Anxiety and depressive symptoms in pregnancy predict low birth weight differentially in male and female infants—findings from an urban pregnancy cohort in India

Chandra, Prabha S.; Bajaj, Aakash; Desai, Geetha; Satyanarayana, Veena A.; Sharp, Helen; Ganjekar, Sundarnag; Supraja, T. A.; Jangam, Kavita V.; Venkatram, Latha; Thennarasu, Kandavel

doi:10.1007/s00127-021-02106-9

Cited by 8 publications

(4 citation statements)

References 66 publications

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“…A similar study explaining the effect of anxiety during pregnancy on low birth weight conducted by Yonkers et al (2017) found that pregnant women who experience anxiety have a risk of giving birth to babies with low birth weight by 1.55 times compared to those who do not experience anxiety during pregnancy (aOR= 1.55; 95% CI= 0.82 to 2.92). Chandra et al (2021) in their study stated that antepartum mental disorders can increase the risk of low birth weight. Anxiety has been shown to be associated with hyperactivity of the hypothalamic-pituitary-adrenal (HPA) axis, when triggered by the stressor of the HPA axis, it stimulates cortisol secretion throughout the body.…”

Section: Anxiety During Pregnancy On Lowmentioning

confidence: 97%

Meta-Analysis: The Effect of Anxiety During Pregnancy on the Risk of Premature Birth and Low Birth Weight in Infants

Suparno

Budihastuti

Murti

2021

J Matern Child Health

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Background: Pregnancy can be defined as the process of meeting spermatozoa with the ovum which is followed by attachment of the embryo to the uterine wall, in the process of pregnancy according to some or almost all women it becomes a happy process or causes anxiety due to the occurrence of many physiological and psychological changes, so that if it is not treated seriously then will have an impact on the baby such as premature birth and low birth weight. This study aims to estimate the magnitude of the effect of anxiety during pregnancy on premature birth and low birth weight with a meta-analysis study. Subjects and Method: This was a meta-analysis and systematic review conducted with PRISMA flow diagrams. Population= pregnant women, Intervention= anxiety, Comparison= not anxious, Outcomes= premature birth and low birth weight. Search articles through journal databases include: Google Scholar, PubMed, Science Direct. The articles used in this study are articles that have been published from 2000-2021. The keywords to search for articles were as follows: "antenatal anxiety" OR "pregnancy anxiety" OR "anxiety during pregnancy" OR "anxiety disorder" OR anxiety OR pregnancy AND "Perinatal outcomes" OR "adverse birth outcome" OR "neonatal outcome" OR "low birth weight" OR "Low Birth Weight" AND "preterm birth" OR "preterm infant". The inclusion criteria were full text with a cohort study design, articles in English, analysis used multivariate with adjusted odds ratio. Eligible articles were analyzed using the Revman5 application. Results: 10 observational studies showed that anxiety during pregnancy increased the risk of preterm delivery by 1.49 times compared with no anxiety (aOR=1.49; 95% CI 1.33 to 1.66; p<0.001). A meta-analysis of 7 observational studies showed that anxiety during pregnancy increased the risk of low birth weight by 1.55 times compared with no anxiety (aOR=1.55; 95% CI 1.26 to 1.91; p<0.001). Conclusion: Anxiety during pregnancy increases the risk of premature birth and low birth weight.

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Section: Anxiety During Pregnancy On Lowmentioning

confidence: 97%

Meta-Analysis: The Effect of Anxiety During Pregnancy on the Risk of Premature Birth and Low Birth Weight in Infants

Suparno

Budihastuti

Murti

2021

J Matern Child Health

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“…An overwhelming majority of studies (10 of 13) that examined experience of physical IPV during pregnancy and LBW, found a significantly increased risk of LBW [6,[47][48][49][50][51][52][53][54][55][56][57][58]. Similarly, ten of thirteen studies examining experience of combined IPV during pregnancy and LBW found that gestational experience of combined IPV significantly increased risk of LBW [6,[47][48][49][59][60][61][62][63][64][65][66][67]. Experience of sexual IPV during pregnancy was significantly associated with increased risk of LBW in three of ten studies that examined this association [6, 47-50, 52, 53, 56, 57, 68].…”

