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Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
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Obesity and postpartum depression: does prenatal care utilization make a difference?

Swathy Sundaram1, Jeffrey S Harman, Mary D Peoples-Sheps

  • 1Department of Health Services Research, Management, and Policy, College of Public Health and Health Professions, University of Florida, P.O. Box 100195, Gainesville, FL 32610-0195, USA. ssunda@phhp.ufl.edu

Maternal and Child Health Journal
|May 3, 2011
PubMed
Summary
This summary is machine-generated.

Pre-pregnancy BMI (PP-BMI) and postpartum depression (PPD) symptoms are not directly linked when considering maternal morbidities. Postnatal care (PNC) utilization does not appear to moderate this association.

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Area of Science:

  • Reproductive Health
  • Maternal Health
  • Mental Health

Background:

  • Pre-pregnancy body mass index (PP-BMI) is a significant factor in maternal health.
  • Postpartum depression (PPD) symptoms affect a considerable number of mothers.
  • The role of postnatal care (PNC) in mitigating PPD symptoms requires further investigation.

Purpose of the Study:

  • To examine the association between PP-BMI and PPD symptoms.
  • To determine if PNC utilization moderates the relationship between PP-BMI and PPD symptoms.

Main Methods:

  • Analysis of data from the 2004-2005 Pregnancy Risk Assessment Monitoring System (PRAMS) across 15 states.
  • Utilized two risk-adjustment approaches, including all women and a sensitivity analysis with healthy pregnancies only.
  • Employed multivariate analyses to assess associations and moderating effects, controlling for case-mix variables.

Main Results:

  • Initial analyses suggested links between obesity, PNC, and PPD symptoms.
  • Inclusion of maternal morbidity (case-mix) variables removed these initial associations.
  • No moderating effect of PNC utilization on the PP-BMI and PPD symptom association was found.

Conclusions:

  • PNC utilization does not appear to moderate the association between PP-BMI and PPD symptoms.
  • High-risk maternal morbidities are significantly associated with PPD symptoms.
  • Future research should explore the link between maternal morbidities and PPD; PNC providers should focus on individualized patient care and interventions.