Postpartum depression and child growth in Tanzania: A cohort study

C.E Holm-Larsen; F.K Madsen; Jane Januarius Rogathi; Rachael Manongi; D. Mushi; Dan Wolf Meyrowitsch; Tine Gammeltoft; Geofrey Nimrod Sigalla; Vibeke Rasch

doi:10.1111/1471-0528.15495

Postpartum depression and child growth in Tanzania: A cohort study

C.E Holm-Larsen, F.K Madsen, Jane Januarius Rogathi, Rachael Manongi, D. Mushi, Dan Wolf Meyrowitsch, Tine Gammeltoft, Geofrey Nimrod Sigalla, Vibeke Rasch

Global Health Section

3 Citations (Scopus)

Abstract

Objective: To examine the association between postpartum depression and child growth in a Tanzanian birth cohort. Design: Prospective cohort study. Setting: Moshi, Tanzania. Population: Pregnant women over the age of 18 who sought antenatal care at two health clinics in Moshi, and the children they were pregnant with, were assessed for inclusion in this study. Methods: The women were interviewed twice during pregnancy and three times after birth, the final follow up taking place 2–3 years postpartum. Signs of postpartum depression were assessed approximately 40 days postpartum with the Edinburgh Postnatal Depression Scale. Main outcome measures: Child growth was assessed with anthropometric measurements at 2–3 years of age and expressed as mean z-scores. Results: In all, 1128 mother–child pairs were followed throughout the duration of the study. In total, 12.2% of the mothers showed signs of postpartum depression. Adjusted mean height-for-age z-score (HAZ) was significantly lower at 2–3 years follow up for children of mothers with postpartum depression than for children of mothers without (difference in HAZ: −0.32, 95% CI−0.49 to −0.15). Adjusted mean weight-for-height z-score (WHZ) was significantly increased for the children exposed to postpartum depression (difference in WHZ: 0.21, 95% CI 0.02–0.40), whereas there was no significant difference in adjusted weight-for-age z-score (WAZ; difference in WAZ: −0.04, 95% CI −0.20 to 0.12). Conclusions: We found that postpartum depressive symptoms predicted decreased linear height in children at 2–3 years of age and slightly increased weight-for-height. Tweetable abstract: Postpartum depression in Tanzanian mothers is associated with impaired child growth at 2–3 years of age.

Original language	English
Journal	BJOG: An International Journal of Obstetrics and Gynaecology
Volume	126
Issue number	5
Pages (from-to)	590-598
Number of pages	9
ISSN	1470-0328
DOIs	https://doi.org/10.1111/1471-0528.15495
Publication status	Published - Apr 2019

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10.1111/1471-0528.15495

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title = "Postpartum depression and child growth in Tanzania: A cohort study",

abstract = "Objective: To examine the association between postpartum depression and child growth in a Tanzanian birth cohort. Design: Prospective cohort study. Setting: Moshi, Tanzania. Population: Pregnant women over the age of 18 who sought antenatal care at two health clinics in Moshi, and the children they were pregnant with, were assessed for inclusion in this study. Methods: The women were interviewed twice during pregnancy and three times after birth, the final follow up taking place 2–3 years postpartum. Signs of postpartum depression were assessed approximately 40 days postpartum with the Edinburgh Postnatal Depression Scale. Main outcome measures: Child growth was assessed with anthropometric measurements at 2–3 years of age and expressed as mean z-scores. Results: In all, 1128 mother–child pairs were followed throughout the duration of the study. In total, 12.2% of the mothers showed signs of postpartum depression. Adjusted mean height-for-age z-score (HAZ) was significantly lower at 2–3 years follow up for children of mothers with postpartum depression than for children of mothers without (difference in HAZ: −0.32, 95% CI−0.49 to −0.15). Adjusted mean weight-for-height z-score (WHZ) was significantly increased for the children exposed to postpartum depression (difference in WHZ: 0.21, 95% CI 0.02–0.40), whereas there was no significant difference in adjusted weight-for-age z-score (WAZ; difference in WAZ: −0.04, 95% CI −0.20 to 0.12). Conclusions: We found that postpartum depressive symptoms predicted decreased linear height in children at 2–3 years of age and slightly increased weight-for-height. Tweetable abstract: Postpartum depression in Tanzanian mothers is associated with impaired child growth at 2–3 years of age.",

author = "C.E Holm-Larsen and F.K Madsen and Rogathi, {Jane Januarius} and Rachael Manongi and D. Mushi and Meyrowitsch, {Dan Wolf} and Tine Gammeltoft and Sigalla, {Geofrey Nimrod} and Vibeke Rasch",

year = "2019",

month = apr,

doi = "10.1111/1471-0528.15495",

language = "English",

volume = "126",

pages = "590--598",

journal = "BJOG: An International Journal of Obstetrics and Gynaecology",

issn = "1470-0328",

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number = "5",

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TY - JOUR

T1 - Postpartum depression and child growth in Tanzania

T2 - A cohort study

AU - Holm-Larsen, C.E

AU - Madsen, F.K

AU - Rogathi, Jane Januarius

AU - Manongi, Rachael

AU - Mushi, D.

