Relationship Between Common Mental Disorder Symptoms During Pregnancy and Preterm Birth Among Chinese Women in Wuhan

Rong Yang, Shengwen Liang, Louise H. Flick, Shaoping Yang, Ke Hu, Jing Wang, Ronghua Hu, Zhen Huang, Guanghui Dong, Yiming Zhang, Longjiao Shen, Anna Peng, Tongzhang Zheng, Shunqing Xu, Bin Zhang, Zhengmin Qian

Research output: Contribution to journalArticle

Abstract

Objectives Few studies focus on the symptoms of common mental disorders during pregnancy (CMDP) and risk of preterm birth subtypes (PTB). The purpose of this study was to estimate the association between CMDP and PTB, and to examine whether or not the association between CMDP and PTB varies with the subtype of PTB in Chinese. Methods This population-based case control study, conducted in Wuhan, China, defined cases as every pregnant woman who had a PTB among all births in Wuhan, from June 10, 2011, to June 9, 2013. The same number of pregnant women who had term births was randomly selected as controls. The Electronic Perinatal Health Care Information System, a questionnaire designed for the study, provided data about the participants. Logistic regression analyses were used to model associations betweenCMDP and PTB, and to test associations between CMDP and two subtypes of PTB. Results The study recruited 8616 cases and an equal number of controls. We successfully collected maternal information on 6656 cases and controls for a response rate of 77.3 %. The incidence of PTB in Wuhan was 4.5 %. Spontaneous preterm births (SPTB) accounted for 60.1 %, and medically induced preterm births (IPTB) accounted for 39.9 % of preterm births. The prevalence rate of CMDP was 15.8 %. CMDP was slightly associated with PTB (crude OR 1.16, 95 % CI 1.01–1.32; adjusted OR 1.15, 95 % CI 1.00–1.32), further analyses showed CMDP was associated with IPTB (aOR 1.25, 95 % CI 1.04–1.50), but not with SPTB. Conclusion Our data suggest that CMDP is related to an increased risk of PTB, and that this association is primarily due to IPTB rather than SPTB.

Original languageEnglish (US)
Pages (from-to)2121-2129
Number of pages9
JournalMaternal and child health journal
Volume20
Issue number10
DOIs
StatePublished - Oct 1 2016

Fingerprint

Premature Birth
Mental Disorders
Pregnancy
Pregnant Women
Term Birth
Perinatal Care
Health Information Systems

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health

Cite this

Yang, Rong ; Liang, Shengwen ; Flick, Louise H. ; Yang, Shaoping ; Hu, Ke ; Wang, Jing ; Hu, Ronghua ; Huang, Zhen ; Dong, Guanghui ; Zhang, Yiming ; Shen, Longjiao ; Peng, Anna ; Zheng, Tongzhang ; Xu, Shunqing ; Zhang, Bin ; Qian, Zhengmin. / Relationship Between Common Mental Disorder Symptoms During Pregnancy and Preterm Birth Among Chinese Women in Wuhan. In: Maternal and child health journal. 2016 ; Vol. 20, No. 10. pp. 2121-2129.
@article{53c92144d8f4433ab79b28bd564c79f5,
title = "Relationship Between Common Mental Disorder Symptoms During Pregnancy and Preterm Birth Among Chinese Women in Wuhan",
abstract = "Objectives Few studies focus on the symptoms of common mental disorders during pregnancy (CMDP) and risk of preterm birth subtypes (PTB). The purpose of this study was to estimate the association between CMDP and PTB, and to examine whether or not the association between CMDP and PTB varies with the subtype of PTB in Chinese. Methods This population-based case control study, conducted in Wuhan, China, defined cases as every pregnant woman who had a PTB among all births in Wuhan, from June 10, 2011, to June 9, 2013. The same number of pregnant women who had term births was randomly selected as controls. The Electronic Perinatal Health Care Information System, a questionnaire designed for the study, provided data about the participants. Logistic regression analyses were used to model associations betweenCMDP and PTB, and to test associations between CMDP and two subtypes of PTB. Results The study recruited 8616 cases and an equal number of controls. We successfully collected maternal information on 6656 cases and controls for a response rate of 77.3 {\%}. The incidence of PTB in Wuhan was 4.5 {\%}. Spontaneous preterm births (SPTB) accounted for 60.1 {\%}, and medically induced preterm births (IPTB) accounted for 39.9 {\%} of preterm births. The prevalence rate of CMDP was 15.8 {\%}. CMDP was slightly associated with PTB (crude OR 1.16, 95 {\%} CI 1.01–1.32; adjusted OR 1.15, 95 {\%} CI 1.00–1.32), further analyses showed CMDP was associated with IPTB (aOR 1.25, 95 {\%} CI 1.04–1.50), but not with SPTB. Conclusion Our data suggest that CMDP is related to an increased risk of PTB, and that this association is primarily due to IPTB rather than SPTB.",
author = "Rong Yang and Shengwen Liang and Flick, {Louise H.} and Shaoping Yang and Ke Hu and Jing Wang and Ronghua Hu and Zhen Huang and Guanghui Dong and Yiming Zhang and Longjiao Shen and Anna Peng and Tongzhang Zheng and Shunqing Xu and Bin Zhang and Zhengmin Qian",
year = "2016",
month = "10",
day = "1",
doi = "10.1007/s10995-016-2042-9",
language = "English (US)",
volume = "20",
pages = "2121--2129",
journal = "Maternal and Child Health Journal",
issn = "1092-7875",
publisher = "Springer GmbH & Co, Auslieferungs-Gesellschaf",
number = "10",

