Preconception Health Among Women with Frequent Mental Distress: A Population-Based Study

Farr, Sherry L.; Bish, Connie L.

doi:10.1089/jwh.2012.3722

Cited by 18 publications

(11 citation statements)

References 21 publications

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“…13 On the other hand, women who are sedentary, have poor diets or skip meals during pregnancy are also more likely to have associated risk factors such as smoking, low social support, poor mental health, and poor overall health. 52-54 …”

Section: Discussionmentioning

confidence: 99%

Preconception Nutrition, Physical Activity, and Birth Outcomes in Adolescent Girls

Xie

Madkour

Harville

2015

Journal of Pediatric and Adolescent Gynecology

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Background Recommendations for preconception care usually include optimal nutrition and physical activity, but these have not been tested extensively for their relationship with birth outcomes such as low birthweight and preterm birth. Methods Data from Waves I, II and IV of the National Longitudinal Study of Adolescent Health (Add Health) contractual dataset were utilized. In Wave I in-home interview, participants were asked to recall their frequency of having five types of food on the previous day, including milk, fruit, vegetables, grains, and sweets. At Wave II, participants reported the previous day's intake of 55 items, and results were categorized into high-calorie sweet, high-calorie non-sweet, and low-calorie food. At Wave I in-home interview, participants were also asked how many times in a week or during the past week they were involved in types of physical activity. At Wave IV, female participants reported pregnancies and birth outcomes. Multivariable linear regression analysis with survey weighting was used to predict birthweight and gestational age. Results There were no associations between reported food intake and birth outcomes. Girls who engaged in more episodes of active behavior had higher birthweights (p<0.01), but hours of sedentary behavior was not associated with birthweight. Multivariable analysis also indicated a u-shaped association between BMI and birthweight (p for quadratic term=0.01). Conclusion Adolescents who are more physically active prior to pregnancy have more positive birth outcomes as represented by birthweight.

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Section: Discussionmentioning

confidence: 99%

Preconception Nutrition, Physical Activity, and Birth Outcomes in Adolescent Girls

Xie

Madkour

Harville

2015

Journal of Pediatric and Adolescent Gynecology

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“…34 Women suffering from depression are at increased risk of substance abuse, developing chronic diseases, and having poorer health. 43,44 For example, among U.S. women with major depression, most (89%) have one or more chronic medical conditions (e.g., diabetes, obesity) or medical risk factors (smoking, binge or heavy drinking, physical inactivity). 43 Yet, only 50% of pregnant and 54% of nonpregnant women suffering from depression receive treatment for this condition.…”

Section: Mental Health During Pregnancy and The Postpartum Periodmentioning

confidence: 99%

Maternal Mortality and Morbidity in the United States: Where Are We Now?

Creanga

Berg

et al. 2014

Journal of Women's Health

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352

272

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This article provides a brief overview of the work conducted by the Division of Reproductive Health at the Centers for Disease Control and Prevention on severe maternal morbidity and mortality in the United States. The article presents the latest data and trends in maternal mortality and severe maternal morbidity, as well as on maternal substance abuse and mental health disorders during pregnancy, two relatively recent topics of interest in the Division, and includes future directions of work in all these areas.

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“…During pregnancy, up to 10% and 13% have depression and anxiety disorder, respectively, while 3% have bipolar disorder and <1% have psychotic disorders [4,5]. Women with untreated psychiatric disorders are less likely to access care, including prenatal care, and may be more prone to substance abuse before and during pregnancy [6]. Treatment of maternal psychiatric disorders during pregnancy requires consideration, including the severity of the maternal condition, the medication to be used and the potential effects of the medication on the mother and the fetus [7,8].…”

Section: Introductionmentioning

confidence: 99%

Maternal psychiatric disorders and risk of preterm birth

Männistö

Mendola²,

Kiely

et al. 2016

Annals of Epidemiology

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Purpose To study the effect of maternal psychiatric disorders (depression, anxiety disorder, bipolar disease, schizophrenia, unspecified psychiatric disorder, and comorbid conditions) and odds of preterm birth. Methods The Consortium on Safe Labor (2002-2008), an observational cohort with 12 centers from across the U.S. included 223,394 singleton pregnancies with clinical data obtained from electronic medical records and maternal diagnoses of psychiatric disorders from maternal discharge summaries. Length of gestation was based on the best clinical estimate and categorized as birth <39, <37, <34 and <28 weeks’ gestation. The adjusted odds ratios (ORs) with 95% confidence intervals of birth were estimated by logistic regression with generalized estimating equations. Results Any maternal psychiatric disorder was associated with odds of birth <39 weeks’ gestation (OR=1.32, 95% confidence interval 1.28-1.37), <37 weeks’ gestation (OR=1.45, 1.38-1.52), <34 weeks’ gestation (OR=1.47, 1.35-1.59) and <28 weeks’ gestation (OR=1.57, 1.36-1.82). Specifically, odds of birth <37 weeks’ gestation were associated with maternal depression (OR=1.31, 1.23-1.40), anxiety disorder (OR=1.68, 1.41-2.01), depression with anxiety disorder (OR=2.31, 1.93-2.78), bipolar disease (OR=1.54, 1.22-1.94), bipolar disease with depression and=or anxiety disorder (OR=1.70, 1.30-2.22) and unspecified psychiatric disorder (OR=1.52, 1.41-1.64). Conclusions Maternal psychiatric disorders, especially comorbid psychiatric conditions, were associated with increased likelihood of preterm birth.

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Preconception Health Among Women with Frequent Mental Distress: A Population-Based Study

Abstract: Interventions tailored for women with poor mental health may be needed to target specific preconception health indicators, such as social support, smoking, weight, and nutrition.

Cited by 18 publications

References 21 publications

Preconception Nutrition, Physical Activity, and Birth Outcomes in Adolescent Girls

Preconception Nutrition, Physical Activity, and Birth Outcomes in Adolescent Girls

Maternal Mortality and Morbidity in the United States: Where Are We Now?

Maternal psychiatric disorders and risk of preterm birth

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