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Preterm birth and postpartum depression within 6 months after childbirth in a Brazilian cohort

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Figueiredo de Paula Eduardo, Juliana Arantes ; Figueiredo, Felipe Pinheiro ; de Rezende, Marcos Goncalves ; da Roza, Daiane Leite ; de Freitas, Stella Felippe ; Lucena Batista, Rosangela Fernandes ; Moura da Silva, Antonio Augusto ; Barbieri, Marco Antonio ; Cavalli, Ricardo Carvalho ; Bettiol, Heloisa ; Ferraro, Alexandre Archanjo ; Del-Ben, Cristina Marta
Número total de Autores: 12
Tipo de documento: Artigo Científico
Fonte: ARCHIVES OF WOMENS MENTAL HEALTH; v. 25, n. 5, p. 13-pg., 2022-07-18.
Resumo

Preterm birth (PTB) and postpartum depression (PPD) are important public health issues, and although literature mainly supports the association between them, some reviews have highlighted methodological limitations in the studies in this field, restricting the interpretation of such finding. This study aimed at assessing the association between PTB and PPD, by comparing groups of preterm and full-term mothers in two Brazilian cities with contrasting sociodemographic indicators. This prospective convenience cohort study assessed 1421 women during pregnancy, at childbirth, and in the postpartum period. The Edinburgh Postnatal Depression Scale (EPDS) was administrated to assess PPD within 6 months after delivery and women were considered probably depressed if scores were EDPS >= 12. PTB was defined as the delivery before 37 completed weeks of pregnancy. A multivariate Poisson regression was used to estimate relative risk for PPD in mothers of preterm infants, and the final analysis models were adjusted for psychosocial variables, selected according to the directed acyclic graph (DAG) approach. Frequencies of PPD were not significantly different in mothers of preterm and full-term infants, in neither city. In the final adjusted model, PTB was not associated with PPD. The association between PTB and PPD was not confirmed in two large samples from two Brazilian cities with contrasting socioeconomic profile. However, maternal health during pregnancy plays an important role in predicting PPD. Prenatal care should promote maternal mental health as an effort towards decreasing unfavored outcomes for mothers, infants, and families. (AU)

Processo FAPESP: 18/07578-1 - Depressão perinatal e mortalidade materno-infantil
Beneficiário:Marcos Gonçalves de Rezende
Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado
Processo FAPESP: 18/07581-2 - Mortalidade em transtornos mentais com manifestações psicóticas de início recente
Beneficiário:Daiane Leite da Roza
Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado
Processo FAPESP: 08/53593-0 - Fatores etiológicos da prematuridade e conseqüências dos fatores perinatais na saúde da criança: coortes de nascimentos em duas cidades brasileiras
Beneficiário:Marco Antonio Barbieri
Modalidade de apoio: Auxílio à Pesquisa - Temático