AU - Meyrowitsch, Dan Wolf

AU - Gammeltoft, Tine

AU - Sigalla, Geofrey Nimrod

AU - Rasch, Vibeke

PY - 2019/4

Y1 - 2019/4

N2 - Objective: To examine the association between postpartum depression and child growth in a Tanzanian birth cohort. Design: Prospective cohort study. Setting: Moshi, Tanzania. Population: Pregnant women over the age of 18 who sought antenatal care at two health clinics in Moshi, and the children they were pregnant with, were assessed for inclusion in this study. Methods: The women were interviewed twice during pregnancy and three times after birth, the final follow up taking place 2–3 years postpartum. Signs of postpartum depression were assessed approximately 40 days postpartum with the Edinburgh Postnatal Depression Scale. Main outcome measures: Child growth was assessed with anthropometric measurements at 2–3 years of age and expressed as mean z-scores. Results: In all, 1128 mother–child pairs were followed throughout the duration of the study. In total, 12.2% of the mothers showed signs of postpartum depression. Adjusted mean height-for-age z-score (HAZ) was significantly lower at 2–3 years follow up for children of mothers with postpartum depression than for children of mothers without (difference in HAZ: −0.32, 95% CI−0.49 to −0.15). Adjusted mean weight-for-height z-score (WHZ) was significantly increased for the children exposed to postpartum depression (difference in WHZ: 0.21, 95% CI 0.02–0.40), whereas there was no significant difference in adjusted weight-for-age z-score (WAZ; difference in WAZ: −0.04, 95% CI −0.20 to 0.12). Conclusions: We found that postpartum depressive symptoms predicted decreased linear height in children at 2–3 years of age and slightly increased weight-for-height. Tweetable abstract: Postpartum depression in Tanzanian mothers is associated with impaired child growth at 2–3 years of age.

AB - Objective: To examine the association between postpartum depression and child growth in a Tanzanian birth cohort. Design: Prospective cohort study. Setting: Moshi, Tanzania. Population: Pregnant women over the age of 18 who sought antenatal care at two health clinics in Moshi, and the children they were pregnant with, were assessed for inclusion in this study. Methods: The women were interviewed twice during pregnancy and three times after birth, the final follow up taking place 2–3 years postpartum. Signs of postpartum depression were assessed approximately 40 days postpartum with the Edinburgh Postnatal Depression Scale. Main outcome measures: Child growth was assessed with anthropometric measurements at 2–3 years of age and expressed as mean z-scores. Results: In all, 1128 mother–child pairs were followed throughout the duration of the study. In total, 12.2% of the mothers showed signs of postpartum depression. Adjusted mean height-for-age z-score (HAZ) was significantly lower at 2–3 years follow up for children of mothers with postpartum depression than for children of mothers without (difference in HAZ: −0.32, 95% CI−0.49 to −0.15). Adjusted mean weight-for-height z-score (WHZ) was significantly increased for the children exposed to postpartum depression (difference in WHZ: 0.21, 95% CI 0.02–0.40), whereas there was no significant difference in adjusted weight-for-age z-score (WAZ; difference in WAZ: −0.04, 95% CI −0.20 to 0.12). Conclusions: We found that postpartum depressive symptoms predicted decreased linear height in children at 2–3 years of age and slightly increased weight-for-height. Tweetable abstract: Postpartum depression in Tanzanian mothers is associated with impaired child growth at 2–3 years of age.

U2 - 10.1111/1471-0528.15495

DO - 10.1111/1471-0528.15495

M3 - Journal article

C2 - 30290065

SN - 1470-0328

VL - 126

SP - 590

EP - 598

JO - BJOG: An International Journal of Obstetrics and Gynaecology

JF - BJOG: An International Journal of Obstetrics and Gynaecology

IS - 5

ER -

Postpartum depression and child growth in Tanzania: A cohort study

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