}

Yang, R, Liang, S, Flick, LH, Yang, S, Hu, K, Wang, J, Hu, R, Huang, Z, Dong, G, Zhang, Y, Shen, L, Peng, A, Zheng, T, Xu, S, Zhang, B & Qian, Z 2016, 'Relationship Between Common Mental Disorder Symptoms During Pregnancy and Preterm Birth Among Chinese Women in Wuhan', Maternal and child health journal, vol. 20, no. 10, pp. 2121-2129. https://doi.org/10.1007/s10995-016-2042-9

Relationship Between Common Mental Disorder Symptoms During Pregnancy and Preterm Birth Among Chinese Women in Wuhan. / Yang, Rong; Liang, Shengwen; Flick, Louise H.; Yang, Shaoping; Hu, Ke; Wang, Jing; Hu, Ronghua; Huang, Zhen; Dong, Guanghui; Zhang, Yiming; Shen, Longjiao; Peng, Anna; Zheng, Tongzhang; Xu, Shunqing; Zhang, Bin; Qian, Zhengmin.

In: Maternal and child health journal, Vol. 20, No. 10, 01.10.2016, p. 2121-2129.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Relationship Between Common Mental Disorder Symptoms During Pregnancy and Preterm Birth Among Chinese Women in Wuhan

AU - Yang, Rong

AU - Liang, Shengwen

AU - Flick, Louise H.

AU - Yang, Shaoping

AU - Hu, Ke

AU - Wang, Jing

AU - Hu, Ronghua

AU - Huang, Zhen

AU - Dong, Guanghui

AU - Zhang, Yiming

AU - Shen, Longjiao

AU - Peng, Anna

AU - Zheng, Tongzhang

AU - Xu, Shunqing

AU - Zhang, Bin

AU - Qian, Zhengmin

PY - 2016/10/1

Y1 - 2016/10/1

N2 - Objectives Few studies focus on the symptoms of common mental disorders during pregnancy (CMDP) and risk of preterm birth subtypes (PTB). The purpose of this study was to estimate the association between CMDP and PTB, and to examine whether or not the association between CMDP and PTB varies with the subtype of PTB in Chinese. Methods This population-based case control study, conducted in Wuhan, China, defined cases as every pregnant woman who had a PTB among all births in Wuhan, from June 10, 2011, to June 9, 2013. The same number of pregnant women who had term births was randomly selected as controls. The Electronic Perinatal Health Care Information System, a questionnaire designed for the study, provided data about the participants. Logistic regression analyses were used to model associations betweenCMDP and PTB, and to test associations between CMDP and two subtypes of PTB. Results The study recruited 8616 cases and an equal number of controls. We successfully collected maternal information on 6656 cases and controls for a response rate of 77.3 %. The incidence of PTB in Wuhan was 4.5 %. Spontaneous preterm births (SPTB) accounted for 60.1 %, and medically induced preterm births (IPTB) accounted for 39.9 % of preterm births. The prevalence rate of CMDP was 15.8 %. CMDP was slightly associated with PTB (crude OR 1.16, 95 % CI 1.01–1.32; adjusted OR 1.15, 95 % CI 1.00–1.32), further analyses showed CMDP was associated with IPTB (aOR 1.25, 95 % CI 1.04–1.50), but not with SPTB. Conclusion Our data suggest that CMDP is related to an increased risk of PTB, and that this association is primarily due to IPTB rather than SPTB.

AB - Objectives Few studies focus on the symptoms of common mental disorders during pregnancy (CMDP) and risk of preterm birth subtypes (PTB). The purpose of this study was to estimate the association between CMDP and PTB, and to examine whether or not the association between CMDP and PTB varies with the subtype of PTB in Chinese. Methods This population-based case control study, conducted in Wuhan, China, defined cases as every pregnant woman who had a PTB among all births in Wuhan, from June 10, 2011, to June 9, 2013. The same number of pregnant women who had term births was randomly selected as controls. The Electronic Perinatal Health Care Information System, a questionnaire designed for the study, provided data about the participants. Logistic regression analyses were used to model associations betweenCMDP and PTB, and to test associations between CMDP and two subtypes of PTB. Results The study recruited 8616 cases and an equal number of controls. We successfully collected maternal information on 6656 cases and controls for a response rate of 77.3 %. The incidence of PTB in Wuhan was 4.5 %. Spontaneous preterm births (SPTB) accounted for 60.1 %, and medically induced preterm births (IPTB) accounted for 39.9 % of preterm births. The prevalence rate of CMDP was 15.8 %. CMDP was slightly associated with PTB (crude OR 1.16, 95 % CI 1.01–1.32; adjusted OR 1.15, 95 % CI 1.00–1.32), further analyses showed CMDP was associated with IPTB (aOR 1.25, 95 % CI 1.04–1.50), but not with SPTB. Conclusion Our data suggest that CMDP is related to an increased risk of PTB, and that this association is primarily due to IPTB rather than SPTB.

UR - http://www.scopus.com/inward/record.url?scp=84976438401&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84976438401&partnerID=8YFLogxK

U2 - 10.1007/s10995-016-2042-9

DO - 10.1007/s10995-016-2042-9

M3 - Article

C2 - 27352288

AN - SCOPUS:84976438401

VL - 20

SP - 2121

EP - 2129

JO - Maternal and Child Health Journal

JF - Maternal and Child Health Journal

SN - 1092-7875

IS - 10

ER -