nach oben

Maternal and Child Health Journal

Erschienen in:

01.07.2012

Neonatal Outcomes and Mental Illness, Substance Abuse, and Intentional Injury During Pregnancy

verfasst von: Anna Wiencrot, Angela Nannini, Susan E. Manning, Joan Kennelly

Erschienen in: Maternal and Child Health Journal | Ausgabe 5/2012

Einloggen, um Zugang zu erhalten

Abstract

Mental illness (MI), substance abuse (SA), and intentional injury (II) are known individual risk factors for adverse pregnancy outcomes. Their combined association with preterm birth (PTB) and low birth weight (LBW) remains relatively unexplored. We examined hospital utilization for the co-occurrence of II and MI or SA in pregnant women in Massachusetts and assessed their interactive association with PTB and LBW. This retrospective cohort study used ICD-9 and E-codes reported on linked birth and hospital utilization data to identify MI, SA, and II diagnoses during pregnancy for 176,845 Massachusetts resident women who delivered during 2002–2004. Adjusted odds ratios (OR) for the independent and joint associations of MI, SA, and II on PTB and LBW were calculated. Two thousand two hundred and eight women (1.6%) had a prenatal MI visit, 834 (0.5%) a prenatal SA visit, and 847 (0.5%) a prenatal II visit. Among them 163 women had MI and II visits and 69 had SA and II visits. SA, MI, and II were all significant predictors of LBW and PTB. Women with both SA and II had higher odds of PTB (OR 2.7 95% CI 1.3–5.7) and LBW (OR 5.3 95% CI 3.9–7.3) than women with neither diagnosis. Prenatal MI, SA, and II are risk factors for LBW and PTB. Women with SA and II co-diagnoses have greater risk of LBW and PTB than women with neither diagnosis. Screening, timely diagnosis, and treatment of women with co-occurring morbidities, particularly II and SA, should be incorporated into reproductive and perinatal health programs.

Bennett, H. A., Einarson, A., Taddio, A., Koren, G., & Einarson, T. R. (2004). Prevalence of depression during pregnancy: Systematic review. Obstetrics and Gynecology, 103(4), 698–709.PubMedCrossRef

Marcus, S. M., Flynn, H. A., Blow, F. C., & Barry, K. L. (2003). Depressive symptoms among pregnant women screened in obstetrics settings. Journal of Womens Health (Larchmt), 12(4), 373–380.CrossRef

Gavin, N. I., Gaynes, B. N., Lohr, K. N., Meltzer-Brody, S., Gartlehner, G., & Swinson, T. (2005). Perinatal depression: A systematic review of prevalence and incidence. Obstetrics and Gynecology, 106(5 Pt 1), 1071–1083.PubMedCrossRef

Dayan, J., Creveuil, C., Herlicoviez, M., Herbel, C., Baranger, E., Savoye, C., et al. (2002). Role of anxiety and depression in the onset of spontaneous preterm labor. American Journal of Epidemiology, 155(4), 293–301.PubMedCrossRef

Hoffman, S., & Hatch, M. C. (2000). Depressive symptomatology during pregnancy: Evidence for an association with decreased fetal growth in pregnancies of lower social class women. Health Psychology, 19(6), 535–543.PubMedCrossRef

Kelly, R. H., Russo, J., Holt, V. L., Danielsen, B. H., Zatzick, D. F., Walker, E., et al. (2002). Psychiatric and substance use disorders as risk factors for low birth weight and preterm delivery. Obstetrics and Gynecology, 100(2), 297–304.PubMedCrossRef

Orr, S. T., James, S. A., & Blackmore Prince, C. (2002). Maternal prenatal depressive symptoms and spontaneous preterm births among African-American women in Baltimore, Maryland. American Journal of Epidemiology, 156(9), 797–802.PubMedCrossRef

Steer, R. A., Scholl, T. O., Hediger, M. L., & Fischer, R. L. (1992). Self-reported depression and negative pregnancy outcomes. Journal of Clinical Epidemiology, 45(10), 1093–1099.PubMedCrossRef

MacCabe, J. H., Martinsson, L., Lichtenstein, P., Nilsson, E., Cnattingius, S., Murray, R. M., et al. (2007). Adverse pregnancy outcomes in mothers with affective psychosis. Bipolar Disorder, 9(3), 305–309.CrossRef

10.

Miller, L. J. (2001). Psychiatric disorders during pregnancy. In N. L. Stotland & D. E. Steward (Eds.), Psychological aspects of women’s health care: The interface between psychiatry and obstetrics and gynecology, (pp. 51–66).

11.

Nilsson, E., Lichtenstein, P., Cnattingius, S., Murray, R. M., & Hultman, C. M. (2002). Women with schizophrenia: Pregnancy outcome and infant death among their offspring. Schizophrenic Research, 58(2–3), 221–229.CrossRef

12.

