Intimate Partner Violence, Depression, and Posttraumatic Stress Disorder as Additional Predictors of Low Birth Weight Infants Among Low-Income Mothers

Rosen, Daniel; Seng, Julia S.; Tolman, Richard M.; Mallinger, Gayle

doi:10.1177/0886260507304551

Cited by 100 publications

(82 citation statements)

References 16 publications

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“…In agreement with other authors [1,19], a considerable number of pregnancies were complicated by abusive relationships. Abuse during pregnancy has been confirmed as a risk factor for reduced perinatal outcome for example premature delivery [2,27]. Results from a meta-analysis showed a 1.4 times greater odds of giving birth to a low weight infant in women exposed to abuse during pregnancy compared to unexposed women [21].…”

Section: Discussionmentioning

confidence: 99%

“…Results from a meta-analysis showed a 1.4 times greater odds of giving birth to a low weight infant in women exposed to abuse during pregnancy compared to unexposed women [21]. Depression, especially when associated with intimate partner violence, has been proven to further increase the risk for unfavorable pregnancy outcome [7,27]. Farber et al [5] hypothesized that in women with CSA experiences pregnancy may reactivate feelings of helplessness and create fears to be unable to protect the child from similar experiences.…”

Section: Discussionmentioning

confidence: 99%

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Risk factors for unfavorable pregnancy outcome in women with adverse childhood experiences

Leeners

Rath

Block³

et al. 2013

Journal of Perinatal Medicine

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Aims: To explore the association between childhood sexual abuse (CSA), physical abuse, as well as other adverse childhood experiences (ACE), and different obstetrical risk factors/behaviors. Methods: In this cohort study, obstetrical risk factors and perinatal outcome in 85 women exposed to CSA were compared to 170 matched unexposed women. CSA, physical abuse, and ACE were explored by face-to-face interviews and by questionnaire. Data on perinatal outcome were extracted from medical charts. Fisher's exact, χ 2 -test, and multiple logistic regression were used for statistical analysis. Results: During pregnancy women with CSA experiences were significantly more often smoking (31.7%/9.4%; P < 0.0001), had partners abusing drugs (10.6%/1.2%; P < 0.0005), experienced physical (16.5%/0; P < 0.0001), sexual (12.9%/0; P < 0.0001), and emotional abuse (44.7%/1.7%; P < 0.0001), reported depression (24.7%/1.8%; P < 0.0001), and suicidal ideation (10.6%/0; P < 0.0001) than women without CSA experiences. Differences in risk factors were more often correlated with physical than with sexual abuse during childhood. The probability for premature delivery was associated with CSA, physical abuse and ACE as well as with several of the risk factors investigated. Conclusion: Women with CSA, physical, and ACE present with a variety of abuse-associated obstetrical risk factors and an increased risk for premature delivery. Therefore, all types of abusive and other ACE should be considered in prenatal care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Risk factors for unfavorable pregnancy outcome in women with adverse childhood experiences

Leeners

Rath

Block³

et al. 2013

Journal of Perinatal Medicine

View full text Add to dashboard Cite

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“…Associated outcomes include pregnancy loss, 1 preterm delivery, low birth weight, and small-for-gestational age (SGA) births, 2,3,4,5 as well as sudden infant death syndrome. 6 Poor birth and developmental outcomes have also been associated with depression, 7 anxiety-related disorders, 8,9 substance use, 10,11 posttraumatic stress disorder (PTSD), 12,13 and schizophrenia. 14 Not only does prenatal psychiatric illness compromise the health of mothers and infants, treatment of preterm and SGA infants is a major healthcare expenditure in this country.…”

