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 e...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier España
2010-01-01
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| Series: | Clinics |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322010001100013 |
| _version_ | 1811229457222991872 |
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| author | Gláucia Rosana Guerra Benute Roseli Mieko Yamamoto Nomura Juliana Siracuza Reis Renério Fraguas Junior Mara Cristina Souza de Lucia Marcelo Zugaib |
| author_facet | Gláucia Rosana Guerra Benute Roseli Mieko Yamamoto Nomura Juliana Siracuza Reis Renério Fraguas Junior Mara Cristina Souza de Lucia Marcelo Zugaib |
| author_sort | Gláucia Rosana Guerra Benute |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-12T10:14:44Z |
| format | Article |
| id | doaj.art-9399a10baa5a4b94b3c3ad94874cc98b |
| institution | Directory Open Access Journal |
| issn | 1807-5932 1980-5322 |
| language | English |
| last_indexed | 2024-04-12T10:14:44Z |
| publishDate | 2010-01-01 |
| publisher | Elsevier España |
| record_format | Article |
| series | Clinics |
| spelling | doaj.art-9399a10baa5a4b94b3c3ad94874cc98b2022-12-22T03:37:13ZengElsevier EspañaClinics1807-59321980-53222010-01-0165111127113110.1590/S1807-59322010001100013Depression during pregnancy in women with a medical disorder: risk factors and perinatal outcomesGláucia Rosana Guerra BenuteRoseli Mieko Yamamoto NomuraJuliana Siracuza ReisRenério Fraguas JuniorMara Cristina Souza de LuciaMarcelo ZugaibBACKGROUND: 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322010001100013DepressionPregnancyMedical disorderPerinatal outcome |
| spellingShingle | Gláucia Rosana Guerra Benute Roseli Mieko Yamamoto Nomura Juliana Siracuza Reis Renério Fraguas Junior Mara Cristina Souza de Lucia Marcelo Zugaib Depression during pregnancy in women with a medical disorder: risk factors and perinatal outcomes Clinics Depression Pregnancy Medical disorder Perinatal outcome |
| title | Depression during pregnancy in women with a medical disorder: risk factors and perinatal outcomes |
| title_full | Depression during pregnancy in women with a medical disorder: risk factors and perinatal outcomes |
| title_fullStr | Depression during pregnancy in women with a medical disorder: risk factors and perinatal outcomes |
| title_full_unstemmed | Depression during pregnancy in women with a medical disorder: risk factors and perinatal outcomes |
| title_short | Depression during pregnancy in women with a medical disorder: risk factors and perinatal outcomes |
| title_sort | depression during pregnancy in women with a medical disorder risk factors and perinatal outcomes |
| topic | Depression Pregnancy Medical disorder Perinatal outcome |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322010001100013 |
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