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Depression During Pregnancy and Adverse Birth Outcomes Among Predominantly Puerto Rican Women.
Matern Child Health J. 2017 04; 21(4):942-952.MC

Abstract

Objectives To examine associations between depression and preterm birth and small-for gestational age (SGA) among women of predominantly Puerto Rican descent, a population who experiences disparities in adverse birth outcomes and one of the highest infant mortality rates in the United States. Methods Proyecto Buena Salud (PBS) was a prospective cohort study conducted from 2006 to 2011 at a large tertiary care center in Western Massachusetts. Caribbean Islander (i.e., Puerto Rican and Dominican Republic) women were interviewed in early, mid and late pregnancy. Among 1262 participants, associations between depression, assessed using the Edinburgh Postnatal Depression Scale, and risk of preterm birth and small-for-gestational age (SGA) were evaluated. Results Women with at least probable minor depression [odds ratio (OR) = 1.77 (95% confidence interval (CI) = 1.02, 3.07)] or probable major depression [OR = 1.82 (95% CI = 1.01, 3.25)] in mid-pregnancy had an increased risk of SGA compared to non-depressed women in adjusted analyses. Borderline significant associations were observed between increasing levels of depressive symptom scores in early and mid-pregnancy [OR = 1.05 (95% CI = 1.00, 1.11) and OR = 1.04 (95% CI = 1.00, 1.09), respectively] and each additional trimester of exposure to probable major depression across mid- to late pregnancy [OR = 1.66 (95% CI = 1.00, 2.74)] and SGA. Late pregnancy depression was not associated with SGA; depression during pregnancy was not associated with preterm birth. Conclusions for Practice In this population of predominantly Puerto Rican women, mid-pregnancy depression increased risk for SGA. Findings can inform culturally appropriate, targeted interventions to identify and treat pregnant women with depression.

Authors+Show Affiliations

Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA, USA. kszegda@schoolph.umass.edu.Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA, USA.Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA, USA.Department of Psychological and Brain Sciences, University of Massachusetts, Amherst, MA, USA.Baystate Medical Center, Springfield, MA, USA.Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA, USA.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

27995411

Citation

Szegda, Kathleen, et al. "Depression During Pregnancy and Adverse Birth Outcomes Among Predominantly Puerto Rican Women." Maternal and Child Health Journal, vol. 21, no. 4, 2017, pp. 942-952.
Szegda K, Bertone-Johnson ER, Pekow P, et al. Depression During Pregnancy and Adverse Birth Outcomes Among Predominantly Puerto Rican Women. Matern Child Health J. 2017;21(4):942-952.
Szegda, K., Bertone-Johnson, E. R., Pekow, P., Powers, S., Markenson, G., Dole, N., & Chasan-Taber, L. (2017). Depression During Pregnancy and Adverse Birth Outcomes Among Predominantly Puerto Rican Women. Maternal and Child Health Journal, 21(4), 942-952. https://doi.org/10.1007/s10995-016-2195-6
Szegda K, et al. Depression During Pregnancy and Adverse Birth Outcomes Among Predominantly Puerto Rican Women. Matern Child Health J. 2017;21(4):942-952. PubMed PMID: 27995411.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Depression During Pregnancy and Adverse Birth Outcomes Among Predominantly Puerto Rican Women. AU - Szegda,Kathleen, AU - Bertone-Johnson,Elizabeth R, AU - Pekow,Penelope, AU - Powers,Sally, AU - Markenson,Glenn, AU - Dole,Nancy, AU - Chasan-Taber,Lisa, PY - 2016/12/21/pubmed PY - 2018/2/27/medline PY - 2016/12/21/entrez KW - Birth outcomes KW - Latina perinatal health KW - Prenatal depression KW - Preterm birth KW - Small-for-gestational age SP - 942 EP - 952 JF - Maternal and child health journal JO - Matern Child Health J VL - 21 IS - 4 N2 - Objectives To examine associations between depression and preterm birth and small-for gestational age (SGA) among women of predominantly Puerto Rican descent, a population who experiences disparities in adverse birth outcomes and one of the highest infant mortality rates in the United States. Methods Proyecto Buena Salud (PBS) was a prospective cohort study conducted from 2006 to 2011 at a large tertiary care center in Western Massachusetts. Caribbean Islander (i.e., Puerto Rican and Dominican Republic) women were interviewed in early, mid and late pregnancy. Among 1262 participants, associations between depression, assessed using the Edinburgh Postnatal Depression Scale, and risk of preterm birth and small-for-gestational age (SGA) were evaluated. Results Women with at least probable minor depression [odds ratio (OR) = 1.77 (95% confidence interval (CI) = 1.02, 3.07)] or probable major depression [OR = 1.82 (95% CI = 1.01, 3.25)] in mid-pregnancy had an increased risk of SGA compared to non-depressed women in adjusted analyses. Borderline significant associations were observed between increasing levels of depressive symptom scores in early and mid-pregnancy [OR = 1.05 (95% CI = 1.00, 1.11) and OR = 1.04 (95% CI = 1.00, 1.09), respectively] and each additional trimester of exposure to probable major depression across mid- to late pregnancy [OR = 1.66 (95% CI = 1.00, 2.74)] and SGA. Late pregnancy depression was not associated with SGA; depression during pregnancy was not associated with preterm birth. Conclusions for Practice In this population of predominantly Puerto Rican women, mid-pregnancy depression increased risk for SGA. Findings can inform culturally appropriate, targeted interventions to identify and treat pregnant women with depression. SN - 1573-6628 UR - https://neuro.unboundmedicine.com/medline/citation/27995411/Depression_During_Pregnancy_and_Adverse_Birth_Outcomes_Among_Predominantly_Puerto_Rican_Women_ L2 - https://doi.org/10.1007/s10995-016-2195-6 DB - PRIME DP - Unbound Medicine ER -