Section: Associations With Low Birth Weight (Lbw)mentioning

confidence: 99%

Linkages between maternal experience of intimate partner violence and child nutrition outcomes: A rapid evidence assessment

Bhatt Carreno,

Orjuela-Grimm,

Vahedi

et al. 2024

PLoS ONE

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Background A strong evidence base indicates that maternal caregivers’ experience of intimate partner violence [IPV] impacts children’s health, cognitive development, and risk-taking behaviors. Our objective was to review peer-reviewed literature describing the associations between a child’s indirect exposure to IPV and corresponding nutrition outcomes, with a particular focus on fragile settings in low and middle-income countries [LMICs]. Methods We conducted a rapid evidence assessment to synthesize quantitative associations between maternal caregivers’ IPV experience and children’s nutrition/growth outcomes (birthweight, feeding, and growth indicators). We included peer-reviewed research, published in English or Spanish after the year 2000, conducted in fragile settings in LMICs. Results We identified 86 publications that fit inclusion criteria. Amongst all associations assessed, a maternal caregiver’s experience of combined forms of IPV (physical, sexual and emotional) or physical IPV only, were most consistently associated with lower birthweight, especially during pregnancy. Women of child-bearing age, including adolescents, exposed to at least one type of IPV showed a decreased likelihood of following recommended breastfeeding practices. Lifetime maternal experience of combined IPV was significantly associated with stunting among children under 5 years of age in the largest study included, though findings in smaller studies were inconsistent. Maternal experience of physical or combined IPV were inconsistently associated with underweight or wasting in the first five years. Maternal experience of sexual IPV during pregnancy appeared to predict worsened lipid profiles among children. Conclusion Maternal caregivers’ experience of IPV is significantly associated with low birthweight and suboptimal breastfeeding practices, whereas studies showed inconsistent associations with child growth indicators or blood nutrient levels. Future research should focus on outcomes in children aged 2 years and older, investigation of feeding practices beyond breastfeeding, and examination of risk during time periods physiologically relevant to the outcomes. Programmatic implications include incorporation of GBV considerations into nutrition policies and programming and integrating GBV prevention and response into mother and child health and nutrition interventions in LMIC contexts.

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“… 6 Another important example is the more recent Thirthalli Cohort. 7 There are many other examples of prospective cohorts, such as the Prospective Assessment of Maternal Mental Health Study, 8 but these are considerably shorter studies. India does not yet have a digitized health care structure that would allow retrospective cohorts to be constructed.…”

Section: Implications For Research In Indiamentioning

confidence: 99%

Research Design: Cohort Studies

Andrade

2022

Indian Journal of Psychological Medicine

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In a cohort study, a group of subjects (the cohort) is followed for a period of time; assessments are conducted at baseline, during follow-up, and at the end of follow-up. Cohort studies are, therefore, empirical, longitudinal studies based on data obtained from a sample; they are also observational and (usually) naturalistic. Analyses can be conducted for the cohort as a whole or for subgroups amongst which comparisons can be drawn. Because there is no randomization to the subgroups of interest, cause and effect relationships cannot be determined, and relationships between variables must be stated as associations that may or may not be influenced by confounding. The cohort that is studied can be prospectively or retrospectively defined, and each method has its advantages and disadvantages. These and other issues are explained with the help of examples. A special note is made of cohort studies in Indian psychiatry.

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Anxiety and depressive symptoms in pregnancy predict low birth weight differentially in male and female infants—findings from an urban pregnancy cohort in India

Cited by 8 publications

References 66 publications

Meta-Analysis: The Effect of Anxiety During Pregnancy on the Risk of Premature Birth and Low Birth Weight in Infants

Meta-Analysis: The Effect of Anxiety During Pregnancy on the Risk of Premature Birth and Low Birth Weight in Infants

Linkages between maternal experience of intimate partner violence and child nutrition outcomes: A rapid evidence assessment

Research Design: Cohort Studies

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