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dc.contributor.authorAbajobir, A.
dc.contributor.authorAlati, Rosa
dc.contributor.authorKisely, S.
dc.contributor.authorNajman, J.
dc.date.accessioned2018-12-13T09:11:28Z
dc.date.available2018-12-13T09:11:28Z
dc.date.created2018-12-12T02:47:12Z
dc.date.issued2017
dc.identifier.citationAbajobir, A. and Alati, R. and Kisely, S. and Najman, J. 2017. Are Past Adverse Pregnancy Outcomes Associated with Maternal Anxiety and Depressive Symptoms in a Sample of Currently Pregnant Women?. Ethiopian journal of health sciences. 27 (4): pp. 351-362.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/71841
dc.description.abstract

Background: There has been a great deal of concern about the mental health of women whose pregnancies involve miscarriage, termination of a pregnancy (ToP), child death or where a child has been given up for adoption. Despite this concern there has been remarkably little population-based research which has addressed the long-term consequences of pregnancy loss and child death. This study investigated the maternal mental health consequences of women whose pregnancies involve miscarriage, ToP, child death or where a child has been given up for adoption at two different time points, adjusting for socio-demographic characteristics and baseline mental health.Methods: The Mater-University of Queensland Study of Pregnancy is a prospective pre-birth cohort study. Women were recruited early in pregnancy over the period 1981 to 1983 at their first antenatal clinic visit (FCV). Women were interviewed again at the 14-year follow-up. Data from 4403 mothers were analysed using maternal reports of a prior history of giving a child up for adoption, miscarriage, ToP, and neonatal, infant and/or child deaths. Symptoms of maternal anxiety and depression were measured at FCV and the 14-year follow-up using the Delusions-Symptoms-States Inventory. We carried out logistic regression analysis using Stata 13. Odds ratios (ORs) with 95% confidence intervals (CIs) were used to display the findings.Results: A prior miscarriage was associated with anxiety (adjusted OR (AOR) = 1.30; 95% CI: 1.10-1.66) and depressive (AOR = 1.70; 95% CI: 1.21-2.39) symptoms at the 14-year follow-up. Having had a neonatal, infant and/or child deaths was associated with symptoms of depression at 14-year follow-up (AOR = 2.12; 95% CI: 1.06-4.25).Conclusion: The period after a child loss which involves a new pregnancy may be associated with relatively good mental health despite the fact that some mothers have experienced previous adverse pregnancy outcomes.

dc.titleAre Past Adverse Pregnancy Outcomes Associated with Maternal Anxiety and Depressive Symptoms in a Sample of Currently Pregnant Women?
dc.typeJournal Article
dcterms.source.volume27
dcterms.source.number4
dcterms.source.startPage351
dcterms.source.endPage362
dcterms.source.issn2413-7170
dcterms.source.titleEthiopian journal of health sciences
curtin.departmentSchool of Public Health
curtin.accessStatusFulltext not available


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