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dc.contributor.authorAbajobir, Amanuel Alemu
dc.contributor.authorAlati, Rosa
dc.contributor.authorKisely, Steve
dc.contributor.authorNajman, Jake Moses
dc.description.abstractBackground: There has been a great deal of concern about the mental health of women whose pregnancies involve miscarriage, termination of a pregnancy (ToP), child death or where a child has been given up for adoption. Despite this concern there has been remarkably little population-based research which has addressed the long-term consequences of pregnancy loss and child death. This study investigated the maternal mental health consequences of women whose pregnancies involve miscarriage, ToP, child death or where a child has been given up for adoption at two different time points, adjusting for socio-demographic characteristics and baseline mental health. Methods: The Mater-University of Queensland Study of Pregnancy is a prospective pre-birth cohort study. Women were recruited early in pregnancy over the period 1981 to 1983 at their first antenatal clinic visit (FCV). Women were interviewed again at the 14-year follow-up. Data from 4403 mothers were analysed using maternal reports of a prior history of giving a child up for adoption, miscarriage, ToP, and neonatal, infant and/or child deaths. Symptoms of maternal anxiety and depression were measured at FCV and the 14-year follow-up using the Delusions-Symptoms-States Inventory. We carried out logistic regression analysis using Stata 13. Odds ratios (ORs) with 95% confidence intervals (CIs) were used to display the findings. Results: A prior miscarriage was associated with anxiety (adjusted OR (AOR) = 1.30; 95% CI: 1.10-1.66) and depressive (AOR = 1.70; 95% CI: 1.21-2.39) symptoms at the 14-year follow-up. Having had a neonatal, infant and/or child deaths was associated with symptoms of depression at 14-year follow-up (AOR = 2.12; 95% CI: 1.06-4.25). Conclusion: The period after a child loss which involves a new pregnancy may be associated with relatively good mental health despite the fact that some mothers have experienced previous adverse pregnancy outcomes.
dc.publisherJimma University
dc.relation.ispartofjournalEthiopian Journal of Health Sciences
dc.subject.fieldofresearchHealth policy
dc.subject.fieldofresearchObstetrics and gynaecology
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsHealth Care Sciences & Services
dc.titleAre past adverse pregnancy outcomes associated with maternal anxiety and depressive symptoms in a sample of currently pregnant women?
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationAbajobir, AA; Alati, R; Kisely, S; Najman, JM, Are past adverse pregnancy outcomes associated with maternal anxiety and depressive symptoms in a sample of currently pregnant women?, Ethiopian Journal of Health Sciences, 2017, 27 (4), pp. 351-362
gro.hasfulltextNo Full Text
gro.griffith.authorKisely, Steve R.

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