Depression during pregnancy and the risk of low birth weight, preterm birth and intrauterine growth restriction- an updated meta-analysis

2021 ◽  
Vol 152 ◽  
pp. 105243
Author(s):  
Upama Ghimire ◽  
Shireen Salome Papabathini ◽  
Joseph Kawuki ◽  
Nathan Obore ◽  
Taha Hussein Musa
2010 ◽  
Vol 67 (10) ◽  
pp. 1012 ◽  
Author(s):  
Nancy K. Grote ◽  
Jeffrey A. Bridge ◽  
Amelia R. Gavin ◽  
Jennifer L. Melville ◽  
Satish Iyengar ◽  
...  

2010 ◽  
Vol 44 (1) ◽  
pp. 90-101 ◽  
Author(s):  
Monica Yuri Takito ◽  
Maria Helena D'Aquino Benício

OBJECTIVE: To investigate the relationship between physical activity during the second trimester pregnancy and low birth weight, preterm birth, and intrauterine growth restriction. METHODS: Case-control study including 273 low birth weight newborns and 546 controls carried out in the city of São Paulo, Southeastern Brazil, in 2005. Low birth weight cases were grouped into two subsamples: preterm birth (n=117) and intrauterine growth restriction (n=134), with their related controls. Information was collected by means of interviews with mothers shortly after birth and transcription of medical records. Data were analyzed using conditional multiple and hierarchical logistic regression. RESULTS: Light physical activity for over 7 hours per day was shown to be protective against low birth weight (adjusted OR=0.61; 95% CI 0.39-0.94) with a dose-response relationship (p-value for trend=0.026). A similar trend was found for intrauterine growth restriction (adjusted OR=0.51; 95% CI 0.26-0.97). Homemaking activities were associated as a protective factor for both low birth weight and preterm birth (p-value for trend=0.013 and 0.035, respectively). Leisure-time walking was found to be protective against preterm birth. CONCLUSIONS: Mild physical activity during the second trimester of pregnancy such as walking has an independent protective effect on low birth weight, preterm birth, and intrauterine growth restriction.


2007 ◽  
Vol 78 (12) ◽  
pp. 2266-2276 ◽  
Author(s):  
Fernanda Mafra Siqueira ◽  
Luís Otávio Miranda Cota ◽  
José Eustáquio Costa ◽  
João Paulo Amaral Haddad ◽  
Ângela Maria Quintão Lana ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-13 ◽  
Author(s):  
Vladislava Zohdi ◽  
Megan R. Sutherland ◽  
Kyungjoon Lim ◽  
Lina Gubhaju ◽  
Monika A. Zimanyi ◽  
...  

Epidemiological studies have clearly demonstrated a strong association between low birth weight and long-term renal disease. A potential mediator of this long-term risk is a reduction in nephron endowment in the low birth weight infant at the beginning of life. Importantly, nephrons are only formed early in life; during normal gestation, nephrogenesis is complete by about 32–36 weeks, with no new nephrons formed after this time during the lifetime of the individual. Hence, given that a loss of a critical number of nephrons is the hallmark of renal disease, an increased severity and acceleration of renal disease is likely when the number of nephrons is already reduced prior to disease onset. Low birth weight can result from intrauterine growth restriction (IUGR) or preterm birth; a high proportion of babies born prematurely also exhibit IUGR. In this paper, we describe how IUGR and preterm birth adversely impact on nephrogenesis and how a subsequent reduced nephron endowment at the beginning of life may lead to long-term risk of renal disease, but not necessarily hypertension.


2021 ◽  
Vol 3 (2) ◽  
pp. 148
Author(s):  
Fadhilah Rahmawati ◽  
Muhammad Ilham Aldika Akbar ◽  
Atika Atika

Abstrak Latar belakang dan tujuan : Preeklampsia merupakan masalah komplikasi kehamilan yang menyumbang kematian ibu tertinggi di Jawa Timur. Preeklampsia dengan Indeks Massa Tubuh ibu obesitas akan meningkatkan perburukan luaran maternal dan perinatal. Penelitian ini bertujuan untuk menganalisis hubungan Indeks Massa Tubuh ibu preeklampsia dengan luaran maternal dan luaran perinatal. Metode: penelitian ini adalah analitik obsevasional dengan rancangan cross sectional, jumlah sampel 60 rekam medis ibu dan bayi baru lahir di Rumah Sakit Universitas Airlangga. Sampel terdiri dari ibu preeklampsia semua kategori IMT yaitu underweight, normal, overweight, obesitas grade I,II, dan III. Luaran perinatal yang diteliti adalah kematian perinatal, kelahiran prematur, IUGR (Intrauterine growth restriction), asfiksia, bayi berat lahir rendah,  Sindrom Respiratori Distres (SRD), sepsis, Necrotizing Enterocolitis (NEC) dan Intraventrikular Hemorrhage (IVH). Hasil: Indeks Massa Tubuh Ibu preeklampsia tidak berhubungan dengan luaran perinatal antara lain kelahiran prematur, IUGR, asfiksi, BBLR dan komplikasi dini Kesimpulan: tidak ada perbedaan luaran maternal dan luaran perinatal pada berbagai Indeks massa tubuh ibu preeklampsiaAbstract Background and purpose : Preeclampsia is a problem of the pregnancy complications that has the highest maternal mortality in East Java. Preeclampsia with body mass index of obese mothers will increase the deterioration in maternal and perinatal outcomes. This study aims to analyze the body mass index of preeclampsia mothers with maternal and perinatal outcomes. Methods: This is an observational with cross-sectional design study, a sample of 60 pregnant women and newborn medical records at Universitas Airlangga Hospital. The sample consisted of preeclamptic women in all categories of body mass index such as underweight, normal, overweight, obesity grade I,II, and III. The perinatal outcomes observed are perinatal death, preterm birth, Intrauterine Growth Restriction (IUGR), asphyxia, low birth weight, Respiratory Distress Syndrome (RDS), sepsis, Necrotizing Enterocolitis (NEC), and Intraventricular Hemorrhage (IVH). Results: There is no significant association between body mass index of preeclampsia with perinatal outcomes. Which include preterm birth, Intrauterine Growth Restriction (IUGR), asphyxia, low birth weight and early complications Conclusion: there were no difference on maternal and perinatal outcomes in all categories Body mass index of preeclamptic women


