The impact of maternal experience of violence and common mental disorders on neonatal outcomes: a survey of adolescent mothers in Sao Paulo, Brazil


Ferri, CP; Mitsuhiro, SS; Barros, MCM; Chalem, E; Guinsburg, R; Patel, V; Prince, M; Laranjeira, R; (2007) The impact of maternal experience of violence and common mental disorders on neonatal outcomes: a survey of adolescent mothers in Sao Paulo, Brazil. BMC Public Health, 7. p. 165. ISSN 1471-2458 DOI: https://doi.org/10.1186/1471-2458-7-165

[img]
Preview
Text - Published Version
License:

Download (744kB) | Preview

Abstract

Background: Both violence and depression during pregnancy have been linked to adverse neonatal outcomes, particularly low birth weight. The aim of this study was to investigate the independent and interactive effects of these maternal exposures upon neonatal outcomes among pregnant adolescents in a disadvantaged population from Sao Paulo, Brazil. Methods: 930 consecutive pregnant teenagers, admitted for delivery were recruited. Violence was assessed using the Californian Perinatal Assessment. Mental illness was measured using the Composite International Diagnostic Interview ( CIDI). Apgar scores of newborns were estimated and their weight measured. Results: 21.9% of mothers reported lifetime violence ( 2% during pregnancy) and 24.3% had a common mental disorder in the past 12 months. The exposures were correlated and each was associated with low education. Lifetime violence was strongly associated with Common Mental Disorders. Violence during pregnancy ( PR = 2.59( 1.05 - 6.40) and threat of physical violence ( PR = 1.86( 1.03 - 3.35) and any common mental disorders ( PR = 2.09 ( 1.21 - 3.63) ( as well as depression, anxiety and PTSD separately) were independently associated with low birth weight. Conclusion: Efforts to improve neonatal outcomes in low income countries may be neglecting two important independent, but correlated risk factors: maternal experience of violence and common mental disorder.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Nutrition and Public Health Interventions Research (2003-2012)
Research Centre: Centre for Maternal, Reproductive and Child Health (MARCH)
PubMed ID: 17659078
Web of Science ID: 250090500001
URI: http://researchonline.lshtm.ac.uk/id/eprint/8504

Statistics


Download activity - last 12 months
Downloads since deposit
421Downloads
297Hits
Accesses by country - last 12 months
Accesses by referrer - last 12 months
Impact and interest
Additional statistics for this record are available via IRStats2

Actions (login required)

Edit Item Edit Item