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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 2/2016

01-02-2016 | Original Paper

The impact of domestic violence and depressive symptoms on preterm birth in South India

Authors: Deepa Rao, Shuba Kumar, Rani Mohanraj, Sarah Frey, Lisa E. Manhart, Debra L. Kaysen

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 2/2016

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Abstract

Purpose

India has the highest absolute number of maternal deaths, preterm birth cases, and under-5 mortality in the world, as well as high domestic violence (DV) rates. We sought to examine the impact of DV and its psychosocial correlates on pregnancy and birth outcomes.

Methods

Women seeking antenatal care in Tamil Nadu, South India (N = 150) were assessed during pregnancy, and birth outcomes were abstracted from medical records after the babies were born.

Results

We found that psychological abuse (OR 3.9; 95 % CI 1.19–12.82) and mild or greater depressive symptoms (OR 3.3; 95 % CI 0.99–11.17) were significantly associated with increased risk of preterm birth. Physical abuse was also associated with increased risk of preterm birth, but this was not statistically significant (OR 1.9; 95 % CI 0.59–6.19). In each of the above adjusted models, low maternal education was associated with increased risk of preterm birth, in the analysis with depressive symptoms OR 0.18, CI 0.04–0.86 and in the analyses with psychological abuse OR 0.19, CI 0.04–0.91.

Conclusions

These findings suggest that future research should focus on understanding the psychosocial antecedents to preterm birth, to better target interventions and improve maternal child health in limited resource settings.
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Metadata
Title
The impact of domestic violence and depressive symptoms on preterm birth in South India
Authors
Deepa Rao
Shuba Kumar
Rani Mohanraj
Sarah Frey
Lisa E. Manhart
Debra L. Kaysen
Publication date
01-02-2016
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 2/2016
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-015-1167-2

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