Tobacco smoking and depression during pregnancy

Jansen, Karen; Curra, Aline Rezende; Souza, Luciano Dias de Mattos; Pinheiro, Ricardo Tavares; Moraes, Inácia Gomes da Silva; Cunha, Myriam Siqueira da; Silva, Ricardo Azevedo da

doi:10.1590/s0101-81082010000200004

Cited by 8 publications

(5 citation statements)

References 13 publications

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“…Smoking during pregnancy has been associated with increased antenatal depression and anxiety in the literature [31,32]. This may be due to the negative impact of nicotine on psychiatric symptoms [32] but also related to increased guilt for not being able to quit and health concerns for the baby [32]. Although this study found that less South Asian women smoke during pregnancy, the impact of smoking tends to be higher among South Asian women due to cultural and religious stigma attached to it [33].…”

Section: Interpretationscontrasting

confidence: 54%

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Antenatal depression and anxiety and early pregnancy BMI among White British and South Asian women: retrospective analysis of data from the Born in Bradford cohort

Insan

Slack

Heslehurst

et al. 2020

BMC Pregnancy Childbirth

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Background: Maternal obesity has severe physical impacts such as increased chances of pre-eclampsia and gestational diabetes. However, mental health impacts are given less attention within antenatal care. Evidence suggests that women with obesity carry increased risk of maternal depression and anxiety, however, this association is not well researched amongst South Asian women in the UK who are vulnerable to both. The aim of this study was to investigate the association between antenatal depression and anxiety and early pregnancy BMI, within and between White British and South Asian women, using data from the Born in Bradford cohort. Methods: Depression and anxiety were assessed using the General Health Questionnaire (GHQ); a GHQ score of > 0 for the depression subscale and > 6 for anxiety. Mother's BMI was stratified into six World Health Organisation BMI categories (underweight, recommended, overweight or obese class 1-3). To determine associations, univariate and multivariate logistic regression models (adjusting for maternal age, education, deprivation and smoking) were used. Results: There were 7824 women included (3514 White British and 4310 South Asian). South Asian women were more likely to have depression than White British (43.3% vs 36.1% p < 0.0001) and less likely to have anxiety (45.3% vs 48.4% p < 0.01). There were no significant associations between BMI and depression or anxiety in South Asian women. White British women with an overweight BMI had higher odds of anxiety compared with women with a recommended BMI (Adjusted Odds Ratio 1.25, 95% Confidence Interval 1.05-1.47). No significant associations were observed for other BMI categories. Smoking was a risk factor for antenatal depression (AOR 1.32, 95% CI 1.12-1.56; AOR 2.08, 95% CI 1.49-2.91) and anxiety (AOR 1.34, 95% CI 1.14-1.57; (AOR 2.87, 95% CI 2.02-4.07) in both White British and South Asian women, respectively. Conclusions: Although South Asian women have a higher prevalence of depression than White women in this cohort, the known associations between maternal obesity and anxiety do not appear to be present. More studies are needed using validated depression tools for South Asian pregnant women. Mental health screening during antenatal care is important for South Asian women, with factors such as smoking considered.

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Section: Interpretationscontrasting

confidence: 54%

Section: Interpretationsmentioning

confidence: 99%

Antenatal depression and anxiety and early pregnancy BMI among White British and South Asian women: retrospective analysis of data from the Born in Bradford cohort

Insan

Slack

Heslehurst

et al. 2020

BMC Pregnancy Childbirth

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“…Social Factors:A study found that lack of support and poor relation with family is associated with PPD (Jansen et al, 2010). Robinson and Stewart (2001) found the new roles of motherhood and its associated burden can lead to less time for socializing and enhances the risk of PPD.…”

Section: Objectivesmentioning

confidence: 99%

The Silent Suffering: A Perspective on Postpartum Depression

Bhattacharjee¹,

Bhowmik²,

Ghosh³

2023

MAS

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Postpartum Depression (PPD) is a major health concern as it is affecting around 15 per cent of the mothers after delivery. The present paper attempts to explore the different theoretical perspectives of PPD and its risk factors and impacts. For the purpose of the study, a detailed literature search was done and a total of 1467 articles were identified from the year 1950-2021 from various databases namely, PubMed, WebMD, SAGE, Springer, NCBI, Google Scholar, ResearchGate, WHO, APA, Frontiers, Healthline, Scirp, PsycINFO and BMC pregnancy and childbirth, maintaining the inclusion and exclusion criteria. At last, only 91 articles were selected, and a detailed discussion and conclusion have been made accordingly. Findings suggest that it is essential nowadays to protect the health of both the mother and child, and it is a matter of great medical and social importance. Hence, keen attention must be paid to the maternity quality care.

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“…Postpartum depressive symptoms negatively affect maternal health and behavior, child outcomes, mother-infant interactions, as well as the father's mental health [6][7][8][9] . A narrative review 10 ) has reported that the risk factors of postpartum depressive symptoms are psychiatric factors such as previous history of depression and anxiety and mental health disorders [11][12][13] , obstetric risk factors such as risky pregnancy, postpartum complications and low birth weigh [14][15][16] , biological factors such as young age and glucose metabolism disorders during pregnancy 17,18) , social factors such as poor social support and smoking 19,20) , and lifestyle such as exercise, physical activity and food intake patterns 21,22) , etc.…”

mentioning

confidence: 99%

Influence of kinesiophobia with pregnancy-related lumbopelvic pain at late pregnancy on postpartum depressive symptoms

et al. 2020

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To investigate whether kinesiophobia with pregnancy-related lumbopelvic pain at late pregnancy influenced depressive symptoms at 1 month after delivery. Method: Final participants were 43 pregnant women who experienced pregnancy-related lumbopelvic pain at late pregnancy and completed self-reported questionnaires at late pregnancy and 1 month after delivery. The Tampa Scale for Kinesiophobia was used to evaluate kinesiophobia, and depressive symptoms were assessed using the Self-Rating Depression Scale. We divided participants into two groups (depression and no-depression) using the score of the Self-Rating Depression Scale at 1 month after delivery. Univariate analysis and multiple logistic regression analysis identified kinesiophobia at late pregnancy as an independent predictor of depression at 1 month after delivery. Results: In univariate analysis, kinesiophobia at late pregnancy was significantly higher in the depression group than in the no-depression group (P= .033). In multiple logistic regression analysis, kinesiophobia at late pregnancy were significantly associated with depression at 1 month after delivery even after adjusting for confounding factors (Odds Ratio, 1.25; 95% Confidence Interval, 1.03-1.52). Conclusion: Results found that kinesiophobia at late pregnancy negatively influenced depressive symptoms at 1 month after delivery, suggesting that approaches to treat kinesiophobia at late pregnancymight reduce the risk of onset of postpartum depressive symptoms.

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Tobacco smoking and depression during pregnancy

Cited by 8 publications

References 13 publications

Antenatal depression and anxiety and early pregnancy BMI among White British and South Asian women: retrospective analysis of data from the Born in Bradford cohort

Antenatal depression and anxiety and early pregnancy BMI among White British and South Asian women: retrospective analysis of data from the Born in Bradford cohort

The Silent Suffering: A Perspective on Postpartum Depression

Influence of kinesiophobia with pregnancy-related lumbopelvic pain at late pregnancy on postpartum depressive symptoms

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