The association between obesity class II and III with postpartum depression and anxiety and residual weight of one year after delivery among women attending to health centers in Tabriz between 2018-2019

Abstract

The medical significance of obesity and its effects on pregnancy outcomes has been well established, however, mental health among obese women during pregnancy and after childbirth has not been adequately studied. Therefore, the present study aimed to determine the relationship between premenstrual obesity with the results of screening depression and anxiety during puerperium and weight remaining one year after delivery in women referring to Tabriz health centers between 1397-98. Materials and Methods: The present study was a cohort observational study and a sample of 60 pregnant women with a BMI of 35 and above and 240 pregnant women with a normal BMI who had given birth to new women (6-8 weeks after delivery). They went to the health centers of Tabriz city for postpartum control and were selected and entered the study and were followed up for one year after delivery. For eligible women, the demographic profile questionnaire, anthropometric profile, pregnancy, Edinburgh depression questionnaire, and Beck anxiety questionnaire were completed in two stages: 6-8 weeks after delivery and 12 months after delivery. Data were analyzed using descriptive and inferential statistics (Chi-square, Fisher's exact test, independent t, mann-whitney, and linear and logistic regression). Results: The frequency of depression in women with normal weight in the first 6-8 weeks after delivery is 7.8% and one year after delivery is 10.6% compared to 35.4% in the first 6-8 weeks after delivery and 4 / 19% one year after delivery in mothers with grade 2-3 obesity. By controlling the possible demographic disruptive factors, stressors and obstetrics / obstetrics, class 2 and higher obesity, a strong factor associated with depression in the 6-8 weeks after delivery (95.16 to 30.98% CI 95%, 76.46 =) Compared to women with normal weight. The percentage of obese women with moderate to severe anxiety in the postpartum period was higher than women with normal weight. The risk of anxiety one year after delivery (95.9% to 1.96 to 1.38% CI = 3.30A) was more than three times higher than in normal weight people. In the group of obese people in grades 2 and 3, the risk of weight retention for one year did not differ significantly from those with normal weight (P = 0.093).