2020 ◽  
Author(s):  
Juliane Ankert ◽  
Tanja Groten ◽  
Mathias W. Pletz ◽  
Sasmita Mishra ◽  
Gregor Seliger ◽  
...  

Abstract Background: Migrant women may have an increased risk of adverse birth outcomes. This study analyses the occurrence of low birth weight, preterm birth and intrauterine growth restriction (IUGR) in pregnant migrants. Method: Cross-sectional study of 82 mother-child pairs of pregnant migrants attending medical care in Germany.Results: Median age was 27 years, 49% were of oriental-asian ethnicity and median year of migration was 2015. At least one previous pregnancy was reported in 76%. Delivery mode was caesarian section in 40%. Median gestational age was 39.7 weeks. Preterm birth occurred in 6.1%. Median gestational age for preterm birth was 32.3 weeks. Low birth weight (<2500 g) occurred in 6.1%. Birth weights below the 10th percentile of birth weight for gestational age were observed in 8.5% of the total cohort. Conclusions: Compared to German data no increased occurrence of low birth weight, preterm birth or IUGR was found. Of note, rate of caesarian section was higher than in the general population for reasons yet to be identified. The authors propose stratification according to migration status for the national documentation of birth outcomes in Germany.Trial registration: ClinicalTrails.gov, NCT03158298. Registered 18 May 2017 - Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT03158298


2021 ◽  
Vol 49 (1) ◽  
pp. 7-13
Author(s):  
Rehana Pervin ◽  
Kazi Shafiqul Halim ◽  
Noor Riffat Ara ◽  
Syed Monirul Islam ◽  
Fatema Nargis

Eclampsia is a serious obstetric emergency with new onset of grand mal seizure during pregnancy or postpartum women having signs symptoms of pre-eclampsia. The sequel of severe pre-eclampsia and eclampsia includes organ failure, loss of consciousness and finally loss of lives of both mother and fetus. This study aimed to evaluate morbidity of eclamptic women at lower socioeconomic community in a selected area of Bangladesh. This descriptive cross sectional study was conducted at Sheikh Hasina Medical College Hospital (SHMC.T) of Tangail district during the period of January to December 2019. During this period 7918 admitted patients from different sub-districts (Upazilas) of this district in obstetrics ward of SHMC.T were observed and 205 diagnosed eclamptic patients were selected as respondents for this study to detect morbidities. The prevalence rate of eclampsia among the obstetrics patients was 2.6%, where 81% of them were found during antepartum/ intrapartum and rest of them during postpartum period. The mean age of the eclamptic cases was 23.78±4.94 years and more than half of   them were in age group 21-30 years. Most of the cases (84%) were from primary level or able to sign or illiterate and rest was secondary level of education. Mean age of marriage and first pregnancy were 17.81±SD2.19 and 19.39±SD2.5 years respectively, where majority of patients were primigravida. Among the multi gravida about one fourth had 2-4 children, 16.09% had 5-6 children, where 1.46% had ≥7 children and more than three-fourth of cases had 34-37 weeks of gestational period. Among cases 95.1% had hypertension, 94.6% edema, 83.9% convulsion, 39.5% headache with blurring of vision, 22.4% severe abdominal pain, 79.0% proteinuria and 9.76% unconsciousness. Incidence of maternal morbidity during study period was 14.36%, among them 9.4% pulmonary edema, 1.5% renal failure, 0.98% HELLP (Hemolysis, Elevated liver enzyme level and Low Platelet level) syndrome, 0.98% coma and 1.5% placental abruption. Caesarean delivery was 79.2% and 11.70% was detected as postpartum haemorrhage. Among fetal morbidity 19.5% intrauterine growth restriction, 48.8% low birth weight, 39.6% birth asphyxia, and 58.5% preterm baby. During follow up only persistent hypertension was found as morbidity of eclampsia, 19.5%, 9.8% and 7.32% at 2nd week, at 6th week and at 6th months respectively. Regarding health care services 93.7% had available facility and 41.5%, 47.8% and 10.7%  lived in >10 kilometers (kms), 5-10 kms and less than 5 km distance respectively. Regarding MCH services; only 5.9% patient received antenatal care (ANC) ≥4 times; more than half of them incompletely received ANC <4 times and 42.0% never visited for ANC. This study reveals various matters of maternal and fetal morbidities commencing from eclamptic condition in lower socioeconomic community. Here important factors for morbidities in eclamptic women like lack of ANC/ PNC, availabilities of MCHC services and others. Pulmonary edema, renal failure, HELLP syndrome, coma and placental abruption are important maternal morbidities.  Prematurity, low birth weight, intrauterine growth restriction and birth asphyxia are foremost fetal morbidities. Availabilities of MCH services, complete visit for ANC/ PNC and early diagnosis and management of eclamptic women positively reduce morbidity and will prevent eclampsia. Bangladesh Med J. 2020 Jan; 49 (1): 7-13


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