Do depressive symptoms among pregnant women assisted in Primary Health Care services increase the risk of prematurity and low birth weight?

Authors

  • Anelise de Toledo Bonatti Universidade Estadual Paulista “Júlio de Mesquita Filho”, Faculdade de Medicina de Botucatu, Botucatu, SP, Brazil; Scholarship holder at the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil. http://orcid.org/0000-0001-9834-3631
  • Ana Paula dos Santos Costa Roberto Secretaria Municipal de Saúde de Botucatu, Botucatu, SP, Brazil. http://orcid.org/0000-0002-3986-2762
  • Thais de Oliveira Universidade Estadual Paulista “Júlio de Mesquita Filho”, Faculdade de Medicina de Botucatu, Botucatu, SP, Brazil. http://orcid.org/0000-0001-5030-588X
  • Milena Temer Jamas Universidade Estadual Paulista “Júlio de Mesquita Filho”, Faculdade de Medicina de Botucatu, Botucatu, SP, Brazil. http://orcid.org/0000-0002-9548-7629
  • Maria Antonieta de Barros Leite Carvalhaes Universidade Estadual Paulista “Júlio de Mesquita Filho”, Faculdade de Medicina de Botucatu, Botucatu, SP, Brazil. http://orcid.org/0000-0002-6695-0792
  • Cristina Maria Garcia de Lima Parada Universidade Estadual Paulista “Júlio de Mesquita Filho”, Faculdade de Medicina de Botucatu, Botucatu, SP, Brazil; Scholarship holder at the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil. http://orcid.org/0000-0002-9597-3635

DOI:

https://doi.org/10.1590/1518-8345.4932.3480

Keywords:

Depression, Pregnancy, Low Birth Weight Infant, Premature Infant, Prenatal Care, Primary Care Nursing

Abstract

Objective: to investigate associations between depressive symptoms during pregnancy, low birth weight, and prematurity among women with low-risk pregnancies assisted in public Primary Health Care services. Method: prospective cohort with 193 pregnant women, using the Edinburgh Postnatal Depression Scale, telephone interviews, and medical records available in the health services. Associations of interest were obtained using the Cox regression model. Results: the participants were aged 24.9 years old (median) and had 11 years of schooling (median); 82.4% lived with their partners, and gestational age at the birth was 39 weeks (median). Twenty-five percent of the participants scored ≥13 on the Edinburgh scale. Depressive symptoms did not appear associated with low birth weight (RR=2.06; CI95%=0.56-7.61) or prematurity (RR=0.86; CI95%=0.24-3.09) in the adjusted analysis. However, premature labor increased the risk of low birth weight (RR=4.81; CI95%=1.01-23.0) and prematurity (RR=7.70; CI95%=2.50-23.7). Additionally, each week added to gestational age decreased the risk of low birth weight (RR=0.76; CI95%=0.61-0.95). Conclusion: the presence of depressive symptoms among women with low-risk pregnancies was not associated with low birth weight or prematurity.

Downloads

Download data is not yet available.

Downloads

Published

2021-09-03

Issue

Vol. 29 (2021)

Section

Original Articles

License

Copyright (c) 2021 Revista Latino-Americana de Enfermagem

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Do depressive symptoms among pregnant women assisted in Primary Health Care services increase the risk of prematurity and low birth weight?. (2021). Revista Latino-Americana De Enfermagem, 29, e3480. https://doi.org/10.1590/1518-8345.4932.3480