ArticleBMC pregnancy and childbirth2020
Experiences of an earthquake during pregnancy, antenatal mental health and infants' birthweight in Bhaktapur District, Nepal, 2015: a population-based cohort study.
Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed, 20 citations in OpenAlex.
- The effect of individual education and care provided in living spaces to pregnant women in the earthquake region on prenatal distress, risk perception, and labour anxiety.BMC pregnancy and childbirth · 2025Trial
- Maternal mental health and child development before and after an extreme cyclone in Malawi.BMC global and public health · 2026Article
- Evaluation of anxiety levels and stress coping methods of pregnant women after the Kahramanmaraş earthquake.Frontiers in psychiatry · 2026Article
- Disaster-related healthcare system disruption and maternal-neonatal outcomes.Frontiers in public health · 2026Article
- A qualitative study on the adaptation of community programmes for the promotion of early detection and health-seeking of perinatal depression in Nepal.BMC women's health · 2024Article
- Obstetric care for environmental migrants.Irish journal of medical science · 2024Review
- Perinatal Mental Health Care for Women With Severe Mental Illness During the COVID-19 Pandemic in India-Challenges and Potential Solutions Based on Two Case Reports.Frontiers in global women's health · 2021Article
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4 authors at 1 institution in 1 country.
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Abstract
backgroundInfant birthweight is an important public health indicator that is a proxy of maternal and baby's health. Earthquakes can cause acute distress, but can also contribute to chronic stress through long-term disruptions to social, economic and domestic circumstances. The aims of this study were to examine the direct effect of earthquake experiences on the birthweight of infants of women who experienced the 2015 Nepal Earthquakes during pregnancy and whether mental health mediated this relationship.
methodsThis is a prospective, population-based cohort study. Pregnant women in Bhaktapur District, Nepal who had experienced the 2015 earthquakes after conception were recruited. Baseline data were collected in structured individual interviews. Follow up was a short telephone interview two weeks after the baby's birth. Infant birthweight recorded on the hospital-issued birth certificate. The direct effect of earthquake experiences on birthweight and the indirect effect via antenatal common mental disorders (CMDs) were tested using Sobel tests simultaneously.
resultsIn total 497/498 women contributed baseline data and 469 (94.4%) women also provided the birth weight of their infants. In total 6% of infants had low birth weight (< 2.5 kg). The earthquake experiences did not have a significant direct effect on birthweight (p = 0.116). However, the effect of earthquake experiences had a significant indirect effect on infant birthweight via CMDs. When 15 covariates were controlled, women who had moderate to severe earthquake experiences had an increase of 1.58 scores of antenatal CMD symptoms that resulted in their babies being 20.50 g lighter than those who had low earthquake experiences (p = 0.026).
conclusionsThe findings from this study indicate that the relationship is mediated by the mental health of women during pregnancy. Data demonstrate that the mental health of women who are pregnant should be prioritised in post-disaster management not only because of the burden experienced by women but also because of the risk for the growth and development of their babies.
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