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Mental health and canada and pregnancy

Elizabeth Ford, Judy Shakespeare, Fatin Elias, Susan Ayers
BACKGROUND: Perinatal anxiety and depression are widespread, with up to 20% of women affected during pregnancy and after birth. In the UK, management of perinatal mental health falls under the remit of general practitioners (GPs). We reviewed the literature on GPs' routine recognition, diagnosis and management of anxiety and depression in the perinatal period. METHOD: A systematic search of Embase, Medline, PsycInfo, Pubmed, Scopus and Web of Science was conducted...
September 22, 2016: Family Practice
Nicole L A Catherine, Andrea Gonzalez, Michael Boyle, Debbie Sheehan, Susan M Jack, Kaitlyn A Hougham, Lawrence McCandless, Harriet L MacMillan, Charlotte Waddell
BACKGROUND: Nurse-Family Partnership is a nurse home visitation program that aims to improve the lives of young mothers and their children. The program focuses on women who are parenting for the first time and experiencing socioeconomic disadvantage. Nurse visits start as early in pregnancy as possible and continue until the child reaches age two years. The program has proven effective in the United States - improving children's mental health and development and maternal wellbeing, and showing long-term cost-effectiveness...
2016: BMC Health Services Research
S N Vigod, G Rochon-Terry, K Fung, A Gruneir, C-L Dennis, S Grigoriadis, P A Kurdyak, J G Ray, P Rochon, M V Seeman
OBJECTIVE: We aimed to identify factors associated with postpartum psychiatric admission in schizophrenia. METHOD: In a population-based cohort study of 1433 mothers with schizophrenia in Ontario, Canada (2003-2011), we compared women with and without psychiatric admission in the 1st year postpartum on demographic, maternal medical/obstetrical, infant and psychiatric factors and identified factors independently associated with admission. RESULTS: Admitted women (n = 275, 19%) were less likely to be adolescents, more likely to be low income and less likely to have received prenatal ultrasound before 20 weeks gestation compared to non-admitted women...
October 2016: Acta Psychiatrica Scandinavica
Lia C H Fernald, Emanuela Galasso, Jumana Qamruddin, Christian Ranaivoson, Lisy Ratsifandrihamanana, Christine P Stewart, Ann M Weber
BACKGROUND: Over half of the world's children suffer from poor nutrition, and as a consequence they experience delays in physical and mental health, and cognitive development. There is little data evaluating the effects of delivery of lipid-based, nutrition supplementation on growth and development during pregnancy and early childhood within the context of a scaled-up program. Furthermore, there is limited evidence on effects of scaled-up, home-visiting programs that focus on the promotion of child development within the context of an existing, national nutrition program...
2016: BMC Public Health
Amy J Hobbs, Cynthia A Mannion, Sheila W McDonald, Meredith Brockway, Suzanne C Tough
BACKGROUND: The caesarean section (c-section) rate in Canada is 27.1%, well above the 5-15% of deliveries suggested by the World Health Organization in 2009. Emergency and planned c-sections may adversely affect breastfeeding initiation, milk supply and infant breastfeeding receptivity compared to vaginal deliveries. Our study examined mode of delivery and breastfeeding initiation, duration, and difficulties reported by mothers at 4 months postpartum. METHODS: The All Our Babies study is a prospective pregnancy cohort in Calgary, Alberta, that began in 2008...
2016: BMC Pregnancy and Childbirth
Cory Neudorf, Daniel Fuller, Jennifer Cushon, Riley Glew, Hollie Turner, Cristina Ugolini
BACKGROUND: We present the health inequalities analytic approach used by the Saskatoon Health Region to examine health equity. Our aim was to develop a method that will enable health regions to prioritize action on health inequalities. METHODS: Data from admissions to hospital, physician billing, reportable diseases, vital statistics and childhood immunizations in the city of Saskatoon were analyzed for the years ranging from 1995 to 2011. Data were aggregated to the dissemination area level...
October 2015: CMAJ Open
Svetlana Popova, Shannon Lange, Kevin Shield, Alanna Mihic, Albert E Chudley, Raja A S Mukherjee, Dennis Bekmuradov, Jürgen Rehm
BACKGROUND: Fetal alcohol spectrum disorder (FASD) is related to many comorbidities because of the permanent effects of prenatal alcohol exposure on the fetus. We aimed to identify the comorbid conditions that co-occur in individuals with FASD and estimate the pooled prevalence of comorbid conditions occurring in individuals with fetal alcohol syndrome (FAS). METHODS: We did a systematic literature search of studies reporting on the comorbidity and cause of death in individuals with FASD using multiple electronic bibliographic databases, searching for studies published up to July, 2012...