Lester, B. M., Andreozzi, L., & Appiah, L. (2004). Substance use during pregnancy: Time for policy to catch up with research. Harm Reduction Journal, 1(5), 1–44.

13.

Results from the 2005 National survey on drug use and health. (2008).: National findings [homepage on the internet]. Available from http://oas.samhsa.gov/nsduh/2k5nsduh/2k5results.htm.

14.

Bailey, B. A., & Sokol, R. J. (2008). Pregnancy and alcohol use: Evidence and recommendations for prenatal care. Clinical Obstetrics and Gynecology, 51(2), 436.PubMedCrossRef

15.

Zuckerman, B., Frank, D. & Brown, E. (1995). Overview of the effects of abuse and drugs on pregnancy and offspring. In C. N. Chiang & L. P. Finnegan (Eds.), Medications development for the treatment of pregnant addicts and their infants (pp. 16–38). Rockville, MD: National Institute on Drug Abuse. NIDA research monograph 149. NIH publication no. 953891.

16.

Shankaran, S., Lester, B. M., Das, A., Bauer, C. R., Bada, H. S., Lagasse, L., et al. (2007). Impact of maternal substance use during pregnancy on childhood outcome. Seminar in Fetal and Neonatal Medicine, 12(2), 143–150.CrossRef

17.

Gazmararian, J. A., Lazorick, S., Spitz, A. M., Ballard, T. J., Saltzman, L. E., & Marks, J. S. (1996). Prevalence of violence against pregnant women. JAMA, 275(24), 1915–1920.PubMedCrossRef

18.

Nannini, A., Lazar, J., Berg, C., Barger, M., Tomashek, K., Cabral, H., et al. (2008). Physical injuries reported on hospital visits for assault during the pregnancy-associated period. Nursing Research, 57(3), 144.PubMedCrossRef

19.

Boy, A., & Salihu, H. M. (2004). Intimate partner violence and birth outcomes: A systematic review. International Journal of Fertility and Womens Medicine, 49(4), 159–164.

20.

Amaro, H. (1990). Violence during pregnancy and substance use. American Journal of Public Health, 80(5), 575–579.PubMedCrossRef

21.

Martin, S. L., Beaumont, J. L., & Kupper, L. L. (2003). Substance use before and during pregnancy: Links to intimate partner violence. American Journal of Drug and Alcohol Abuse, 29(3), 599–617.PubMedCrossRef

22.

Martin, S. L. (1996). Violence and substance use among North Carolina pregnant women. American Journal of Public Health, 86(7), 991–998.PubMedCrossRef

23.

Martin, S. L., Kilgallen, B., Dee, D. L., Dawson, S., & Campbell, J. (1998). Women in a prenatal care/substance abuse treatment program: Links between domestic violence and mental health. Maternal and Child Health Journal, 2(2), 85–94.PubMedCrossRef

24.

Martin, S. L., Clark, K. A., Lynch, S. R., Kupper, L. L., & Cilenti, D. (1999). Violence in the lives of pregnant teenage women: Associations with multiple substance use. Americal Journal of Drug and Alcohol Abuse, 25(3), 425–440.CrossRef

25.

Horrigan, T. J., Schroeder, A. V., & Schaffer, R. M. (2000). The triad of substance abuse, violence, and depression are interrelated in pregnancy. Journal of Substance Abuse Treatment, 18(1), 55–58.PubMedCrossRef

26.

Velez, M. L., Montoya, I. D., Jansson, L. M., Walters, V., Svikis, D., Jones, H. E., et al. (2006). Exposure to violence among substance-dependent pregnant women and their children. Journal of Substance Abuse Treatment, 30(1), 31–38.PubMedCrossRef

27.

Hedin, L. W., & Janson, P. O. (2000). Domestic violence during pregnancy. The prevalence of physical injuries, substance use, abortions and miscarriages. Acta Obstetricia at Gynecologica Scandinavica, 79, 625–630.

28.

Tuten, M., Jones, H. E., Tran, G., & Svikis, D. S. (2004). Partner violence impacts the psychosocial and psychiatric status of pregnant, drug-dependent women. Addictive Behaviors, 29(5), 1029–1034.PubMedCrossRef

29.

Bacchus, L., Mezey, G., & Bewley, S. (2003). Domestic violence: Prevalence in pregnant women and associations with physical and psychological health. European Journal of Obstetrics and Gynecology and Reproductive Biology, 113, 6–11.CrossRef

30.

Lovisi, G. M., Lopez, J. R. R. A., Coutinho, E. S. F., & Patel, V. (2005). Poverty, violence and depression during pregnancy: A survey of mothers attending a public hospital in Brazil. Psychology Medicine, 35(10), 1485–1492.CrossRef

31.

