Am J Perinatol 2020; 37(01): 019-024
DOI: 10.1055/s-0039-1693989
SMFM 2019
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Gestational Weight Gain and Postpartum Depression in Women with Class III Obesity

LaMani D. Adkins
1  School of Medicine, Duke University, Durham, North Carolina
,
Ann Tucker
2  Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina
,
2  Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina
,
Anne M. Siegel
2  Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina
,
Emily Reiff
2  Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina
,
Haywood L. Brown
3  Department of Obstetrics and Gynecology, University of South Florida Health, Tampa, Florida
,
Sarah K. Dotters-Katz
2  Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina
› Author Affiliations
Further Information

Publication History

23 May 2019

25 June 2019

Publication Date:
05 August 2019 (online)

Abstract

Objective We investigated the association between gestational weight gain (GWG) and postpartum depression (PPD) in women with class III obesity.

Study Design This is a retrospective cohort of women with body mass index (BMI) ≥ 40 kg/m2 at entry to care, first prenatal visit ≤14 weeks gestation, with singleton, nonanomalous pregnancies who delivered at term from July 2013 to December 2017. Women missing data regarding PPD were excluded. Primary outcome was PPD; classified as Edinburgh Postnatal Depression Scale (EPDS) score >13/30 or provider's report of depression. Participants were classified, according to Institute of Medicine GWG guidelines (11–20 pounds), as either less than 11 pounds (LT11) or at/more than 11 pounds (GT11). Bivariate statistics compared demographics and pregnancy characteristics. Logistic regression used to estimate odds of primary outcome.

Results Of 275 women, 96 (34.9%) gained LT11 and 179 (65.1%) gained GT11 during pregnancy. The rate of PPD was 8.7% (n = 24), 9 (9.4%) in the LT11 group and 15 (8.4%) in the GT11 group (p = 0.82, odds ratio: 1.13, 95% confidence interval [CI]: 0.48, 2.69). When controlling for entry BMI and multiparity, adjusted odds of PPD was 1.07 (95% CI: 0.44, 2.63). No correlation was found between GWG and EPDS.

Conclusion A relationship between GWG and PPD in class III obese women was not found in this cohort.

Note

These data were presented in part as a poster presentation at the Society for Maternal-Fetal Medicine's 39th Annual Pregnancy Meeting in February 2019 in Las Vegas, NV.