Evaluation of depression among pregnant women who receive a diagnosis of fetal restriction: association with adverse outcomes

• Grant number: 15/06048-0
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• Start date: February 01, 2016
• End date: December 31, 2016
• Field of knowledge: Health Sciences - Medicine - Maternal and Child Health
• Principal Investigator: Gláucia Rosana Guerra Benute
• Grantee: Marjori Sthefany Fantin
• Host Institution: Faculdade de Medicina (FM). Universidade de São Paulo (USP). São Paulo , SP, Brazil

Abstract

The psychological factors have been increasingly related to fetal growth restriction. As regards the consequences in the short and long term, that the restriction of growth cause to the health of the fetus, are low birth weight, hypoxia, hypoglycemia, hypothermia, pulmonary hemorrhage and hypocalcemia. Depression is a mental disorder of higher prevalence during pregancy. It is estimated that the prevalence of depression in pregnancy of is in the order of 7.4% in the first, 12.8% in the second and 12% in the third quarter. Is associated with risk factors, such as psychiatric precedents, financial difficulties, low level of education, teenage pregnancy, lack of social support, stressful events and history of domestic violence. It is known that depressive symptoms may cause to the mother loss of appetite, sleep, among other functions of vital importance for the development of the fetus. The aim of the present study is to verify the diagnosis of depression and to evaluate the association between pregnant women with a diagnosis of fetal growth restriction and low-risk pregnant women Will be interviewed 50 pregnant women with a diagnosis of fetal growth restriction, in the Low Fetal Weight Clinic of the Obstetric Clinic of HC-FMUSP and 50 pregnant women in prenatal care for low-risk, without any medical condition at the time of the interview, in the same service, with fetuses of normal growth. In view of the foregoing, the present study is relevant because there are not yet in the literature, a full understanding of the relationship between the diagnosis of depression and the diagnosis of Fetal Growth Restriction. The elucidation of the aspects most associated with this diagnosis will be important for a better intervention, during this period, which may reflect, in the last instance, in better quality of care for these pregnant women and greater satisfaction with the service provided.