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Physical discomfort in early pregnancy and postpartum depressive symptoms.

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Title: Physical discomfort in early pregnancy and postpartum depressive symptoms.
Authors: Ertmann, Ruth K., Nicolaisdottir, Dagny R., Kragstrup, Jakob, Siersma, Volkert, Lutterodt, Melissa C., Bech, Per
Source: Nordic Journal of Psychiatry. Apr2019, Vol. 73 Issue 3, p200-206. 7p.
Subjects: Prenatal depression, High-risk pregnancy, Prenatal care, Pregnancy, Postpartum depression, Pregnancy complications
Abstract: Purpose: Pregnancy examinations conducted in general practice focus mainly on identifying high-risk pregnancies and pregnancy complications. The pregnancy health record has a biomedical focus, and consequently the woman's mental well-being may receive less attention. The aim of this study was to evaluate the extent to which early pregnancy-related symptoms should be considered as indicators of an increased risk of postpartum depression. Materials and methods: For a prospective cohort of 1508 pregnant women, the presence of 11 pregnancy-related symptoms was recorded at the first prenatal care consultation together with background information about socio-demography and health. Depression was assessed 8 weeks postpartum with the major depression inventory (MDI) and depression was considered present if MDI > 20. Multivariable logistic regression was used to assess the association between pregnancy-related symptoms and postpartum depressive symptoms, and to adjust for potential confounders. Results: A high depression score (MDI score >20) 8 weeks postpartum was found among 6.6% of the women and showed apparent associations with physical discomfort in early pregnancy, such as back pain and pelvic cavity pain. Analysis of confounding revealed, however, that signs of vulnerable mental health, present in early pregnancy, explained most of these associations. Conclusions: Indicators of an increased risk of postpartum depressive symptoms may be found in early pregnancy. Pregnancy-related pain in the first trimester may be a sign of psychological vulnerability or an aspect of an existing depressive state that calls for attention. [ABSTRACT FROM AUTHOR]
Copyright of Nordic Journal of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Physical discomfort in early pregnancy and postpartum depressive symptoms.
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  Data: <searchLink fieldCode="AR" term="%22Ertmann%2C+Ruth+K%2E%22">Ertmann, Ruth K.</searchLink><br /><searchLink fieldCode="AR" term="%22Nicolaisdottir%2C+Dagny+R%2E%22">Nicolaisdottir, Dagny R.</searchLink><br /><searchLink fieldCode="AR" term="%22Kragstrup%2C+Jakob%22">Kragstrup, Jakob</searchLink><br /><searchLink fieldCode="AR" term="%22Siersma%2C+Volkert%22">Siersma, Volkert</searchLink><br /><searchLink fieldCode="AR" term="%22Lutterodt%2C+Melissa+C%2E%22">Lutterodt, Melissa C.</searchLink><br /><searchLink fieldCode="AR" term="%22Bech%2C+Per%22">Bech, Per</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Nordic+Journal+of+Psychiatry%22">Nordic Journal of Psychiatry</searchLink>. Apr2019, Vol. 73 Issue 3, p200-206. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Prenatal+depression%22">Prenatal depression</searchLink><br /><searchLink fieldCode="DE" term="%22High-risk+pregnancy%22">High-risk pregnancy</searchLink><br /><searchLink fieldCode="DE" term="%22Prenatal+care%22">Prenatal care</searchLink><br /><searchLink fieldCode="DE" term="%22Pregnancy%22">Pregnancy</searchLink><br /><searchLink fieldCode="DE" term="%22Postpartum+depression%22">Postpartum depression</searchLink><br /><searchLink fieldCode="DE" term="%22Pregnancy+complications%22">Pregnancy complications</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: Pregnancy examinations conducted in general practice focus mainly on identifying high-risk pregnancies and pregnancy complications. The pregnancy health record has a biomedical focus, and consequently the woman's mental well-being may receive less attention. The aim of this study was to evaluate the extent to which early pregnancy-related symptoms should be considered as indicators of an increased risk of postpartum depression. Materials and methods: For a prospective cohort of 1508 pregnant women, the presence of 11 pregnancy-related symptoms was recorded at the first prenatal care consultation together with background information about socio-demography and health. Depression was assessed 8 weeks postpartum with the major depression inventory (MDI) and depression was considered present if MDI > 20. Multivariable logistic regression was used to assess the association between pregnancy-related symptoms and postpartum depressive symptoms, and to adjust for potential confounders. Results: A high depression score (MDI score >20) 8 weeks postpartum was found among 6.6% of the women and showed apparent associations with physical discomfort in early pregnancy, such as back pain and pelvic cavity pain. Analysis of confounding revealed, however, that signs of vulnerable mental health, present in early pregnancy, explained most of these associations. Conclusions: Indicators of an increased risk of postpartum depressive symptoms may be found in early pregnancy. Pregnancy-related pain in the first trimester may be a sign of psychological vulnerability or an aspect of an existing depressive state that calls for attention. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Nordic Journal of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: Apr2019
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