Transtornos de humor, de ansiedade e risco de suicídio durante a gestação na adolescência e a sua relação com a prematuridade

Abstract

Objective: Verify the association between mood disorders and anxiety, and risk of suicide among pregnant teenagers and their relationship to prematurity. Methods: Cohort study with all pregnant adolescents aged 12 to 19 who attended antenatal services in the urban area of Pelotas, during the period of October 2009 to May 2011. Results: 645 pregnant women aged between 12 and 19 years were interviewed. The following disorders were not significantly associated with prematurity: Major Depressive Episode Current (13.6% p = 0.55), dysthymia (16.7% p = 0.87), hypomanic episode (10.7% p = 0, 31) manic Episode (18.5% p = 0.46) and Generalized Anxiety Disorder (15.3% p = 0.98). Multivariate analysis adjusted for maternal education, number of previous pregnancies, previous preterm birth and risk of suicide indicated that adolescents who had suicide risk during pregnancy had a likelihood of prematurity approximately two times higher compared to those who did not were diagnosed at risk of suicide (PR 1.79; CI 1.06-3.03). Conclusion: Pregnant adolescents who were at risk of suicide during pregnancy are more likely to have premature babies.