Depression during gestation in adolescent mothers interferes with neonatal neurobehavior

Depression during gestation in adolescent mothers interferes with neonatal neurobehavior

Autor Barros, Marina Carvalho de Moraes Autor UNIFESP Google Scholar
Mitsuhiro, Sandro Sendin Autor UNIFESP Google Scholar
Chalem, Elisa Google Scholar
Laranjeira, Ronaldo Autor UNIFESP Google Scholar
Guinsburg, Ruth Autor UNIFESP Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo Objective: To compare the neurobehavior of neonates born to adolescent mothers with and without depression during gestation. Methods: This prospective cross-sectional study included healthy term neonates born to adolescent mothers with untreated depression during gestation, without exposure to legal or illicit drugs, and compared them with infants born to adolescent mothers without psychiatric disorders. Maternal psychiatric diagnoses were assessed by the Composite International Diagnostic Interview (CIDI 2.1) and neonatal neurobehavior by the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS) at 24 to 72 hours of life. Neurobehavioral outcomes were analyzed by ANOVA adjusted for confounders. Results: 37 infants born to mothers with depression during gestation were compared to 332 infants born to mothers without psychiatric disorders. Infants of mothers with depression had smaller head circumferences. Significant interactions of maternal depression and male gender, gestational age > 40 weeks, regional anesthesia during delivery, vaginal delivery, and infant head circumference ≥ 34 cm were found. Worse performance was noted in the following neonatal neurobehavioral parameters: arousal, excitability, lethargy, hypotonicity, and signs of stress and abstinence. Conclusion: Infants born to adolescent mothers with depression exhibit some behavioral changes in the first days of life. These changes are associated with infant sex, gestational age, type of anesthesia, mode of delivery, and head circumference.
Palavra-chave Depressive disorder
pregnancy in adolescence
infant behavior
Idioma Inglês
Data de publicação 2013-12-01
Publicado em Revista Brasileira de Psiquiatria. Associação Brasileira de Psiquiatria - ABP, v. 35, n. 4, p. 353-359, 2013.
ISSN 1516-4446 (Sherpa/Romeo)
Publicador Associação Brasileira de Psiquiatria - ABP
Extensão 353-359
Fonte http://dx.doi.org/10.1590/1516-4446-2012-0855
Direito de acesso Acesso aberto Open Access
Tipo Artigo
SciELO S1516-44462013000400353 (estatísticas na SciELO)
Endereço permanente http://repositorio.unifesp.br/handle/11600/8020

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