Depression during pregnancy in women with a medical disorder: risk factors and perinatal outcomes
BACKGROUND: Approximately one-fifth of women present depression during pregnancy and puerperium, and almost 13% of pregnant women experience a major depressive disorder. OBJECTIVE: The aim of this study was to identify risk factors for depression among pregnant women with a medical disorder and to evaluate the influence of depression on perinatal outcomes. METHODS: Three hundred and twenty-six pregnant women with a medical disorder were interviewed. A semistructured interview was conducted for each participant using a questionnaire that had been developed previously. Major depression was diagnosed using the Portuguese version of the Primary Care Evaluation of Mental Disorders (PRIME-MD). The medical records of the participants were thoroughly reviewed to evaluate the perinatal results. RESULTS: Major depressive disorder was diagnosed in 29 cases (9.0%). The prevalence of major depression was as follows: 7.1% for preeclampsia or chronic hypertension, 12.1% for cardiac disorder, 7.1% for diabetes mellitus, 6.3% for maternal anemia, 8.3% for collagenosis and 12.5% for a high risk of premature delivery. An univariate analysis showed a significant positive correlation between an average household income below minimum wage and a PRIME-MD diagnosis of major depression. A multiple regression analysis identified unplanned pregnancy as an independent predictor of major depression (86.2% in the group with a diagnosis of major depression by PRIME-MD vs. 68.4% in the group without major depression). A comparison between women who presented major depression and those who did not revealed no significant differences in the perinatal results (i.e., preterm delivery, birth weight and low Apgar scores). CONCLUSION: In the present study, unplanned pregnancy in women with a medical disorder was identified as a risk factor for major depression during gestation. Major depression during pregnancy in women with a medical disorder should be routinely investigated using specific methods.
Main Authors: | Benute,Gláucia Rosana Guerra, Nomura,Roseli Mieko Yamamoto, Reis,Juliana Siracuza, Fraguas Junior,Renério, Lucia,Mara Cristina Souza de, Zugaib,Marcelo |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Faculdade de Medicina / USP
2010
|
Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322010001100013 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Similar Items
-
Risco de suicídio em gestantes de alto risco: um estudo exploratório
by: Benute,Gláucia Rosana Guerra, et al.
Published: (2011) -
Interrupção da gestação após o diagnóstico de malformação fetal letal: aspectos emocionais
by: Benute,Gláucia Rosana Guerra, et al.
Published: (2006) -
Influência da percepção dos profissionais quanto ao aborto provocado na atenção à saúde da mulher
by: Benute,Gláucia Rosana Guerra, et al.
Published: (2012) -
Abortamento espontâneo e provocado: ansiedade, depressão e culpa
by: Benute,Gláucia Rosana Guerra, et al.
Published: (2009) -
Perinatal outcome of twin pregnancies delivered in a teaching hospital
by: Assunção,Renata Almeida de, et al.
Published: (2010)