Ferri, C. P., Mitsuhiro, S. S., Barros, M. C., Chalem, E., Guinsburg, R., Patel, V., et al. (2007). The impact of maternal experience of violence and common mental disorders on neonatal outcomes: A survey of adolescent mothers in Sao Paulo, Brazil. BMC Public Health., 7, 209.PubMedCrossRef

32.

Rosen, D., Seng, J. S., Tolman, R. M., & Mallinger, G. (2007). Intimate partner violence, depression, and posttraumatic stress disorder as additional predictors of low birth weight infants among low-income mothers. Journal of Interpersonal Violence, 22(10), 1305.PubMedCrossRef

33.

Rodriguez, M. A., Heilemann, M. S. V., Fielder, E., Ang, A., Nevarez, F., & Mangione, C. M. (2008). Intimate partner violence, depression, and PTSD among pregnant Latina women. The Annals of Family Medicine, 6(1), 44–52.CrossRef

34.

Clements, K. M., Barfield, W. D., Kotelchuck, M., Lee, K. G., & Wilber, N. (2006). Birth characteristics associated with early intervention referral, evaluation for eligibility, and program eligibility in the first year of life. Maternal and Child Health Journal, 10(5), 433–441.PubMedCrossRef

35.

Weiss, H. B. (1995). Pregnancy-associated injury hospitalizations in Pennsylvania. Annals of Emergency Medicine, 1999;34, 5.

36.

Schoenman, J. A., Sutton, J. P., Kintala, S., Love, D. & Maw, R. (2005). The value of hospital discharge databases [homepage on the Internet]. Available from http://www.hcup-us.ahrq.gov/reports/final_report.pdf.

37.

Lawrence, B. A., Miller, T. R., Weiss, H. B., & Spicer, R. S. (2007). Issues in using state hospital discharge data in injury control research and surveillance. Accident Analysis and Prevention, 39(2), 319–325.PubMedCrossRef

38.

Dietz, P. M., England, L., Callaghan, W. M., Pearl, M., Wier, M. L., & Kharrazi, M. (2007). A comparison of LMP-based and ultrasound-based estimates of gestational age using linked California live birth and prenatal screening records. Paediatric and Perinat Epidemiol, 21(Suppl. 2), 62–71.CrossRef

39.

Data source. (2007).: Urban Institute and Kaiser commission on medicaid and the uninsured estimates based on the Census Bureau’s March 2007 and 2008 Current population survey (CPS: Annual social and economic supplements). [homepage on the internet]. Available from http://www.statehealthfacts.org/profileind.jsp?ind=6&cat=1&rgn=23.

40.

Urban Institute and Kaiser commission on medicaid and the uninsured estimates based on the census Bureau’s March 2007 and 2008 current population survey (CPS: Annual social and economic supplements).[homepage on the internet]. (2007). Available from http://www.statehealthfacts.org/profileind.jsp?ind=9&cat=1&rgn=23.

41.

Tolman, R. M., & Rosen, D. (2001). Domestic violence in the lives of women receiving welfare: Mental health, substance dependency and economic well-being. Violence Against Women., 7, 141–158.

42.

Domino, M. E., Morrissey, J. P., Chung, S., Huntington, N., Larson, M. J., & Russell, L. A. (2005). Service use and costs for women with co-occurring mental and substance use disorders and a history of violence. Psychiatric Services, 56(10), 1223.PubMedCrossRef

43.

Morrissey, J. P., Jackson, E. W., Ellis, A. R., Amaro, H., Brown, V. B., & Najavits, L. M. (2005). Twelve-month outcomes of trauma-informed interventions for women with co-occurring disorders. Psychiatric Services, 56(10), 1213.PubMedCrossRef

44.

The N-SSATS report. (2010).: Mental health screenings and trauma-related counseling in substance abuse treatment facilities [homepage on the Internet]. Available from http://oas.samhsa.gov/2k10/313/313Trauma2k10.htm.

Titel: Neonatal Outcomes and Mental Illness, Substance Abuse, and Intentional Injury During Pregnancy
verfasst von: Anna Wiencrot
Angela Nannini
Susan E. Manning
Joan Kennelly
Publikationsdatum: 01.07.2012
Verlag: Springer US
Erschienen in: Maternal and Child Health Journal / Ausgabe 5/2012
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-011-0821-x

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2012

Obstetric Providers’ Knowledge, Awareness, and Use of CDC’s HIV Testing Recommendations and One Test. Two Lives.™

Monitoring Severe Pre-Eclampsia and Eclampsia Treatment in Resource Poor Countries: Skilled Birth Attendant Perception of a New Treatment and Monitoring Chart (LIVKAN Chart)

Developing a Measure of Prenatal Case Management Dosage

Teen Motherhood and Long-Term Health Consequences

Elective Delivery Before 39 Weeks: The Risk of Infant Admission to the Neonatal Intensive Care Unit

Urban Teens and Young Adults Describe Drama, Disrespect, Dating Violence and Help-Seeking Preferences