title: Depressive symptoms and birth outcomes among pregnant teenagers.
abstract: OBJECTIVE
  Few studies have examined the effects of maternal depressive symptoms among adolescent women. The purpose of this study was to investigate the impact of depressive symptoms on birth outcomes of infants born to adolescent mothers.
  
  
  METHODS
  The medical records of pregnant adolescent patients were examined. Information about maternal depressive symptoms and birth outcomes was collected.
  
  
  METHODS
  Data were collected at Washington Hospital Center, a nonprofit, community-based hospital that serves residents throughout the Washington, DC area.
  
  
  METHODS
  Participants were 294 African-American and Latina adolescent mothers. Mean age was 16.2 years (standard deviation [SD] 1.4). Based on self-reports of depressive symptoms, adolescents were categorized by the following: no reported symptoms, depressive symptoms without SI/SA (suicidal ideation or attempt), and depressive symptoms with SI/SA.
  
  
  METHODS
  Infant birth weight and gestational age at delivery.
  
  
  RESULTS
  Over one-quarter of pregnant adolescents in this study reported symptoms of depression. Adolescents reporting depressive symptoms with SI/SA delivered babies that weighed 239.5 grams (98.3% confidence interval [CI] 3.9 to 475.1) less than babies born to mothers reporting depressive symptoms without SI/SA. There was no association between reported symptoms and gestational age.
  
  
  CONCLUSIONS
  Results suggest that compared to nonpregnant teens and adults, pregnant teens may have an increased risk for depression. Additionally, pregnant adolescents with suicidal ideation are at greater risk for delivering infants of lower birth weight compared with teens reporting depressive symptoms without SI/SA and teens reporting no symptoms. This study supports the need for early screening and treatment of depression for young pregnant women.
authors.affiliation: Howard University, Department of Psychology, Washington, DC, USA.
authors.forename: Stacy C
authors.initials: SC
authors.lastname: Hodgkinson
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Colantuoni
authors.forename: Debra
authors.initials: D
authors.lastname: Roberts
authors.forename: Linda
authors.initials: L
authors.lastname: Berg-Cross
authors.forename: Harolyn M E
authors.initials: HM
authors.lastname: Belcher
mesh_terms: D000293:Adolescent; D001724:Birth Weight; D003863:Depression / Q000453:epidemiology / Q000209:etiology*; D004219:District of Columbia / Q000453:epidemiology; D005260:Female; D005865:Gestational Age; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D019102:Infant, Very Low Birth Weight; D011247:Pregnancy; D011248:Pregnancy Complications / Q000523:psychology*; D012189:Retrospective Studies; D013406:Suicide, Attempted / Q000706:statistics & numerical data*
references.citation: J Affect Disord. 2003 Mar;74(1):5-13
references.pmid: 12646294
references.citation: Am J Dis Child. 1990 Jul;144(7):789-92
references.pmid: 2192542
references.citation: J Pediatr. 2003 Aug;143(2):250-7
references.pmid: 12970642
references.citation: Epidemiol Rev. 1995;17(1):165-71
references.pmid: 8521934
references.citation: Matern Child Health J. 2007 May;11(3):257-67
references.pmid: 17171544
references.citation: Public Health Rep. 1995 Jan-Feb;110(1):53-8
references.pmid: 7838944
references.citation: Natl Vital Stat Rep. 2006 Dec 28;55(11):1-18
references.pmid: 17432301
references.citation: J Adolesc Health Care. 1987 Jan;8(1):52-67
references.pmid: 3546226
references.citation: BMJ. 1991 Jan 19;302(6769):137-40
references.pmid: 1995132
references.citation: Am J Epidemiol. 2002 Nov 1;156(9):797-802
references.pmid: 12396996
references.citation: Public Health Rev. 1984;12(2):159-89
references.pmid: 6396739
references.citation: Depress Anxiety. 1998;7(1):3-14
references.pmid: 9592628
references.citation: J Adolesc Health. 1992 Mar;13(2):128-32
references.pmid: 1627580
references.citation: Soc Sci Med. 1989;29(9):1121-7
references.pmid: 2814595
references.citation: J Pediatr Nurs. 1996 Oct;11(5):300-8
references.pmid: 8908898
references.citation: Natl Vital Stat Rep. 2003 Dec 17;52(10):1-113
references.pmid: 14717305
references.citation: Psychosom Med. 2001 Sep-Oct;63(5):830-4
references.pmid: 11573032
references.citation: N Engl J Med. 1995 Apr 27;332(17):1113-7
references.pmid: 7700283
references.citation: J Clin Epidemiol. 1992 Oct;45(10):1093-9
references.pmid: 1474405
references.citation: Obstet Gynecol. 1994 Sep;84(3):323-8
references.pmid: 8058224
references.citation: Soc Sci Med. 2003 Sep;57(5):881-93
references.pmid: 12850113
references.citation: J Clin Psychol. 2000 Sep;56(9):1131-52
references.pmid: 10987688
references.citation: J Adolesc Health. 1994 Jun;15(4):336-41
references.pmid: 7918507
references.citation: Pediatr Clin North Am. 2003 Aug;50(4):781-800, viii
references.pmid: 12964694
references.citation: Can J Psychiatry. 2004 Nov;49(11):726-35
references.pmid: 15633850
references.citation: J Gen Intern Med. 1997 Jul;12(7):439-45
references.pmid: 9229283
references.citation: BMC Public Health. 2007 Aug 16;7:209
references.pmid: 17705835
references.citation: Am J Health Syst Pharm. 2006 Feb 1;63(3):233-43
references.pmid: 16434782
references.citation: Clin Drug Investig. 2004;24(3):157-79
references.pmid: 17516702