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The association between prepregnancy obesity and screening positive for postpartum depression
Author(s) -
LaCoursiere DY,
BarrettConnor E,
O’Hara MW,
Hutton A,
Varner MW
Publication year - 2010
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.2010.02569.x
Subject(s) - depression (economics) , obesity , association (psychology) , postpartum depression , medicine , obstetrics , pregnancy , psychology , biology , psychotherapist , genetics , economics , macroeconomics
Please cite this paper as: LaCoursiere D, Barrett‐Connor E, O’Hara M, Hutton A, Varner M. The association between prepregnancy obesity and screening positive for postpartum depression. BJOG 2010;117:1011–1018. Objective To describe the association between reported prepregnancy body mass index (BMI) and screening positive for depression. Design Cohort study. Setting Four urban hospitals in Utah, USA. Population Women delivering a term, singleton, live‐born infant at one of four urban hospitals in Utah in the period 2005–2007. Methods Women were enrolled immediately postpartum. Demographic, anthropometric, stressors, psychiatric, and medical/obstetric and family‐history data were obtained. Prepregnancy height, weight, and pregnancy weight gain were self‐reported. The primary exposure variable, prepregnancy BMI, was calculated. Women were stratified into the six World Health Organization BMI categories (underweight, normal weight, pre‐obese, or obese class 1–3). Main outcome measure At 6–8 weeks postpartum, women were screened for depression using the Edinburgh Postnatal Depression Scale (EPDS). The primary outcome measure was a prespecified EPDS score of ≥12. Results Among the 1053 women studied, 14.4% of normal weight women screened positive for postpartum depression. This proportion was greater in women classed as underweight (18.0%, n = 11), pre‐obese (18.5%, n = 38), obese class 1 (18.8%, n = 16), obese class 2 (32.4%, n = 11), and obese class 3 (40.0%, n = 8) ( P < 0.01). Controlling for demographic, psychological, and medical/obstetric factors, prepregnancy class‐2 (aOR 2.87, 95% CI 1.21–6.81) and class‐3 (aOR 3.94, 95% CI 1.38–11.23) obesity remained strongly associated with screening positive for postpartum depression, compared with women of normal weight. Conclusions Self‐reported prepregnancy obesity may be associated with screening positive for depression when measured postpartum.