Section: Introductionmentioning

confidence: 99%

Psychiatric Disorders and Treatment in Low-Income Pregnant Women

Cook

Flick

Homan

et al. 2010

Journal of Women's Health

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Aims: This study estimated the prevalence of twenty-two 12-month and lifetime psychiatric disorders in a sample of 744 low-income pregnant women and the frequency that women with psychiatric disorders received treatment. Method: To identify psychiatric disorders, the Diagnostic Interview Schedule (DIS) was administered to Medicaid or Medicaid-eligible pregnant women enrolled in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC). The sample was stratified by the rural or urban location of the WIC sites in southeastern Missouri and the city of St. Louis. Eligible women were enrolled at each site until their numbers were proportional to the racial distribution of African American and Caucasian pregnant women served there. Results: The 12-month prevalence of one or more psychiatric disorders was 30.9%. Most common were affective disorders (13.6%), particularly major depressive disorder (8.2%) and bipolar I disorder (5.2%). Only 24.3% of those with a psychiatric disorder reported that they received treatment in the past year. Lifetime prevalence of at least one disorder was 45.6%, with affective disorders being the most frequent (23.5%). Caucasian women were more likely than African Americans to have at least one 12-month disorder, with the difference largely accounted for by nicotine dependence. Higher prevalence of lifetime disorders was also found in Caucasian women, particularly affective disorders and substance use disorders. There were no differences in the prevalence of 12-month or lifetime psychiatric disorders by the urban or rural residence of subjects. Conclusions: With nearly one third of pregnant women meeting criteria for a 12-month psychiatric disorder and only one fourth receiving any type of mental health treatment, comprehensive psychiatric screening during pregnancy is needed along with appropriate treatment.

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“…[60][61][62][63][64] Traumatic life events are also associated with pregnancy complications, including miscarriage, highrisk pregnancy, hyperemesis, preterm contractions, 65 and delivery complications. [66][67][68][69][70][71] Perinatal depression and eating disorder comorbidity Perinatal depression is common in women with an ED history. [10][11][12][13][14][15][16][17] 75 …”

mentioning

confidence: 99%

Eating Disorders and Trauma History in Women with Perinatal Depression

Meltzer‐Brody

Zerwas

Leserman

et al. 2011

Journal of Women's Health

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Objective: Although the prevalence of perinatal depression (depression occurring during pregnancy and postpartum) is 10%, little is known about psychiatric comorbidity in these women. We examined the prevalence of comorbid eating disorders (ED) and trauma history in women with perinatal depression. Methods: A research questionnaire was administered to 158 consecutive patients seen in a perinatal psychiatry clinic during pregnancy (n = 99) or postpartum (n = 59). Measures included Structured Clinical Interview for DSM (SCID) IV-based questions for lifetime eating psychopathology and assessments of comorbid psychiatric illness including the State/Trait Anxiety Inventory (STAI), Patient Health Questionnaire (PHQ-9), Edinburgh Postnatal Depression Scale (EPDS), and Trauma Inventory. Results: In this cohort, 37.1% reported a putative lifetime ED history; 10.1% reported anorexia nervosa (AN), 10.1% reported bulimia nervosa (BN), 10.1% reported ED not otherwise specified-purging subtype (EDNOS-P), and 7.0% reported binge eating disorder (BED). Women with BN reported more severe depression (EPDS score, 19.1, standard deviation [SD 4.3], p = 0.02; PHQ-severity 14.5, SD 7.4, p = 0.02) than the referent group of women with perinatal depression and no ED history (EPDS 13.3, SD = 6.1; PHQ 9.0, SD = 6.2). Women with AN were more likely to report sexual trauma history than the referent group (62.5% vs. 29.3%, p < 0.05), and those with BN were more likely report physical (50.0%, p < 0.05) and sexual (66.7%, p < 0.05) trauma histories. Conclusions: ED histories were present in over one third of admissions to a perinatal psychiatry clinic. Women with BN reported more severe depression and histories of physical and sexual trauma. Screening for histories of eating psychopathology is important in women with perinatal depression.

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Intimate Partner Violence, Depression, and Posttraumatic Stress Disorder as Additional Predictors of Low Birth Weight Infants Among Low-Income Mothers

Cited by 100 publications

References 16 publications

Risk factors for unfavorable pregnancy outcome in women with adverse childhood experiences

Risk factors for unfavorable pregnancy outcome in women with adverse childhood experiences

Psychiatric Disorders and Treatment in Low-Income Pregnant Women

Eating Disorders and Trauma History in Women with Perinatal Depression

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