Depressive symptomatology during pregnancy: evidence for an association with decreased fetal growth in pregnancies of lower social class women.
Health Psychol
; 19(6): 535-43, 2000 Nov.
Article
em En
| MEDLINE
| ID: mdl-11129356
ABSTRACT
The relationship between depressive symptom scores on the Center for Epidemiological Studies Depression Scale (CES-D; L. S. Radloff, 1977) at each trimester of pregnancy and a decrement in either fetal growth or gestational duration was evaluated among 666 pregnant women. There was no association overall, but among 222 women from lower occupational status households, each unit increase on the CES-D at 28 weeks gestation was associated with a reduction of 9.1 g (95% confidence interval [CI] = -16.0, -2.3) in gestational-age-adjusted birth weight. When missing data were multiply imputed, the estimate was -4.6 g (95% CI = - 10.7, 1.5). CES-D score was unrelated to fetal growth or gestational duration in analyses among other potentially high-risk subgroups smokers, women with a history of adverse outcome, and women with social vulnerabilities. These results raise the possibility that among lower status women, depressive mood may be associated with restricted fetal growth.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pobreza
/
Complicações na Gravidez
/
Recém-Nascido Pequeno para a Idade Gestacional
/
Transtorno Depressivo
/
Retardo do Crescimento Fetal
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Limite:
Adult
/
Female
/
Humans
/
Newborn
/
Pregnancy
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Health Psychol
Ano de publicação:
2000
Tipo de documento:
Article
País de afiliação:
Estados Unidos