Charlotte Hanlon|Girmay Medhin|Atalay Alem|Fikru Tesfaye|Zufan Lakew|Bogale Worku|Michael Dewey|Mesfin Araya|Abdulreshid Abdulahi|Michael P. Hughes|Mark Tomlinson|Vikram Patel|Martin Prince
Impact of antenatal common mental disorders upon perinatal outcomes in Ethiopia: the P?MaMiE population?based cohort study
King's College London|Addis Ababa University|King's College London|Addis Ababa University|Addis Ababa University|Addis Ababa University|Addis Ababa University|King's College London|Addis Ababa University|Addis Ababa University|King's College London|South African Medical Research Council|Sangath|London School of Hygiene & Tropical Medicine|King's College London
examine impact antenatal psychosocial stressors including maternal common mental disorders cmd upon low birth weight stillbirth neonatal mortality perinatal outcomes rural ethiopiaa populationbased sample 1065 pregnant women assessed symptoms antenatal cmd selfreporting questionnaire20 srq20 stressful life events pregnancy list threatening experiences lte worry forthcoming delivery subsample 654 women six rural subdistricts neonatal birth weight measured 521 797 singleton babies within 48 h delivery information perinatal outcomes obtained shortly birth mothers verbal report via demographic surveillance systemafter adjusting potential confounders none psychosocial stressors associated lower mean birth weight stillbirth neonatal mortality increasing levels antenatal cmd symptoms associated prolonged labour 24 h srq 15 rr 14 95 ci 1019 srq 6 rr 16 95 ci 1026 delaying initiation breastfeeding eight hours srq 15 rr 14 95 ci 08 24 srq 6 rr 28 95 ci 1361 worry delivery also associated labour longer 24 h rr 15 95 ci 1021this study provides preliminary evidence important public health consequences poor maternal mental health lowincome countries replicate strong association low birth weight found south asia