March 5, 2016: Lancet
S Lange, M Quere, K Shield, J Rehm, S Popova
OBJECTIVE: To estimate the prevalence of alcohol consumption during pregnancy and while breastfeeding in Canada from 2003 to 2010, and to test the relation between self-perceived mental health status and alcohol consumption during pregnancy and while breastfeeding. DESIGN: Secondary analysis of four cycles of the Canadian Community Health Survey, a population-based cross-sectional survey. SETTING: Canada. SAMPLE: A total of 18 612 pregnant and 15 836 breastfeeding women...
May 2016: BJOG: An International Journal of Obstetrics and Gynaecology
Dawn Kingston, Marie-Paule Austin, Maureen Heaman, Sheila McDonald, Gerri Lasiuk, Wendy Sword, Rebecca Giallo, Kathy Hegadoren, Lydia Vermeyden, Sander Veldhuyzen van Zanten, Joshua Kingston, Karly Jarema, Anne Biringer
BACKGROUND: Access to mental health services during pregnancy is most commonly mobilized through formal mental health screening. However, few studies to date have identified barriers and facilitators that affect pregnant women's responses to mental health screening. The objective was to identify barriers and facilitators that influence pregnant women's responses to the screening process and factors associated with their identification. METHODS: This multi-site, cross-sectional survey recruited pregnant women >16 years of age who spoke/read English in Alberta, Canada...
November 1, 2015: Journal of Affective Disorders
Dawn E Kingston, Anne Biringer, Sheila W McDonald, Maureen I Heaman, Gerri C Lasiuk, Kathy M Hegadoren, Sarah D McDonald, Sander Veldhuyzen van Zanten, Wendy Sword, Joshua J Kingston, Karly M Jarema, Lydia Vermeyden, Marie-Paule Austin
INTRODUCTION: The process of mental health screening can influence disclosure, uptake of referral, and treatment; however, no studies have explored pregnant women's views of methods of mental health screening. The objectives of this study are to determine pregnant women's comfort and preferences regarding mental health screening. METHODS: Pregnant women were recruited (May-December 2013) for this cross-sectional descriptive survey from prenatal classes and maternity clinics in Alberta, Canada, if they were aged >16 years and spoke/read English...
October 2015: American Journal of Preventive Medicine
Shaila Misri, Jasmin Abizadeh, Shawn Sanders, Elena Swift
Perinatal generalized anxiety disorder (GAD) has a high prevalence of 8.5%-10.5% during pregnancy and 4.4%-10.8% postpartum. Despite its attendant dysfunction in the patient, this potentially debilitating mental health condition is often underdiagnosed. This overview will provide guidance for clinicians in making timely diagnosis and managing symptoms appropriately. A significant barrier to the diagnosis of GAD in the perinatal population is difficulty in distinguishing normal versus pathological worry. Because a perinatal-specific screening tool for GAD is nonexistent, early identification, diagnosis and treatment is often compromised...
September 2015: Journal of Women's Health
Angela Vinturache, Nikki Stephenson, Sheila McDonald, Muci Wu, Hamideh Bayrampour, Suzanne Tough
OBJECTIVE: To study the effects of mode of conception (spontaneous vs. assisted) on health-related quality of life (HRQoL) throughout pregnancy and in the postpartum period. DESIGN: Secondary analysis of data from the All Our Babies cohort. SETTING: Not applicable. PATIENT(S): A total of 243 women with assisted conception and 3,309 women with spontaneous conception. INTERVENTION(S): Short Form 12 (SF-12) health survey administered by means of questionnaires at <25 weeks, 34-36 weeks of gestation, and 4 months postpartum...
July 2015: Fertility and Sterility
Hamideh Bayrampour, Sheila McDonald, Suzanne Tough
PURPOSE: chronic poor mental health over the course of pregnancy contributes to greater adverse maternal and child outcomes. Identifying women with chronic depressive or anxiety symptoms can provide opportunities to reduce distress and improve pregnancy outcomes. The objective of this study was to determine risk factors of chronic antenatal depressive and anxiety symptoms using a longitudinal pregnancy cohort in Alberta, Canada. METHODS: women with singleton pregnancies were included (N=3021)...
