Postpartum depression and child growth in Tanzania: A cohort study
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Postpartum depression and child growth in Tanzania : A cohort study. / Holm-Larsen, C.E; Madsen, F.K; Rogathi, Jane Januarius; Manongi, Rachael; Mushi, D.; Meyrowitsch, Dan Wolf; Gammeltoft, Tine; Sigalla, Geofrey Nimrod; Rasch, Vibeke.
I: BJOG: An International Journal of Obstetrics and Gynaecology, Bind 126, Nr. 5, 2019, s. 590-598.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Postpartum depression and child growth in Tanzania
T2 - A cohort study
AU - Holm-Larsen, C.E
AU - Madsen, F.K
AU - Rogathi, Jane Januarius
AU - Manongi, Rachael
AU - Mushi, D.
AU - Meyrowitsch, Dan Wolf
AU - Gammeltoft, Tine
AU - Sigalla, Geofrey Nimrod
AU - Rasch, Vibeke
PY - 2019
Y1 - 2019
N2 - ObjectiveTo examine the association between postpartum depression and child growth in a Tanzanian birth cohort.DesignProspective cohort study.SettingMoshi, Tanzania.PopulationPregnant women over the age of 18 who sought antenatal care at two health clinics in Moshi, and the children they were pregnant with, were assessed for inclusion in this study.MethodsThe women were interviewed twice during pregnancy and three times after birth, the final follow up taking place 2–3 years postpartum. Signs of postpartum depression were assessed approximately 40 days postpartum with the Edinburgh Postnatal Depression Scale.Main outcome measuresChild growth was assessed with anthropometric measurements at 2–3 years of age and expressed as mean z‐scores.ResultsIn all, 1128 mother–child pairs were followed throughout the duration of the study. In total, 12.2% of the mothers showed signs of postpartum depression. Adjusted mean height‐for‐age z‐score (HAZ) was significantly lower at 2–3 years follow up for children of mothers with postpartum depression than for children of mothers without (difference in HAZ: −0.32, 95% CI−0.49 to −0.15). Adjusted mean weight‐for‐height z‐score (WHZ) was significantly increased for the children exposed to postpartum depression (difference in WHZ: 0.21, 95% CI 0.02–0.40), whereas there was no significant difference in adjusted weight‐for‐age z‐score (WAZ; difference in WAZ: −0.04, 95% CI −0.20 to 0.12).ConclusionsWe found that postpartum depressive symptoms predicted decreased linear height in children at 2–3 years of age and slightly increased weight‐for‐height.
AB - ObjectiveTo examine the association between postpartum depression and child growth in a Tanzanian birth cohort.DesignProspective cohort study.SettingMoshi, Tanzania.PopulationPregnant women over the age of 18 who sought antenatal care at two health clinics in Moshi, and the children they were pregnant with, were assessed for inclusion in this study.MethodsThe women were interviewed twice during pregnancy and three times after birth, the final follow up taking place 2–3 years postpartum. Signs of postpartum depression were assessed approximately 40 days postpartum with the Edinburgh Postnatal Depression Scale.Main outcome measuresChild growth was assessed with anthropometric measurements at 2–3 years of age and expressed as mean z‐scores.ResultsIn all, 1128 mother–child pairs were followed throughout the duration of the study. In total, 12.2% of the mothers showed signs of postpartum depression. Adjusted mean height‐for‐age z‐score (HAZ) was significantly lower at 2–3 years follow up for children of mothers with postpartum depression than for children of mothers without (difference in HAZ: −0.32, 95% CI−0.49 to −0.15). Adjusted mean weight‐for‐height z‐score (WHZ) was significantly increased for the children exposed to postpartum depression (difference in WHZ: 0.21, 95% CI 0.02–0.40), whereas there was no significant difference in adjusted weight‐for‐age z‐score (WAZ; difference in WAZ: −0.04, 95% CI −0.20 to 0.12).ConclusionsWe found that postpartum depressive symptoms predicted decreased linear height in children at 2–3 years of age and slightly increased weight‐for‐height.
U2 - 10.1111/1471-0528.15495
DO - 10.1111/1471-0528.15495
M3 - Journal article
C2 - 30290065
VL - 126
SP - 590
EP - 598
JO - BJOG: An International Journal of Obstetrics and Gynaecology
JF - BJOG: An International Journal of Obstetrics and Gynaecology
SN - 0140-7686
IS - 5
ER -
ID: 204051786