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Open Access 01-12-2017 | Research article

Correlates of poor mental health in early pregnancy in obese European women

Authors: Matteo C. Sattler, Judith G. M. Jelsma, Annick Bogaerts, David Simmons, Gernot Desoye, Rosa Corcoy, Juan M. Adelantado, Alexandra Kautzky-Willer, Jürgen Harreiter, Frans A. van Assche, Roland Devlieger, Goele Jans, Sander Galjaard, David Hill, Peter Damm, Elisabeth R. Mathiesen, Ewa Wender-Ozegowska, Agnieszka Zawiejska, Kinga Blumska, Annunziata Lapolla, Maria G. Dalfrà, Alessandra Bertolotto, Fidelma Dunne, Dorte M. Jensen, Lise Lotte T. Andersen, Frank J. Snoek, Mireille N. M. van Poppel

Published in: BMC Pregnancy and Childbirth | Issue 1/2017

Abstract

Background

Depression during pregnancy is associated with higher maternal morbidity and mortality, and subsequent possible adverse effects on the cognitive, emotional and behavioral development of the child. The aim of the study was to identify maternal characteristics associated with poor mental health, in a group of overweight/obese pregnant women in nine European countries, and thus, to contribute to better recognition and intervention for maternal depression.

Methods

In this cross-sectional observational study, baseline data from early pregnancy (< 20 weeks) of the DALI (Vitamin D and Lifestyle Intervention for gestational diabetes mellitus prevention) study were analyzed. Maternal mental health was assessed with the World Health Organization Well-Being Index (WHO–5). Women were classified as having a low (WHO–5 ≤ 50) or high wellbeing.

Results.

A total of 735 pregnant women were included. The prevalence of having a low wellbeing was 27.2%, 95% CI [24.0, 30.4]. Multivariate analysis showed independent associations between low wellbeing and European ethnicity, OR = .44, 95% CI [.25, .77], shift work, OR = 1.81, 95% CI [1.11, 2.93], insufficient sleep, OR = 3.30, 95% CI [1.96, 5.55], self-efficacy, OR = .95, 95% CI [.92, .98], social support, OR = .94, 95% CI [.90, .99], and pregnancy-related worries (socioeconomic: OR = 1.08, 95% CI [1.02, 1.15]; health: OR = 1.06, 95% CI [1.01, 1.11]; relationship: OR = 1.17, 95% CI [1.05, 1.31]).

Conclusions

Mental health problems are common in European overweight/obese pregnant women. The identified correlates might help in early recognition and subsequent treatment of poor mental health problems during pregnancy. This is important to reduce the unfavorable effects of poor mental health on pregnancy outcomes.

Trial registration

ISRCTN70595832, 02.12.2011.

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Title: Correlates of poor mental health in early pregnancy in obese European women
Authors: Matteo C. Sattler
Judith G. M. Jelsma
Annick Bogaerts
David Simmons
Gernot Desoye
Rosa Corcoy
Juan M. Adelantado
Alexandra Kautzky-Willer
Jürgen Harreiter
Frans A. van Assche
Roland Devlieger
Goele Jans
Sander Galjaard
David Hill
Peter Damm
Elisabeth R. Mathiesen
Ewa Wender-Ozegowska
Agnieszka Zawiejska
Kinga Blumska
Annunziata Lapolla
Maria G. Dalfrà
Alessandra Bertolotto
Fidelma Dunne
Dorte M. Jensen
Lise Lotte T. Andersen
Frank J. Snoek
Mireille N. M. van Poppel
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: BMC Pregnancy and Childbirth / Issue 1/2017
Electronic ISSN: 1471-2393
DOI: https://doi.org/10.1186/s12884-017-1595-y

At a glance: The STEP trials

Springer Medicine

Correlates of poor mental health in early pregnancy in obese European women

Abstract

Background

Methods

Results.

Conclusions

Trial registration

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results.

Conclusions

Trial registration

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