Background Maternal obesity is the most common medical condition among women of reproductive age worldwide. The pre-pregnancy body mass index and gestational weight gain have been suggested to be associated with maternal mental disorders. This study aimed to investigate the effects of the pre-pregnancy body mass index and gestational weight gain on antenatal depression, stress, and anxiety. Methods In total, 4,890 pregnant women were enrolled in the present study, which is based on an ongoing prospective cohort study. We used self-reported pre-pregnancy weights and the last weights measured prior to delivery (using professional instruments) to calculate the pre-pregnancy body mass index and gestational weight gain. The questionnaires used included the Center for Epidemiologic Studies Depression Scale (CES-D), Self-Rating Anxiety Scale (SAS), and 10-item version of the Perceived Stress Scale (PSS-10). We used Pearson product-moment correlation and multivariable logistic regression models to examine the impact of the pre-pregnancy body mass index and gestational weight gain on different maternal mental disorders. Results After adjusting for conception, annual household income, occupation, education, smoking status, and drinking status, excessive gestational weight gain during pregnancy was associated with a greater chance of anxiety symptoms in the entire sample (adjusted model: odds ratio = 1.479, 95% confidence interval = 1.128, 1.938) and especially in women with a normal body mass index (adjusted model: odds ratio = 1.668, 95% confidence interval = 1.209, 2.302). However, the relationship between the maternal pre-pregnancy body mass index and mental health was not significant. Conclusion Pregnant women with a normal pre-pregnancy body mass index had a greater chance of experiencing anxiety symptoms before delivery if gestational weight gain was excessive; however, its effects on depression or stress symptoms were not observed. The maternal pre-pregnancy body mass index may not be independently associated with maternal mental disorders.
Aims and objectives:This study aimed at evaluating the accuracy of visual estimated blood loss in postpartum haemorrhage by midwives and nurses, as well as exploring its influencing factors.Background: Timely recognition of postpartum haemorrhage is critical in saving maternal lives. Yet midwives and nurses can barely distinguish whether the blood loss has reached a life-threatening amount without precise measurement. Understanding their ability to accurately estimate the amount of blood loss and the influencing factors can help improve this ability with effective measures.Design: This research was a multicenter cross-sectional survey with convenient sampling.Material and Methods: Using a modified online visual estimation questionnaire of blood loss, the QR code of this survey was sent to midwives and obstetrical nurses engaged in clinical practice in secondary and tertiary hospitals in Shanghai. A descriptive analysis was performed with demographics and the responses of visual estimated blood loss of each volume. The difference and consistency of the responses of each volume were evaluated. The relationship between each demographic characteristic and accuracy was explored. STROBE statement checklist was chosen for reporting the study process.Results: A total of 361 midwives and nurses participated in the survey. The finding showed an overall accuracy of 30.52% (1763/5776), with 25.3% and 18.0% subjects distinguishing postpartum haemorrhage (500 ml) and severe postpartum haemorrhage (1000 ml), respectively. The Kappa coefficients were slight to moderate (0.037-0.590). There were no differences among the categories of gender, age, academic degree, position, title, working experience in years, working department and reported | 3557 LIU et aL.
Background Maternal obesity is the most common medical condition in women of reproductive age all over the world. Pre-pregnancy body mass index (BMI) and gestational weight gain (GWG) have been suggested to be associated with risk of maternal mental disorders. Our aim was to investigate the effects of pre-pregnancy BMI and GWG on antenatal depression, stress and anxiety. Methods 4983 pregnant women were included in the present study based on an ongoing prospective cohort. We used self-reported pre-pregnancy weight and the last weight prior to delivery measured by professional instruments to calculate pre-pregnancy BMI and GWG. Questionnaires including The Center for Epidemiologic Studies Depression Scale (CES-D), Self-Rating Anxiety Scale (SAS) and the 10-item version of Perceived Stress Scale (PSS-10) were administered. We used Pearson product moment correlation and multivariable logistic regression models to examine the impacts of pre-pregnancy BMI and GWG on different maternal mental disorders. Results After adjustment for way of conception, annual household income, occupation, education, smoking status and drinking status, excessive weight gain during pregnancy was associated with higher risk of anxiety symptoms in the entire sample (adjusted model: OR = 1.479, 95% CI: 1.128, 1.938), especially in normal BMI women (adjusted model: OR = 1.668, 95% CI: 1.209, 2.302).Whereas the relationship between maternal pre-pregnancy BMI and mental health was not significant. Conclusions Excessive GWG might increase the risk of anxiety symptoms in pregnant women, especially those with normal pre-pregnancy BMI, while the effects on depression or stress symptoms have not been observed. The maternal pre-pregnancy BMI might not be independently associated with maternal mental disorders.
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