Symptoms of antenatal common mental disorders, preterm birth and low birthweight: a prospective cohort study in a semi‐rural district of <scp>V</scp>ietnam

Niemi, Maria; Falkenberg, Torkel; Petzold, Max; Chúc, Nguyễn Thị Kim; Patel, Vikram

doi:10.1111/tmi.12101

Cited by 34 publications

(38 citation statements)

References 38 publications

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“…Women with psychiatric disorders have been shown to be less likely to access prenatal care and are more likely to smoke or use alcohol or illicit drugs during pregnancy [4-6]. The latter was also observed in our data, although we may be subject to underreporting of substance abuse compared to other studies and interview data [17,36]. However, we assume that the most severe cases of substance abuse are reported in the pregnancy-related medical records and most women are truly non-users.…”

Section: Discussionsupporting

confidence: 68%

Maternal psychiatric disorders and risk of preterm birth

Männistö

Mendola²,

Kiely

et al. 2016

Annals of Epidemiology

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Purpose To study the effect of maternal psychiatric disorders (depression, anxiety disorder, bipolar disease, schizophrenia, unspecified psychiatric disorder, and comorbid conditions) and odds of preterm birth. Methods The Consortium on Safe Labor (2002-2008), an observational cohort with 12 centers from across the U.S. included 223,394 singleton pregnancies with clinical data obtained from electronic medical records and maternal diagnoses of psychiatric disorders from maternal discharge summaries. Length of gestation was based on the best clinical estimate and categorized as birth <39, <37, <34 and <28 weeks’ gestation. The adjusted odds ratios (ORs) with 95% confidence intervals of birth were estimated by logistic regression with generalized estimating equations. Results Any maternal psychiatric disorder was associated with odds of birth <39 weeks’ gestation (OR=1.32, 95% confidence interval 1.28-1.37), <37 weeks’ gestation (OR=1.45, 1.38-1.52), <34 weeks’ gestation (OR=1.47, 1.35-1.59) and <28 weeks’ gestation (OR=1.57, 1.36-1.82). Specifically, odds of birth <37 weeks’ gestation were associated with maternal depression (OR=1.31, 1.23-1.40), anxiety disorder (OR=1.68, 1.41-2.01), depression with anxiety disorder (OR=2.31, 1.93-2.78), bipolar disease (OR=1.54, 1.22-1.94), bipolar disease with depression and=or anxiety disorder (OR=1.70, 1.30-2.22) and unspecified psychiatric disorder (OR=1.52, 1.41-1.64). Conclusions Maternal psychiatric disorders, especially comorbid psychiatric conditions, were associated with increased likelihood of preterm birth.

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Section: Discussionsupporting

confidence: 68%

Maternal psychiatric disorders and risk of preterm birth

Männistö

Mendola²,

Kiely

et al. 2016

Annals of Epidemiology

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“…The women who were interviewed individually were recruited from a list of participants from a previous study (Niemi et al 2013), where the prevalence of antenatal depression had been assessed. A preliminary analysis in that study found 19 mothers with probable antenatal depression, and of those, the women were selected who lived within a 5 km radius of the community health centre where the interviews were conducted.…”

Section: Participantsmentioning

confidence: 99%

The Experience of Perinatal Depression and Implications for Treatment Adaptation: A Qualitative Study in a Semi-rural District in Vietnam

et al. 2014

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This study sought to provide an understanding of how perinatal depression is experienced, and how interventions targeting it should be adapted to suit the local context. The study was conducted in a semi-rural district in Vietnam. It comprised of individual interviews with nine women who obtained high scores in a depression selfreport measure during pregnancy, two focus group discussions (FGDs) with health workers from the local community health stations, and two FGDs with elderly women from the local community. Interviews addressed the experience of depression during pregnancy and FGDs addressed the perceptions of depression and the suitability and provision of a mindfulness intervention. Interventions targeting perinatal depression should take into account the particular social aspects that may be intimately linked to its causation and course. The causation of depression was deemed to be predominantly social, including problems between family members and son preference. The mindfulness intervention was thought suitable for the local context. Delivery through well-supported community meetings was recommended. A locally adapted intervention is thus deemed suitable for the local context, and could be provided as a component of a stepped-care model for depression treatment. The results of this study may not be generalizable beyond the group studied, or the context of Ba Vi, Vietnam.

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“…The prevalence of anaemia in pregnant women is reported to be up to 53% in some very poor areas [33]. Studies have consistently provided evidence for high prevalence of CMD in women during pregnancy and after childbirth, in particular in the least well-resourced rural areas [34-36]. …”

Section: Introductionmentioning

confidence: 99%

Infant motor development in rural Vietnam and intrauterine exposures to anaemia, iron deficiency and common mental disorders: a prospective community-based study

Tran

Simpson

et al. 2014

BMC Pregnancy Childbirth

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BackgroundAntenatal anaemia, iron deficiency and common mental disorders (CMD) are prevalent in low- and middle-income countries. The aim of this study was to examine the direct and indirect effects of antenatal exposures to these risks and infant motor development.MethodsA cohort of women who were pregnant with a single foetus and between 12 and 20 weeks pregnant in 50 randomly-selected rural communes in Ha Nam province was recruited. Participants provided data twice during pregnancy (early and late gestation) and twice after giving birth (8 weeks and 6 months postpartum). The Edinburgh Postnatal Depression Scale was used at all four data collection waves to detect CMD (score ≥ 4). Maternal anaemia (Hb < 11 g/dL) and iron deficiency (ferritin < 15 ng/mL) were evaluated at early and late gestation. Infants’ motor development was assessed by the Bayley of Infant and Toddler Development Motor Scales (BSID-M) at the age of six months. Direct and indirect effects of the exposures on the outcome were examined with Path analysis.ResultsIn total, 497 of 523 (97%) eligible pregnant women were recruited and 418 mother-infant pairs provided complete data and were included in the analyses. The prevalence of anaemia was 21.5% in early pregnancy and 24.4% in late pregnancy. There was 4.1% iron deficiency at early pregnancy and 48.2% at late pregnancy. Clinically significant symptoms of CMD were apparent among 40% women in early pregnancy and 28% in late pregnancy. There were direct adverse effects on infant BSID-M scores at 6 months of age due to antenatal anaemia in late pregnancy (an estimated mean reduction of 2.61 points, 95% Confidence Interval, CI, 0.57 to 4.65) and CMD in early pregnancy (7.13 points, 95% CI 3.13 to 11.13). Iron deficiency and anaemia in early pregnancy were indirectly related to the outcome via anaemia during late pregnancy.ConclusionsAntenatal anaemia, iron deficiency, and CMD have a negative impact on subsequent infant motor development. These findings highlight the need to improve the quality of antenatal care when developing interventions for pregnant women that aim to optimise early childhood development in low- and middle-income countries.

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Symptoms of antenatal common mental disorders, preterm birth and low birthweight: a prospective cohort study in a semi‐rural district of Vietnam

Cited by 34 publications

References 38 publications

Maternal psychiatric disorders and risk of preterm birth

Maternal psychiatric disorders and risk of preterm birth

The Experience of Perinatal Depression and Implications for Treatment Adaptation: A Qualitative Study in a Semi-rural District in Vietnam

Infant motor development in rural Vietnam and intrauterine exposures to anaemia, iron deficiency and common mental disorders: a prospective community-based study

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