June 2015: Midwifery
Hamideh Bayrampour, Charleen Salmon, Angela Vinturache, Suzanne Tough
AIM: The effect of prenatal mental health on the risk of obstetric interventions is unclear. The present study examined the associations between depressive and anxiety symptoms in the second and third trimesters and mode of delivery, epidural use and labor induction in a large community-based pregnancy cohort, in Alberta, Canada. MATERIAL AND METHODS: Women who had singleton pregnancies, delivered in hospital, and had medical data were selected (n = 2825). Obstetric intervention data were obtained from the medical records, and depressive and anxiety symptoms were measured by the Edinburgh Postnatal Depression Scale and the Spielberger State Anxiety Inventory...
July 2015: Journal of Obstetrics and Gynaecology Research
Dawn Kingston, Sheila McDonald, Suzanne Tough, Marie-Paule Austin, Kathy Hegadoren, Gerri Lasiuk
BACKGROUND: At a prevalence rate of 13-25%, mental health problems are among the most common morbidities of the prenatal and postnatal periods. They have been associated with increased risk of preterm birth and low birthweight, child developmental delay, and poor child mental health. However, very few pregnant and postpartum women proactively seek help or engage in treatment and less than 15% receive needed mental healthcare. While system-related barriers limit accessibility and availability of mental health services, personal barriers, such as views of mental health and its treatment, are also cited as significant deterrents of obtaining mental healthcare...
2014: BMC Pregnancy and Childbirth
Simone N Vigod, Cindy Lee Dennis, Paul A Kurdyak, John Cairney, Astrid Guttmann, Valerie H Taylor
OBJECTIVE: Fertility rates among adolescents have decreased substantially in recent years, yet fertility rates among adolescent girls with mental illness have not been studied. We examined temporal trends in fertility rates among adolescent girls with major mental illness. METHODS: We conducted a repeated annual cross-sectional study of fertility rates among girls aged 15 to 19 years in Ontario, Canada (1999-2009). Girls with major mental illness were identified through administrative health data indicating the presence of a psychotic, bipolar, or major depressive disorder within 5 years preceding pregnancy (60,228 person-years)...
March 2014: Pediatrics
S N Vigod, P A Kurdyak, C L Dennis, A Gruneir, A Newman, M V Seeman, P A Rochon, G M Anderson, S Grigoriadis, J G Ray
OBJECTIVE: More women with schizophrenia are becoming pregnant, such that contemporary data are needed about maternal and newborn outcomes in this potentially vulnerable group. We aimed to quantify maternal and newborn health outcomes among women with schizophrenia. DESIGN: Retrospective cohort study. SETTING: Population based in Ontario, Canada, from 2002 to 2011. POPULATION: Ontario women aged 15-49 years who gave birth to a liveborn or stillborn singleton infant...
April 2014: BJOG: An International Journal of Obstetrics and Gynaecology
Yang Cui, Shahin Shooshtari, Evelyn L Forget, Ian Clara, Kwong F Cheung
OBJECTIVES: Smoking during pregnancy may cause many health problems for pregnant women and their newborns. However, there is a paucity of research that has examined the predictors of smoking during pregnancy in Canada. This study used data from the 2009-2010 Canadian Community Health Survey (CCHS) to estimate the prevalence of smoking during pregnancy and examine the demographic, socioeconomic, health-related and behavioral determinants of this behavior. METHODS AND FINDINGS: The data were obtained from the 2009-2010 CCHS master data file...
2014: PloS One
Anita J Gagnon, Donna E Stewart
Exposure to violence associated with pregnancy (VAP) is an underrecognized public health and social problem that has an enormous impact on the physical and mental health of women and their children. Our recent study of 1,127 new mothers living in two urban areas of Canada found refugees and asylum-seekers to be more likely to have experienced VAP than immigrant or Canadian-born women. Interestingly, some migrants who had experienced VAP had low rates of postpartum depression risk on the Edinburgh Postpartum Depression Scale, suggesting that resilience may play an important role in maintaining their mental health...
August 2014: Archives of Women's Mental Health
Dorothy Badry, Aileen Wight Felske
OBJECTIVE: The Brightening Our Home Fires (BOHF) project was conceptualized as an exploratory project to examine the issue of the prevention of foetal alcohol spectrum disorder (FASD) from a women's health perspective in the Northwest Territories (NT). While dominant discourse suggests that FASD is preventable by abstention from alcohol during pregnancy, a broader perspective would indicate that alcohol and pregnancy is a far more complex issue, that is, bound in location, economics, social and cultural views of health...
2013: International Journal of Circumpolar Health
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