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Mitsuhiro, S.S. et al.

Mitsuhiro, Chalem, Barros, Guinsburg, Laranjeira,

Teenage pregnancy: use of drugs in the third trimester and prevalence of psychiatric disorders.

OBJECTIVE: To determine the prevalence of psychiatric disorders during pregnancy, the prevalence of cocaine and marijuana use during the third trimester of gestation and the socio-demographic characteristics of a population of low-income teenagers. METHOD: One thousand pregnant teenagers were evaluated using the Composite International Diagnostic Interview, and a socio-demographic and socio-economic questionnaire at the obstetric center of a public hospital in SÃ£o Paulo, Brazil. Hair sample was collected for analysis. RESULTS: Of the 1000 pregnant teenagers interviewed, 53.6% were poor, 90.4% were unemployed, 92.5% were financially dependent and 60.2% dropped out of school. Those using drugs during the third trimester of pregnancy were equal to 6% (marijuana: 4%, cocaine: 1.7%, both: 0.3%). Those having at least one psychiatric disorder equaled 27.6%. The most frequent diagnoses were depression (12.9%), posttraumatic stress disorder (10.0%) and anxiety disorders (5.6%). DISCUSSION: Unstructured families, dropping out of school, unemployment and a low level of professional training are all contributing factors to the maintenance of an unfavorable socio-economic environment in which there is a high prevalence of cocaine and marijuana use during the third trimester of pregnancy and an abnormally high incidence of psychiatric disorders.[1]

References

Teenage pregnancy: use of drugs in the third trimester and prevalence of psychiatric disorders. Mitsuhiro, S.S., Chalem, E., Barros, M.M., Guinsburg, R., Laranjeira, R. Revista brasileira de psiquiatria (São Paulo, Brazil : 1999) (2006) [Pubmed]

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