Nausea and Vomiting in Early Pregnancy of Adolescents: Relationship with Depressive Symptoms

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• 作者：Elif Yilmaz ; MD ; Zehra Yilmaz ; MD ; Bulent Cakmak ; MD ; ^{drbulentcakmak@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; Mehmet Fatih Karsli ; MD ; Ismail Burak Gultekin ; MD ; Nihan Guneri Dogan ; MD ; Osman Fadil Kara ; MD ; Tuncay Kucukozkan ; MD
• 关键词：Adolescent ; Pregnancy ; Nausea ; Vomiting ; Depression
• 刊名：Journal of Pediatric and Adolescent Gynecology
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：29
• 期：1
• 页码：65-68
• 全文大小：199 K

文摘

To determine the relationship between severity of nausea and vomiting during pregnancy (NVP) and depressive symptoms in pregnant adolescents.

Design

Prospective cross-sectional study.

Setting

A maternity research hospital outpatient clinic, Ankara, Turkey.

Participants

A total of 200 pregnant adolescents.

Interventions and Main Outcome Measures

Demographic features and obstetric histories of the participants were assessed. The Rhodes test was performed to determine nausea and vomiting severity in a face-to-face interview, and the self-reported Edinburgh Postnatal Depression Scale was administered with supervision.

Results

The Rhodes test results showed that 52/200 patients (26%) were classified with none, 83/200 patients (41.5%) with mild, 48/200 patients (24.0%) with moderate, and 17/200 patients (8.5%) with severe symptoms. The mean depression score in the severe vomiting group was significantly higher than that in the no NVP and mild NVP groups (P = .028 and .041, respectively). No differences were found between the other groups.

Conclusion

Severe nausea and vomiting was associated with greater depressive symptom severity in pregnant adolescents.