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Risk of placental abruption in relation to maternal depressive, anxiety and stress symptoms.

Abstract：

BACKGROUND:Little is known about the influence of psychiatric factors on the etiology of placental abruption (PA), an obstetrical condition that complicates 1-2% of pregnancies. We examined the risk of PA in relation to maternal psychiatric symptoms during pregnancy. METHODS:This case-control study included 373 PA cases and 368 controls delivered at five medical centers in Lima, Peru. Depressive, anxiety and stress symptoms were assessed using the Patient Health Questionnaire (PHQ-9) and the Depression Anxiety Stress Scales (DASS-21). Multivariable logistic regression models were fit to calculate odds ratios (aOR) and 95% confidence intervals (CI) adjusted for confounders. RESULTS:Depressive symptoms of increasing severity (using the DASS depression subscale) was associated with PA (p for trend=0.02). Compared with women with no depressive symptoms, the aOR (95%CI) for PA associated with each level of severity of depression symptoms based on the DASS assessment were as follows: mild 1.84 (0.91-3.74); moderate 1.25 (0.67-2.33); and severe 4.68 (0.98-22.4). The corresponding ORs for mild, moderate, and moderately severe depressive symptoms based on the PHQ assessment were 1.10 (0.79-1.54), 3.31 (1.45-7.57), and 5.01 (1.06-23.6), respectively. A positive gradient was observed for the odds of PA with severity of anxiety (p for trend=0.002) and stress symptoms (p for trend=0.002). LIMITATIONS:These cross-sectionally collected data may be subject to recall bias. CONCLUSIONS:Maternal psychiatric disorders may be associated with an increased occurrence of AP. Larger studies that allow for more precise evaluations of maternal psychiatric health in relation to PA risk are warranted.

journal_name

J Affect Disord

journal_title

Journal of affective disorders

authors

de Paz NC,Sanchez SE,Huaman LE,Chang GD,Pacora PN,Garcia PJ,Ananth CV,Qiu C,Williams MA

doi

10.1016/j.jad.2010.07.024

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

280-4

issue

1-2

eissn

0165-0327

issn

1573-2517

pii

S0165-0327(10)00505-7

journal_volume

130

pub_type

杂志文章

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