISA cohort: using structural equation modeling approach

The Influence of Postpartum Depression on Infant Behavior

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