Share this on:
 E-mail
12
VIEWS
0
COMMENTS
 
SHARES
About this iReport
  • Not verified by CNN

  • Click to view authordeb's profile
    Posted June 12, 2014 by
    authordeb
    Location
    New Haven, Connecticut

    More from authordeb

    Women with PTSD and major depressive disorder are at a higher risk for preterm birth

     
    Women with both are at a 4-fold increased risk of preterm birth

    Post traumatic stress disorder (PTSD) occurs in about 8% of pregnant women. Stressful conditions, including PTSD are inconsistently linked to preterm birth. Psychotropic treatment has been frequently associated with preterm birth. Identifying whether the psychiatric illness or its treatment is independently associated with preterm birth may help clinicians and patients when making management decisions, according to new study.

    In this new study Dr. Kimberly Ann Yonkers, MD, Professor of Psychiatry and of Obstetrics, Gynecology, and Reproductive Sciences; Director, Center for Well-being of Women and Mothers of the Yale School of Medicine, New Haven, Connecticut and colleagues had set out to determine whether a likely diagnosis of PTSD or antidepressant and benzodiazepine treatment during pregnancy is associated with risk of preterm birth. The research team had speculated that pregnant women who likely had PTSD and women receiving antidepressant or anxiolytic treatment would be more likely to experience preterm birth.

    The study included 2,654 women recruited before 17 completed weeks of pregnancy from 137 obstetrical practices in Connecticut and Western Massachusetts. Likely psychiatric diagnoses were achieved by giving the Composite International Diagnostic Interview and the Modified PTSD Symptom Scale and all participants were interviewed on medication usage.

    The results showed higher rates of preterm birth among women with PTSD. Among the women, 129 had consistent PTSD symptoms. Pregnant women who likely had both conditions had a four-fold increased risk of preterm birth. For each point increase on the Modified PTSD Symptom Scale, the risk of preterm birth increased by 1% to 2%. The odds of preterm birth are high for women who used a serotonin reuptake inhibitor (1.02-2.36%) and women who used a benzodiazepine medication (0.98-4.03%).

    The researchers write “Women with likely diagnoses of both PTSD and a major depressive episode are at a 4-fold increased risk of preterm birth; this risk is greater than and independent of, antidepressant and benzodiazepine use and is not simply a function of mood or anxiety symptoms.”

    This study is published online in JAMA Psychiatry

    What do you think of this story?

    Select one of the options below. Your feedback will help tell CNN producers what to do with this iReport. If you'd like, you can explain your choice in the comments below.
    Be and editor! Choose an option below:
      Awesome! Put this on TV! Almost! Needs work. This submission violates iReport's community guidelines.

    Comments

    Log in to comment

    iReport welcomes a lively discussion, so comments on iReports are not pre-screened before they post. See the iReport community guidelines for details about content that is not welcome on iReport.

    Add your Story Add your Story