Gestational weight gain and postpartum depressive symptoms in high-income women with low and late fertility

IF 1.9 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology Pub Date : 2025-09-30 DOI:10.1016/j.ejogrb.2025.114746

Vincenzo Zanardo , Silvia Polver , Beatrice Zanardo , Francesca Volpe , Tiziana Battistin , Laura Ghiro , Gianluca Straface

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引用次数: 0

Abstract

Objective

This study aimed to investigate the relationship between GWG and postpartum depressive symptoms among high income women with ‘low and late fertility’, combined into a single category.

Methods

We examined the impact of low and late fertility on GWG, based on pre-pregnancy body mass index (BMI) categories, and postpartum depressive symptoms, tested by the Edinburgh Postnatal Depression Scale (EPDS), in a cohort of 2,561 low-risk puerperae, prior to discharge from the maternity ward of Abano Polyclinic, Abano Terme (Italy). Postpartum depressive symptoms were evaluated separately using EPDS cut-off thresholds of > 9 and > 12, as well as the Anhedonia, Anxiety, and Depression subscales.

Results

The women had a median age of 33.0 years (IQR: 30.0–37.0) and a parity of 1.00 (IQR: 1.00–2.00). A higher prevalence of pre-pregnancy underweight status (8.71 %) was observed compared to obesity (5.19 %). Additionally, 25.15 % of the participants had EPDS total scores > 9, and 10.89 % had scores > 12. Analysis revealed a significant overall association between pre-pregnancy BMI and GWG category (p < 0.001), with 47.30 % classified as having adequate GWG, 24.25 % as inadequate, and 28.43 % as excessive. Finally, GWG was not associated with an increased risk of elevated EPDS total scores (>9 or > 12) or with higher scores on the Anhedonia, Depression, or Anxiety subscales.

Conclusion

In high-income women experiencing a late first pregnancy, the lack of association between abnormal GWG and postpartum psycho-emotional distress may be influenced by a higher prevalence of pre-pregnancy underweight status over obesity.

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高收入低生育和晚生育妇女的妊娠期体重增加和产后抑郁症状

目的探讨高收入“低生育和晚生育”妇女GWG与产后抑郁症状的关系，并将其合并为单一类别。方法采用爱丁堡产后抑郁量表（EPDS）对2,561名低危产妇进行了队列研究，从意大利阿巴诺特尔梅（Abano Terme）阿巴诺综合医院（Abano Polyclinic）产科病房出院前，基于孕前体重指数（BMI）类别和产后抑郁症状，研究了低生育能力和晚生育能力对GWG的影响。使用EPDS切断阈值>； 9和>； 12以及快感缺乏、焦虑和抑郁亚量表分别评估产后抑郁症状。结果中位年龄33.0岁（IQR: 30.0 ~ 37.0），胎次1.00 （IQR: 1.00 ~ 2.00）。与肥胖（5.19%）相比，孕前体重不足的患病率（8.71%）更高。此外，25.15%的参与者EPDS总分为9分，10.89%的参与者EPDS总分为12分。分析显示，孕前BMI与GWG类别之间存在显著的整体关联（p < 0.001），其中47.30%的人被归类为GWG足够，24.25%被归类为GWG不足，28.43%被归类为GWG过多。最后，GWG与EPDS总分升高（>；9或>； 12）或快感缺失、抑郁或焦虑亚量表得分升高的风险增加无关。结论高收入首次妊娠晚的女性，孕前体重过轻的发生率高于肥胖，可能导致GWG异常与产后心理情绪困扰之间缺乏相关性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European journal of obstetrics, gynecology, and reproductive biology 医学-妇产科学

CiteScore

4.60

自引率

3.80%

发文量

898

审稿时长

8.3 weeks

期刊介绍： The European Journal of Obstetrics & Gynecology and Reproductive Biology is the leading general clinical journal covering the continent. It publishes peer reviewed original research articles, as well as a wide range of news, book reviews, biographical, historical and educational articles and a lively correspondence section. Fields covered include obstetrics, prenatal diagnosis, maternal-fetal medicine, perinatology, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine, infertility, reproductive endocrinology, sexual medicine and reproductive ethics. The European Journal of Obstetrics & Gynecology and Reproductive Biology provides a forum for scientific and clinical professional communication in obstetrics and gynecology throughout Europe and the world.