Elevated risk of adverse obstetric outcomes in pregnant women with depression.
Elevated risk of adverse obstetric outcomes in pregnant women with depression.
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DOI：
10.1007/s00737-013-0371-x
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发表时间：
2013-12
影响因子：
4.5
通讯作者：
Epperson, C. Neill
中科院分区：
文献类型：
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作者：
Kim, Deborah R.;Sockol, Laura E.;Sammel, Mary D.;Kelly, Caroline;Moseley, Marian;Epperson, C. Neill
在这项研究中，我们评估了第一次产科就诊时患者抑郁评分与非裔美国女性不良生育结果之间的关系。我们对261名怀孕的非裔美国妇女进行了一项回溯性队列研究，她们在第一次产前探视时接受了爱丁堡产后抑郁量表(EPDS)的筛查。回顾医疗记录以评估妊娠和新生儿结局，特别是先兆子痫、早产、胎儿宫内发育迟缓和低出生体重。使用多变量Logistic回归模型，EPDS评分≥为10与先兆子痫、早产和低出生体重的风险增加相关。早产儿发育迟缓评分≥为10分与胎儿宫内发育迟缓的风险增加有关，但在控制了行为危险因素后，这种相关性不再显着。在最初的产科就诊中进行阳性的、患者分级的抑郁症筛查与多种不良生育结局的风险增加有关。考虑到回溯性研究设计和小样本量，这一发现应该在前瞻性队列研究中得到证实。
In this study, we evaluated the association between patient depression ratings at an initial obstetrics visit and adverse birth outcomes in African-American women. We conducted a retrospective cohort study of 261 pregnant, African American women who were screened with the Edinburgh Postnatal Depression Scale (EPDS) at their initial prenatal visit. Medical records were reviewed to assess pregnancy and neonatal outcomes, specifically pre-eclampsia, preterm birth, intrauterine growth retardation and low birth weight. Using multivariable logistic regression models, an EPDS score ≥ 10 was associated with increased risk for preeclampsia, preterm birth and low birth weight. An EPDS score ≥ 10 was associated with increased risk for intrauterine growth retardation but after controlling for behavioral risk factors this association was no longer significant. A positive, patient-rated depression screening at the initial obstetrics visit depression is associated with increased risk for multiple adverse birth outcomes. Given the retrospective study design and small sample size, this finding should be confirmed in a prospective cohort study.
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影响因子：
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作者：
Grote, Nancy K.;Bridge, Jeffrey A.;Gavin, Amelia R.;Melville, Jennifer L.;Iyengar, Satish;Katon, Wayne J.
通讯作者：
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影响因子：
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作者：
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通讯作者：
Dipietro, JA
DOI：
10.1111/j.1749-6632.1997.tb52128.x
发表时间：
1997-01-01
期刊：
ADOLESCENT GYNECOLOGY AND ENDOCRINOLOGY: BASIC AND CLINICAL ASPECTS
影响因子：
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作者：
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通讯作者：
Chrousos, GP
DOI：
10.1177/070674371105600506
发表时间：
2011-05-01
影响因子：
4
作者：
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通讯作者：
Lin, Herng-Ching