The role of gestational weight gain disorders in symptoms of maternal postpartum depression

Zanardo, Vincenzo; Giliberti, Lara; Giliberti, Elia; Grassi, Agostino; Perin, Veronica; Parotto, Matteo; Soldera, Gino; Straface, Gianluca

doi:10.1002/ijgo.13445

Cited by 17 publications

(18 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Inappropriate gestational weight gain (GWG) may be associated with postpartum depression, 1,2 cardiometabolic risk, 3 and weight retention by the mother, [4][5][6] in addition to presenting untoward consequences with regard to birth outcomes, 7,8 including preeclampsia, gestational hypertension, gestational diabetes, cesarean delivery, preterm birth, small or large size with respect to gestational age at birth, 9 and unfavorable long-term child health. [10][11][12][13][14] In 2009, the US National Academy of Medicine (NAM, formerly the Institute of Medicine) released revised GWG guidelines 15 that have been widely adopted in many countries.…”

Section: Introductionmentioning

confidence: 99%

Analysis and Comparison of Early Childhood Nutritional Outcomes Among Offspring of Chinese Women Under the Chinese 2021 and US 2009 Gestational Weight Gain Guidelines

Wang

Liao

et al. 2022

JAMA Netw Open

View full text Add to dashboard Cite

ImportanceIn 2009, the US National Academy of Medicine (NAM) released revised gestational weight gain (GWG) guidelines, which were established primarily for White North American women and may be unsuitable for Asian women. In 2021, the Chinese Nutrition Society (CNS) released its GWG guidelines, but their applicability requires re-examination.ObjectiveTo compare the differences between the CNS and NAM recommendations for GWG in association with health outcomes in the offspring of Chinese women.Design, Setting, and ParticipantsIn this bidirectional cohort study, children in China were recruited at age 3 years from 2017 to 2018, with 2 follow-up visits over the next 2 years (between September 2017 and September 2020). Information during pregnancy was retrieved from medical records. Data analysis was performed from October 2021 to January 2022.Main Outcomes and MeasuresGWG was classified as insufficient, appropriate, or excessive according to the CNS and NAM guidelines separately. Children’s height, weight, fat mass, fat-free mass, and percentage of body fat were measured at each visit. Body mass index, fat mass index, fat-free mass index, weighted κ score, risk ratio values, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated.ResultsA total of 3822 children (1996 boys and 1826 girls; mean [SD] age, 3.79 [0.30] years) were enrolled; after exclusions, 3170 term singleton children were recruited and were followed at 4 and 5 years of age. According to the CNS guidelines, the prevalence rates were 14.1% for insufficient GWG, 48.1% for appropriate GWG, and 37.9% for excessive GWG, whereas the rates according to NAM guidelines were 39.7% for insufficient GWG, 37.2% for appropriate GWG, and 23.1% for excessive GWG. The weighted κ value for the classification agreement between the 2 guidelines was 0.530 (95% CI, 0.510-0.550). For the appropriate GWG group, the rates for low nutritional levels did not differ between the 2 guidelines, but the rates for high nutritional levels were significantly lower under CNS guidelines than under NAM guidelines. When the sensitivity, specificity, PPV, and NPV with respect to the mothers who maintained appropriate GWG were used to estimate the nonhigh nutritional status of their offspring, generally higher values based on the CNS guidelines were found compared with those based on the NAM recommendations.Conclusions and RelevanceThese findings suggest that the GWG recommendations promulgated by the NAM are higher than the CNS guidelines, with the latter more suitable for Chinese women.

show abstract

Section: Introductionmentioning

confidence: 99%

Analysis and Comparison of Early Childhood Nutritional Outcomes Among Offspring of Chinese Women Under the Chinese 2021 and US 2009 Gestational Weight Gain Guidelines

Wang

Liao

et al. 2022

JAMA Netw Open

View full text Add to dashboard Cite

show abstract

“…Children of women with depression are at increased risk of having an insecure attachment, difficulties in interacting with others and delays in the competencies' acquisition (25)(26)(27). Moreover, frequently women with MB tend not to start or discontinue breastfeeding very early and have a significantly reduced interaction with the newborn (28,29). All studies converge on the fact that, if untreated, MB symptoms can have serious consequences on women's and infants' mental health (30,31).…”

Section: Introductionmentioning

confidence: 99%

The Transition From Maternity Blues to Full-Blown Perinatal Depression: Results From a Longitudinal Study

