Nutrition, mental health and violence: from pregnancy to postpartum Cohort of women attending primary care units in Southern Brazil--ECCAGE study

Woman's nutritional status, before and during pregnancy, is a strong determinant of health outcomes in the mother and newborn. Gestational weight gain and postpartum weight retention increases risk of overweight or obesity in the future and they depend on the pregestational nutritional status a...

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Bibliographic Details
Published in:	BMC psychiatry Vol. 10; no. 1; p. 66
Main Authors:	Nunes, Maria A, Ferri, Cleusa P, Manzolli, Patricia, Soares, Rafael M, Drehmer, Michele, Buss, Caroline, Giacomello, Andressa, Hoffmann, Juliana F, Ozcariz, Silvia, Melere, Cristiane, Manenti, Carlo N, Camey, Suzi, Duncan, Bruce B, Schmidt, Maria I
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 31-08-2010 BioMed Central BMC
Subjects:	Adolescent Adult Brazil - epidemiology Cesarean section Child Development Chronic illnesses Cohort Studies Diet Eating - physiology Eating behavior Eating disorders Epidemiology Expected values Family violence Feeding Behavior - physiology Female Food Fruits Health aspects Humans Infant, Newborn Maternal & child health Mental depression Mental disorders Mental Disorders - epidemiology Mental health Mental illness Nutrition research Nutritional aspects Nutritional status Obesity Obesity - epidemiology Postpartum period Preeclampsia Pregnancy Pregnancy Complications - epidemiology Pregnancy Trimesters Pregnancy, Complications of Pregnant women Premature labor Prenatal Care - methods Prevalence Prevention Primary care Primary Health Care - methods Psychiatry Public health Puerperal Disorders - epidemiology Questionnaires Study Protocol Violence - psychology Violence - statistics & numerical data Weight Gain - physiology Womens health Brazil Rio Grande do Sul Brazil
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Summary:	Woman's nutritional status, before and during pregnancy, is a strong determinant of health outcomes in the mother and newborn. Gestational weight gain and postpartum weight retention increases risk of overweight or obesity in the future and they depend on the pregestational nutritional status and on food consumption and eating behavior during pregnancy. Eating behavior during pregnancy may be the cause or consequence of mood changes during pregnancy, especially depression, which increases likelihood of postpartum depression. In Brazil, a study carried out in the immediate postpartum period found that one in three women experienced some type of violence during pregnancy. Violence and depression are strongly associated and both exposures during pregnancy are associated with increased maternal stress and subsequent harm to the infant. The main objectives of this study are: to identify food intake and eating behaviors patterns; to estimate the prevalence of common mental disorders and the experience of violence during and after pregnancy; and to estimate the association between these exposures and infant's health and development. This is a cohort study of 780 pregnant women receiving care in 18 primary care units in two cities in Southern Brazil. Pregnant women were first evaluated between the 16th and 36th week of pregnancy at a prenatal visit. Follow-up included immediate postpartum assessment and around the fifth month postpartum. Information was obtained on sociodemographic characteristics, living circumstances, food intake, eating behaviors, mental health and exposure to violence, and on infant's development and anthropometrics measurements. This project will bring relevant information for a better understanding of the relationship between exposures during pregnancy and how they might affect child development, which can be useful for a better planning of health actions aiming to enhance available resources in primary health care.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1471-244X 1471-244X
DOI:	10.1186/1471-244X-10-66