Anxiety and depressive symptoms in pregnancy predict low birth weight differentially in male and female infants—findings from an urban pregnancy cohort in India.

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Title: Anxiety and depressive symptoms in pregnancy predict low birth weight differentially in male and female infants—findings from an urban pregnancy cohort in India.
Authors: Chandra, Prabha S. (AUTHOR), Bajaj, Aakash (AUTHOR), Desai, Geetha (AUTHOR), Satyanarayana, Veena A. (AUTHOR), Sharp, Helen M. (AUTHOR), Ganjekar, Sundarnag (AUTHOR), Supraja, T. A. (AUTHOR), Jangam, Kavita V. (AUTHOR), Venkatram, Latha (AUTHOR), Kandavel, Thennarasu (AUTHOR)
Source: Social Psychiatry & Psychiatric Epidemiology. Dec2021, Vol. 56 Issue 12, p2263-2274. 12p.
Subjects: Low birth weight, Mental depression, Low-income countries, Anxiety, Middle-income countries, Second trimester of pregnancy, Teenage pregnancy
Geographic Terms: India
Abstract: Purpose: This study examined the contributions of antenatal anxiety, depression, and partner violence to low birth weight (LBW) in infants and to sex-specific birth weight outcomes among mothers from a cohort in urban India. Methods: Data from 700 mothers from the PRAMMS cohort (Prospective Assessment of Maternal Mental Health Study) were used. Pregnant women were assessed in each trimester—T1, T2 and T3, for symptoms of anxiety, and depression as well as partner violence. Multivariate analyses were performed for the whole sample and then for male and female infants separately. The final multivariable logistic regression models were each built using a backward selection procedure and controlling for confounders. To accommodate longitudinally measured data, change in scores (T2–T1 and T3–T2) of anxiety and depression were included in the model. Results: Of the 583 women with a singleton live birth, birth weight was available for 514 infants and LBW was recorded in 80 infants (15.6%). Of these, 23 infants were preterm. Overall, higher T1 Depression scores (OR: 1.11; 95% CI 1.040, 1.187) and an increase in both Depression scores (OR: 1.12; 95% CI 1.047, 1.195) from T1 to T2 and Anxiety scores (OR: 1.32; 95% CI 1.079, 1.603) between T2 and T3 were predictors of LBW. Female infants had a higher chance of LBW with increase in maternal anxiety between T1–T2 (OR: 1.69; 95% CI 1.053, 2.708) and T2–T3 (OR: 1.49; 95% CI 1.058, 2.086); partner violence during pregnancy just failed to reach conventional statistical significance (OR: 2.48; 95% CI 0.810, 7.581) in girls. Male infants had a higher chance of LBW with higher baseline depression scores at T1 (OR: 1.23; 95% CI 1.042, 1.452) and an increase in depression scores (OR: 1.25; 95% CI 1.060, 1.472) from T1 to T2. Conclusion: Increasing prenatal anxiety and depressive symptoms in different trimesters of pregnancy were associated with LBW with sex-specific patterns of association in this sample from a Low and Middle Income Country. [ABSTRACT FROM AUTHOR]
Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Anxiety and depressive symptoms in pregnancy predict low birth weight differentially in male and female infants—findings from an urban pregnancy cohort in India.
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  Data: <searchLink fieldCode="AR" term="%22Chandra%2C+Prabha+S%2E%22">Chandra, Prabha S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bajaj%2C+Aakash%22">Bajaj, Aakash</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Desai%2C+Geetha%22">Desai, Geetha</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Satyanarayana%2C+Veena+A%2E%22">Satyanarayana, Veena A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sharp%2C+Helen+M%2E%22">Sharp, Helen M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ganjekar%2C+Sundarnag%22">Ganjekar, Sundarnag</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Supraja%2C+T%2E+A%2E%22">Supraja, T. A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jangam%2C+Kavita+V%2E%22">Jangam, Kavita V.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Venkatram%2C+Latha%22">Venkatram, Latha</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kandavel%2C+Thennarasu%22">Kandavel, Thennarasu</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Social+Psychiatry+%26+Psychiatric+Epidemiology%22">Social Psychiatry & Psychiatric Epidemiology</searchLink>. Dec2021, Vol. 56 Issue 12, p2263-2274. 12p.
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  Data: <searchLink fieldCode="DE" term="%22Low+birth+weight%22">Low birth weight</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Low-income+countries%22">Low-income countries</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Middle-income+countries%22">Middle-income countries</searchLink><br /><searchLink fieldCode="DE" term="%22Second+trimester+of+pregnancy%22">Second trimester of pregnancy</searchLink><br /><searchLink fieldCode="DE" term="%22Teenage+pregnancy%22">Teenage pregnancy</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22India%22">India</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Purpose: This study examined the contributions of antenatal anxiety, depression, and partner violence to low birth weight (LBW) in infants and to sex-specific birth weight outcomes among mothers from a cohort in urban India. Methods: Data from 700 mothers from the PRAMMS cohort (Prospective Assessment of Maternal Mental Health Study) were used. Pregnant women were assessed in each trimester—T1, T2 and T3, for symptoms of anxiety, and depression as well as partner violence. Multivariate analyses were performed for the whole sample and then for male and female infants separately. The final multivariable logistic regression models were each built using a backward selection procedure and controlling for confounders. To accommodate longitudinally measured data, change in scores (T2–T1 and T3–T2) of anxiety and depression were included in the model. Results: Of the 583 women with a singleton live birth, birth weight was available for 514 infants and LBW was recorded in 80 infants (15.6%). Of these, 23 infants were preterm. Overall, higher T1 Depression scores (OR: 1.11; 95% CI 1.040, 1.187) and an increase in both Depression scores (OR: 1.12; 95% CI 1.047, 1.195) from T1 to T2 and Anxiety scores (OR: 1.32; 95% CI 1.079, 1.603) between T2 and T3 were predictors of LBW. Female infants had a higher chance of LBW with increase in maternal anxiety between T1–T2 (OR: 1.69; 95% CI 1.053, 2.708) and T2–T3 (OR: 1.49; 95% CI 1.058, 2.086); partner violence during pregnancy just failed to reach conventional statistical significance (OR: 2.48; 95% CI 0.810, 7.581) in girls. Male infants had a higher chance of LBW with higher baseline depression scores at T1 (OR: 1.23; 95% CI 1.042, 1.452) and an increase in depression scores (OR: 1.25; 95% CI 1.060, 1.472) from T1 to T2. Conclusion: Increasing prenatal anxiety and depressive symptoms in different trimesters of pregnancy were associated with LBW with sex-specific patterns of association in this sample from a Low and Middle Income Country. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s00127-021-02106-9
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        Text: English
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    Subjects:
      – SubjectFull: Low birth weight
        Type: general
      – SubjectFull: Mental depression
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      – SubjectFull: Low-income countries
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      – SubjectFull: India
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              Text: Dec2021
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