et al. 2021

View full text Add to dashboard Cite

Background: The aims of the present study are to: (1) assess the frequency of maternity blues (MB); (2) identify the clinical and social characteristics more frequently associated with the onset of depressive symptoms after delivery; and (3) verify the hypothesis that the presence of maternity blues is a risk factor for the onset of a full-blown depressive episode in the 12 months after delivery.Methods: This is a longitudinal observational study. All pregnant women who gave birth at the inpatient unit of Gynecology and Obstetrics of the University of Campania “Luigi Vanvitelli” from December 2019 to February 2021 have been invited to participate in the study. Upon acceptance, women were asked to complete the Italian version of the Edinburgh Postnatal Depression Scale along with an ad-hoc questionnaire on the women's sociodemographic, gynecological and peripartum characteristics as well as their psychiatric history. Women have been reassessed after one, 3, 6 and 12 months.Results: A total of 359 women were recruited within 3 days from delivery, with a mean EPDS total score of 5.51 (±4.20). Eighty-three women (23.1%) reported the presence of maternity blues. Mean EPDS total scores were 12.8 (±0.2) in the MB group vs. 4.26 (±0.2) in the group without MB (p <0.0001). MB predictors were the presence of an anxiety disorder with an onset 6 months prior to pregnancy, of preeclampsia, of increased fetal health rate, of conflicts with relatives other than partner and having a partner with an anxiety disorder. At multivariate analyses the presence of MB increased 7-time the risk to have a higher EPDS score at follow-up assessments (OR: 7.79; CI: 6.88–8.70, p <0.000). This risk is almost four times higher 1 months after the delivery (OR: 4.66; CI: 2.54–6.75, p < 0.000), almost three times higher after 3 months (OR: 2.98; CI: 0.50–5.46, p < 0.01) and almost six times higher after 12 months (OR: 5.88; CI: 3.20–8.54, p < 0.000).Conclusions: Although MB was a self-limiting condition in the majority of cases, depressive symptoms arose quite often immediately after the childbirth. Professionals should be trained to monitor symptoms of MB and its transition toward a depressive episode.

show abstract

“…Our sample only included women with previous excessive GWG. Excessive GWG in women with overweight and obesity has previously been associated with higher levels of postpartum depression and anxiety 8,10,48 and is additionally considered one of the most important risk factors for PPWR. 1 This should be taken into account when interpreting the prevalence of PPWR at 12 months postpartum (70%), as well as interpreting the high numbers of mental health problems at 6 weeks postpartum.…”

Section: Discussionmentioning

confidence: 99%

“…Women with pre‐pregnancy overweight or obesity, whether or not in combination with excessive GWG, are at increased risk for postpartum depressive symptoms compared to their counterparts with a normal weight at the start of pregnancy 8,9 . Women with excessive GWG showed higher levels of maternal anxiety 2 days after childbirth compared to women with adequate GWG 10 . Bliddal (2015) 11 showed that women with more than 2 BMI units PPWR at 6 months after childbirth had an increased risk for depression and anxiety from 6 months after childbirth onwards.…”

Section: Introductionmentioning

confidence: 99%

“…8,9 Women with excessive GWG showed higher levels of maternal anxiety 2 days after childbirth compared to women with adequate GWG. 10 Bliddal (2015) 11 showed that women with more than 2 BMI units PPWR at 6 months after childbirth had an increased risk for depression and anxiety from 6 months after childbirth onwards. In addition, prenatal mental health status, as well as biological, social and behavioural factors appear to be predictive for poor mental health during the postpartum period.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Mental health after childbirth and the impact on postpartum weight retention and body composition. Data from the INTER‐ACT randomized controlled trial

et al. 2022

View full text Add to dashboard Cite

Objective: To study the evolution of maternal mental health during the first year after childbirth in women with previous excessive gestational weight gain, and the relationship with postpartum weight retention and body composition.Methods: Anthropometric and mental health data of 505 women of the INTER-ACT RCT control group were collected and assessed using descriptive statistics and mixed model analyses.Results: At 6 weeks postpartum 28% of women reported depressive symptoms, 46% anxiety, 47% low sense of coherence and 48% low quality of life. From 6 weeks to 12 months postpartum there was a monthly increase (+0.38, p = .003) in anxiety and a monthly decrease (À0.39, p = .008) in quality of life. High levels of depressive symptoms at 6 weeks postpartum predicted higher body fat (+0.9%, p = .01) and higher waist circumference (+1.3 cm, p = .02) in the first year postpartum. High sense of coherence at 6 weeks postpartum predicted lower body fat (À0.8%, p = .01) the first year postpartum. Conclusions:In women with a history of excessive gestational weight gain, the first year after childbirth is characterized by a high prevalence of mental health problems in which levels of anxiety and quality of life deteriorate over time. Moreover, high levels of depressive symptoms and low sense of coherence in the first weeks postpartum predict unfavourable body composition outcomes in the year after childbirth.

show abstract

The role of gestational weight gain disorders in symptoms of maternal postpartum depression

Cited by 17 publications

References 21 publications

Analysis and Comparison of Early Childhood Nutritional Outcomes Among Offspring of Chinese Women Under the Chinese 2021 and US 2009 Gestational Weight Gain Guidelines

Analysis and Comparison of Early Childhood Nutritional Outcomes Among Offspring of Chinese Women Under the Chinese 2021 and US 2009 Gestational Weight Gain Guidelines

The Transition From Maternity Blues to Full-Blown Perinatal Depression: Results From a Longitudinal Study

Mental health after childbirth and the impact on postpartum weight retention and body composition. Data from the INTER‐ACT randomized controlled trial

Contact Info

Product

Resources

About