The Relationship between Gestational Weight Gain and Postpartum Depression in Normal and Overweight Pregnant Women.

Fatemeh Dayan,Mitra Tadayon,Nahid Javadifar,Hosein Komeili Sani,Amal Saki Malehi

doi:10.1155/2018/9315320

Fatemeh Dayan, Mitra Tadayon + Show 3 more

Open Access

https://doi.org/10.1155/2018/9315320

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Abstract

Objective To investigate the relationship between weight gain in pregnancy and postpartum depression (PPD) in normal and overweight pregnant women. Methods The participants of this prospective cohort study were 223 healthy pregnant women with the first trimester body mass index (BMI) between 18.5 and 30 and the gestational age of 10-14 weeks and depressed women were excluded with Beck questionnaire in the first trimester. The evaluation included weight gain at the end of the second and third trimesters and the screening of PPD in 6-8 weeks after delivery by Edinburgh scale. Results 49 participants were excluded from the study and data from 174 people were analyzed. 32.2% of mothers were scored above 12 in the Edinburgh scale. The only variable associated with depression was the third trimester weight gain (OR 1.17, 95%CI 1.04-1.32). Conclusion In addition to considering other risk factors for postpartum depression, health care providers should consider the higher probability of PPD in prepregnancy normal and overweight women who have excessive weight gain especially in the third trimester of pregnancy.

Highlights

Pregnancy and postpartum period are known as times when the mood vulnerability is created [1]
The data related to the main variables including prepregnancy weights, body mass index, the second and third trimester weight gain, and type and total weight gain in pregnancy were statistically analyzed
The statistical test of logistic regression was used and there was a significant relationship between depression and weight gain of the 3rd trimester (OR = 1.17)

Summary

Introduction

Pregnancy and postpartum period are known as times when the mood vulnerability is created [1]. These disorders have different patterns and can disrupt the self-care process of women and have a negative effect on their maternal role after delivery. One of the most common mood disorders in women after childbirth is postpartum depression (PPD). There are various estimates for the prevalence of PPD in the world. This rate is 14.6% in the United States [3], 34% in Jamaica [4], and 28% in Pakistan [5]. A systematic review in Iran showed that the prevalence of this disorder was

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Results

Conclusion