- 作者：Hyoung Yoon Chang ; Katherine M. Keyes ; Kyung-Sook Lee ; In Ae Choi ; Se Joo Kim ; Kyung Won Kim ; Youn Ho Shin ; Kang Mo Ahn ; Soo-Jong Hong ; Yee-Jin Shin
- 关键词：Prenatal depression ; Low birth weight ; Gestational age ; Birth weight for gestational age ; Prospective study ; South Korea
- 刊名：Early Human Development
- 出版年：January, 2014
- 年：2014
- 卷：90
- 期：1
- 页码：15-20
- 全文大小：285 K
Background
Maternal prenatal depression is associated with lower offspring birth weight, yet the impact of gestational age on this association remains inadequately understood.Aims
We aimed to investigate the effect of prenatal depression on low birth weight, gestational age, and weight for gestational age at term.
Study design
Prospective cohort study.
Subject
Data were collected from 691 women in their third trimester of pregnancy who went on to give birth to a singleton at term without perinatal complications. One hundred and fifty-two women had a Center for Epidemiologic Studies Depression Scale-10 score 鈮?#xA0;10 and were classed as prenatally depressed.
Outcome measures
Low birth weight (< 2500 g), gestational age at birth, and birth weight percentile for gestational age.
Results
Offspring of prenatally depressed women were more likely to be low birth weight (Odds ratio [OR] 2.94, 95% confidence interval [CI] 1.14-7.58) than offspring of prenatally non-depressed women, but the association was attenuated (OR 1.66, 95% CI 0.55-5.02) when adjusted for gestational age. Offspring of prenatally depressed women had lower gestational age in weeks (OR for one week increase in gestational age: 0.66, 95% CI 0.47-0.93) than offspring of prenatally non-depressed women. There was no association between prenatal depression and birth weight percentile for gestational age.
Conclusions
Prenatal depression was not associated with low birth weight at term, but was associated with gestational age, suggesting that association between maternal depression and birth weight may be a reflection of the impact of depression on offspring gestational age.