کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3920219 1599821 2013 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Pregnancy loss and anxiety and depression during subsequent pregnancies: data from the C-ABC study
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
Pregnancy loss and anxiety and depression during subsequent pregnancies: data from the C-ABC study
چکیده انگلیسی

ObjectivePrevious studies have shown that pregnancy loss may affect the mental health of women in subsequent pregnancies. The China Anhui Birth Defects and Child Development cohort study therefore aimed to investigate the influence of pregnancy loss on anxiety and depression in subsequent pregnancies.Study designIn total, 20,308 pregnant women provided written informed consent and completed the study questionnaire. The Self-rating Anxiety Scale and Center for Epidemiologic Studies–Depression Scale were used to evaluate anxiety and depression in pregnant women. Pearson's χ2 test and binary logistic regression were used for statistical analyses.ResultsOf 20,308 pregnant women, 1495 (7.36%) had a history of miscarriage and 7686 (37.85%) had a history of induced abortion. The binary logistic regression model found that pregnant women with a history of miscarriage had a significantly higher risk of anxiety and depression in the first trimester than primigravidae after stratified analysis according to the timing of the first prenatal visit (p < 0.05). Compared with pregnant women with no history of miscarriage, women who had a history of miscarriage and an interpregnancy interval of less than 6 months had increased risk of anxiety symptoms (p < 0.05) and depression symptoms (p < 0.05) during the first trimester. Women with an interpregnancy interval of 7–12 months had a 2.511-fold higher risk of depression (p < 0.05) than women with no history of miscarriage. These findings were not changed after adjustment for maternal age, maternal education, family income, place of residence and pre-pregnancy body mass index.ConclusionsWomen with a history of miscarriage experienced significant anxiety and depression during their next pregnancy. A short interpregnancy interval and the first trimester are risk factors for adverse mental health.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Obstetrics & Gynecology and Reproductive Biology - Volume 166, Issue 1, January 2013, Pages 30–36
نویسندگان
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