Kamalini Lokuge, Freda Wemin, Grace Joshy, Glen Dl Mola
Evaluation of an obstetric and neonatal care upskilling program for community health workers in Papua New Guinea
BMC pregnancy and childbirth
mental health conditions prior pregnancy addressed adverse consequences pregnancy birth outcomes study aimed determine extent womens mental healthrelated hospitalisation mhrh prior pregnancy associated risk adverse birth outcomes linked perinatal data register births northern territory australia year 1999 2017 hospital admissions records create cohort births women aged 1544 years without mhrh prior pregnancy used modified poisson regression latent class analysis assess association maternal mhrh adverse birth outcomes ie stillbirth preterm birth low birth weight short birth length explored mediation effect covariates theoretical causal paths calculated adjusted population attributable fraction paf preventive fractions population pfp valid associations 72518 births 70425 births 364 aboriginal women included analysis latent class analys identified two classes high membership probability 105 low adverse birth outcomes births aboriginal women mhrh around two times likely class high adverse birth outcomes mhrh prior pregnancy increased risk adverse birth outcomes populations risk ranging 119 95 ci 105 135 789 117 5337 eight antenatal care visits intrauterine growth restriction mostly played significant mediation role maternal mhrh adverse birth outcomes mediation effects ranging 104 101 108 139 114 169 mhrh low high population impact paf ranging 161 51 257 873 143 981 eight antenatal care visits avert extra adverse birth outcomes range 723 332765 stillbirths 3003 19724434 preterm births maternal mhrh modifiable risk factor explained low moderate risk adverse birth outcomes northern territory knowledge highlights need development implementation preconception mental health care routine health services child youth development research partnership cydrp data repository supported grant northern territory government