SEARCHCROSS-SECTIONALobstetrics and gynecology, psychiatry

cross-sectional·obstetrics and gynecology, psychiatry, nutrition, public health, epidemiology·PMC10490519

Postpartum Depression Is Associated with Maternal Sociodemographic and Anthropometric Characteristics, Perinatal Outcomes, Breastfeeding Practices, and Mediterranean Diet Adherence

Nutrients · 12 authors, 6 centres

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TL;DR

Postpartum depression was assessed via the Edinburgh Postnatal Depression Scale (EPDS).

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Postpartum depression was assessed via the Edinburgh Postnatal Depression Scale (EPDS). The study examined associations with sociodemographic factors, anthropometric parameters from medical records, perinatal outcomes, breastfeeding practices from interviews, and Mediterranean diet (MD) adherence via MedDietScore. In univariate and multivariate logistic regression analyses, postpartum depression was significantly and independently associated with lower educational level, postpartum overweight/obesity, excess gestational weight gain, caesarean section delivery, not exclusively breastfeeding, and lower MD adherence after adjusting for confounders. Higher MD compliance was related to a decreased risk of postpartum depression. The cross-sectional design limits causal inference, and the recruitment period between 3-6 months postpartum may affect variables like dietary habits.

STUDY TYPE

cross-sectional

SPECIALTY

obstetrics and gynecology

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ORIGINAL PAPER

PMC10490519

Postpartum Depression Is Associated with Maternal Sociodemographic and Anthropometric Characteristics, Perinatal Outcomes, Breastfeeding Practices, and Mediterranean Diet Adherence

Nutrients

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ABSTRACT

Postpartum depression, with a prevalence ranging between 14% and 25% worldwide, has been considered an urgent health concern that negatively affects both mothers’ and their infants’ health. Postpartum depression may negatively affect maternal sociodemographic and anthropometric parameters and lifestyle factors. Nutrition has recently been identified as a crucial factor for the management and co-treatment of postpartum depression. This survey aims to determine the possible association of postpartum depression with mothers’ socio-demographic and anthropometric characteristics, perinatal outcomes, breastfeeding practices, and Mediterranean diet (MD) adherence. Methods: This is a cross-sectional survey, which was performed on 3941 women during the postpartum period. Postpartum depression was assessed by the Edinburgh Postnatal Depression Scale (EPDS). Anthropometric parameters and perinatal outcomes were retrieved from mothers’ medical records. Sociodemographic data and breastfeeding practices were recorded by face-to-face interviews between enrolled mothers and trained personnel. Mediterranean diet adherence was assessed by MedDietScore. Both univariate and multivariate binary logistic regression were applied for analyzing our data. Results. Postpartum depression was significantly associated with lower educational level, Greek nationality, higher prevalence of multiparity and overweight/obesity postpartum, higher incidence of caesarean section and not breastfeeding, and lower levels of MD adherence. In multivariate analysis, postpartum depression was independently associated with mothers’ educational level, postpartum BMI status, type of delivery, breastfeeding practices, and MD adherence after adjusting for multiple confounding factors. Conclusions: This study has provided evidence that elevated MD compliance was related to a decreased risk of postpartum depression. Additionally, postpartum depression was associated with multiple sociodemographic and anthropometric parameters, perinatal outcomes, and breastfeeding practices. Future well-designed, prospective studies with high-quality methodology should be performed to obtain conclusive results.

CITATION EXPORT

Sousana K. Papadopoulou, Eleni Pavlidou, Antonios Dakanalis et al.. Postpartum Depression Is Associated with Maternal Sociodemographic and Anthropometric Characteristics, Perinatal Outcomes, Breastfeeding Practices, and Mediterranean Diet Adherence. Nutrients. (2023). https://doi.org/10.3390/nu15173853

AUTHORS

12 · 6 CENTRES

Sousana K. Papadopoulou, Eleni Pavlidou, Antonios Dakanalis, Georgios Antasouras, Theofanis Vorvolakos, Maria Mentzelou, Aspasia Serdari, Aimilia-Lynn Pandi, Maria Spanoudaki, Olga Alexatou, Exakousti-Petroula Aggelakou, Constantinos Giaginis

1Department of Nutritional Sciences and Dietetics, School of Health Sciences, International Hellenic University, 57400 Thessaloniki, Greece; [email protected]
2Department of Food Science and Nutrition, School of the Environment, University of the Aegean, 81400 Myrina, Lemnos, Greece; [email protected] (E.P.); [email protected] (G.A.); [email protected] (M.M.); [email protected] (A.-L.P.); [email protected] (O.A.); [email protected] (E.-P.A.); [email protected] (C.G.)
3Department of Mental Health, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, Italy; [email protected]
4School of Medicine and Surgery, University of Milano-Bicocca, 20900 Monza, Italy
5Department of Psychiatry, School of Health Sciences, University General Hospital of Alexandroupolis, Democritus University of Thrace, 68100 Alexandroupolis, Greece; [email protected]
6Department of Psychiatry and Child Psychiatry, School of Medicine, Democritus University of Thrace, 68100 Alexandroupolis, Greece; [email protected]

EDITOR / REVIEWER

Oliver Grundmann