Systematic Prenatal Screening for Psychosocial Risks

Harrison, Patricia A.; Sidebottom, Abbey

doi:10.1353/hpu.2008.0003

Cited by 63 publications

(77 citation statements)

References 40 publications

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“…28 The PHQ-9 has been demonstrated to be a reliable tool for assessing depressive symptomology among obstetrics-gynecology patients. 29,30 We used items from the Spanish version of the PHQ-9 used by Wulsin et al 31 To evaluate depressive symptoms over the pregnancy period, we created the response options of (1) never; (2) several weeks, over the pregnancy; (3) more than half the pregnancy; or (4) nearly the whole pregnancy. These response options differ from DSM-IV criteria in terms of duration.…”

Section: Methodsmentioning

confidence: 99%

Association Between Intimate Partner Violence, Migraine and Probable Migraine

Cripe

Sánchez

Gelaye

et al. 2010

Headache: The Journal of Head and Face Pain

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Objective Intimate partner violence (IPV) among women is a global public health problem. The association between childhood maltreatment and migraine is well established, but not the association between IPV and migraine. The aim of this cross-sectional study was to evaluate the relationship between type and severity of IPV and migraine in a large cohort of Peruvian women. Methods Women who delivered singleton infants (N=2,066) at the Instituto Nacional Materno Perinatal, Lima, Peru were interviewed during their post-partum hospital stay. Participants were queried about their lifetime experiences with headaches and migraine, and with physical and sexual violence. The International Classification of Headache Disorders (ICHD-2) diagnostic criteria were used to classify participants according to their migraine status. Questions on physical and sexual violence were adapted from the protocol of Demographic Health Survey Questionnaires and Modules: Domestic Violence Module and the World Health Organization (WHO) Multi-Country Study on Violence against Women. Depressive symptoms were assessed using the nine-item Patient Health Questionnaire Depression Subset. Logistic regression was used to estimate multivariate adjusted odds ratios (aOR) and 95% confidence intervals (CI). Results Compared with women without a history of violence, women with experiences of lifetime physical or sexual violence (aOR=1.44, 95% CI 1.19–1.75), physical violence only (aOR=1.36, 95% CI 1.10–1.68), sexual violence only (aOR=1.76, 95% CI 0.97–3.21) and both physical and sexual violence (aOR=1.61, 95% CI 1.12–2.31) had increased odds of any migraine after adjusting for maternal age, parity and access to basic foods. There was no gradient of increased odds of any migraine with severity of physical violence. The relationship between IPV and any migraine was strongest among women with depressive symptoms. The odds of any migraine was increased 2.25-fold (95% CI 1.75–2.28) among abused women who also had depressive symptoms compared with non-abused and non-depressed women. Associations from sensitivity analyses that segregated women according to probable migraine (ICHD-2 category 1.6.1) and migraine (ICHD-2 category 1.1) diagnoses were of similar magnitudes as those reported here for women with any migraine diagnoses. IPV, particularly sexual violence, appears to be a risk factor for migraine. Conclusion Our findings suggest the potential importance of considering a history of violence among migraineurs.

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Section: Methodsmentioning

confidence: 99%

Association Between Intimate Partner Violence, Migraine and Probable Migraine

Cripe

Sánchez

Gelaye

et al. 2010

Headache: The Journal of Head and Face Pain

View full text Add to dashboard Cite

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“…Current substance abuse surveillance efforts depend on either: (1) medical record review for those who elect to enroll in studies, which does not provide generalizable or gender-specific data (Harrison and Sidebottom 2008; Fabris et al 1998; Shankaran et al 1994; Funkhouser et al 1993;); (2) biologic specimen testing (Behnke 2013), which is neither systematically administered during pregnancy nor universally at the time of delivery and depends on the timing of drug usage; or (3) national surveys, which only capture self-reported medical/SUD conditions (Bada et al 2002). Epidemiologic analyses often separate the mother-child dyad into unrelated individuals, thus limiting investigation of the impact of maternal SUD and SUD treatment on subsequent birth outcomes.…”

Section: Introductionmentioning

confidence: 99%

The Prevalence and Impact of Substance Use Disorder and Treatment on Maternal Obstetric Experiences and Birth Outcomes Among Singleton Deliveries in Massachusetts

Kotelchuck

Cheng

Belanoff

et al. 2016

Matern Child Health J

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Background Despite widely-known negative effects of substance use disorders (SUD) on women, children, and society, knowledge about population-based prevalence and impact of SUD and SUD treatment during the perinatal period is limited. Methods Population-based data from 375,851 singleton deliveries in Massachusetts 2003–2007 were drawn from a maternal-infant longitudinally-linked statewide dataset of vital statistics, hospital discharges (including emergency department (ED) visits), and SUD treatment records. Maternal SUD and SUD treatment were identified from one-year pre-conception through delivery. We determined (1) the prevalence of SUD and SUD treatment; (2) the association of SUD with women’s perinatal health service utilization, obstetric experiences, and birth outcomes; and (3) the association of SUD treatment with birth outcomes, using both bivariate and adjusted analyses. Principal Findings 5.5% of Massachusetts’s deliveries between 2003–2007 occurred in mothers with SUD, but only 66% of them received SUD treatment pre-delivery. Women with SUD were poorer, less educated and had more health problems; utilized less prenatal care but more antenatal ED visits and hospitalizations, and had worse obstetric and birth outcomes. In adjusted analyses, SUD was associated with higher risk of prematurity (AOR 1.35, 95% CI 1.28–1.41) and low birthweight (LBW) (AOR 1.73, 95%CI 1.64–1.82). Women receiving SUD treatment had lower odds of prematurity (AOR 0.61, 95%CI 0.55–0.68) and LBW (AOR 0.54, 95%CI 0.49–0.61). Conclusions SUD treatment may improve perinatal outcomes among pregnant women with SUD, but many who need treatment don’t receive it. Longitudinally-linked existing public health and programmatic records provide opportunities for states to monitor SUD identification and treatment.

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“…However, systematic multidimensional prenatal risk screening is needed as a practice for identifying the highest risk pregnancies and as a source of program evaluation baseline data. 4,15 Healthy Start evaluations will need to minimize the bias induced by differences between participants and nonparticipants on a variety of risk factors that have not been considered before. In general, randomized controlled trials were not available to evaluate programs like HS.…”

Section: Discussionmentioning

confidence: 99%

Moving Toward Evidence-Based Federal Healthy Start Program Evaluations: Accounting for Bias in Birth Outcomes Studies

et al. 2014

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We used administrative and screening data from 2009 to 2010 to determine if Healthy Start (HS), an enhanced prenatal services program, is reaching the most vulnerable African American women in Kent County, Michigan. Women in HS are at higher risk of key predictors of birth outcomes compared with other women. To advance toward evidence-based HS program evaluations in the absence of randomized controlled trials, future studies using comparison groups need to appropriately establish baseline equivalence on a variety of risk factors related to birth outcomes.

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Systematic Prenatal Screening for Psychosocial Risks

Cited by 63 publications

References 40 publications

Association Between Intimate Partner Violence, Migraine and Probable Migraine

Association Between Intimate Partner Violence, Migraine and Probable Migraine

The Prevalence and Impact of Substance Use Disorder and Treatment on Maternal Obstetric Experiences and Birth Outcomes Among Singleton Deliveries in Massachusetts

Moving Toward Evidence-Based Federal Healthy Start Program Evaluations: Accounting for Bias in Birth Outcomes Studies

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