Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1398
11
1
gregorian
2020
2
1
34
1
online
1
fulltext
en
Effect of maternal mental health during pregnancy on infant growth at six months of age in Suburban communities in South of Iran
Epidemiology
Epidemiology
Original Research
Original Research
<p style="margin: 0in 0in 8pt; text-align: justify;"><strong>Background: </strong>Due to the controversial effects of mental health disorders during pregnancy on infant health, the present study aimed to evaluate the effect of gestational depression, stress, and anxiety on the growth of offspring at six months of age in disadvantaged communities in South of Iran.<br>
<strong>Methods:</strong> The sample comprised of 470 pregnant women (response rate=98%) who are participated in the Bandar Abbas Pregnancy Cohort study. Maternal mental health was measured by the DASS-21 questionnaire during pregnancy. Data on infant growth was collected based on infant`s growth chart at six months of age. The relative risk of suboptimal infant growth was calculated by Modified Poisson regression models at 5% significant level.<br>
<strong>Results:</strong> The prevalence of depression, anxiety, and stress was 19.0%, 26.1% and 6.5%, respectively. At six months of age, the mean (SD) of infant`s weight (gram), height (cm) and head circumference (cm) were 7287.30 (1019.85), 63.23 (5.62) and 41.39 (2.70), respectively. Compared to normal mothers, the risk of suboptimal weight at six months of age significantly increased by 71% in mothers who were classified as having depression (Adjusted RR: 1.71, 95% CI: 1.07, 2.09). The presence of anxiety significantly increased the risk of suboptimal height at six months of age by 43% (ARR: 1.43, 95% CI: 1.07, 1.92). There were no statistically significant effects of ‎either depression anxiety or stress on the suboptimal head circumference at six months of age.<br>
<strong>Conclusion:</strong> Our results showed that mental health disorders of pregnant women might adversely influence the weight and height growth of offspring within the first six months of age. Screening protocols to early diagnose of mental health disorders during pregnancy, and to strict follow up of diagnosed cases postpartum are proposed.</p>
<p style="margin: 0in 0in 8pt;"></p>
Depressive disorders, Growth chart, Prospective studies, Community-participatory research
1070
1075
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-4968-1&slc_lang=en&sid=1
Hasan
Ahmadi Gharaei
h.ahmadi701@gmail.com
200319475328460063019
200319475328460063019
No
Department of Epidemiology & Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Shahrzad
Nematollahi
shahrzadnema@gmail.com
200319475328460063020
200319475328460063020
No
Department of Epidemiology & Biostatistics, School of Public Health, Tehran University of Medical Sciences, & Men`s Health and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Hossein
Moameri
hossein_moameri67@yahoo.com
200319475328460063021
200319475328460063021
No
Department of Epidemiology & Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Abdolhossein
Madani
abdolhossein.madani@hums.ac.ir
200319475328460063022
200319475328460063022
No
Department of Public Health, School of Public Health, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
Mahbube
Parsaeian
mahbobehparsaeian@yahoo.com
200319475328460063023
200319475328460063023
No
Department of Epidemiology & Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Koroush
Holakouie-Naieni
holakoik@hotmail.com
200319475328460063024
200319475328460063024
Yes
Department of Epidemiology & Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, & Bandar Abbas Health Research Station, School of Public Health, Tehran University of Medical Sciences, Bandar Abbas, Iran