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P-992 - Smoking during pregnancy and postnatal period and postpartum depression

Imaz, M.L ; Gelabert, E ; Garcia Esteve, L ; Sanjuan, J ; Langhor, K ; Vilella, E ; Torrens, M ; Martin-Santos, R

European psychiatry, 2012, Vol.27, p.1-1 [Periódico revisado por pares]

Elsevier SAS

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  • Título:
    P-992 - Smoking during pregnancy and postnatal period and postpartum depression
  • Autor: Imaz, M.L ; Gelabert, E ; Garcia Esteve, L ; Sanjuan, J ; Langhor, K ; Vilella, E ; Torrens, M ; Martin-Santos, R
  • Assuntos: Internal Medicine ; Psychiatry
  • É parte de: European psychiatry, 2012, Vol.27, p.1-1
  • Descrição: Introduction Substance use in pregnancy is an increasingly common problem and has become an important public health issue. Postpartum depression has a high prevalence (10%) of women in Spanish population. Objetive/aim To study the impact of perinatal tobacco use in postpartum depression. Methods A cohort study of 1804 puerperal Spanish Caucasian women of general population. Variables collected: socio-demographic, obstetric, personal and family psychiatric history, substance use during pregnancy and 6 months postpartum, depressive symptoms (EPDS) and anxiety traits (STAI) at 2–3 days, 8 weeks and 32 weeks postpartum. Major postpartum depression (MPD) (EPDS>9) were confirmed through a structured interview (DIGS-DSM-IV). The sample was divided in four groups: 1) No smoking, 2) Smoking postpartum, 3) Smoking pregnancy, 4) Smoking pregnancy & postpartum. Results The mean (SD) age was 31.8 (4.6), 46% were primiparous, 96.5% were married and 68% had at least secondary school. Thirty-one per cent had family and 17% personal psychiatric history. Twenty one percent reported tobacco use during pregnancy and 28.2% use tobacco in postpartum. Tobacco use in the four groups and MPD at 8 weeks (x2 = 17.872;df = 3;p < 0.001) and at 32 weeks postpartum (x2 = 15.582;df = 3;p = 0.001) were different. Only smoking postpartum group had a risk four times higher of having MPD at 8 weeks postpartum (OR=4.3; 95%CI = 1.91–9.66). Others independent variables: personal psychiatry history (OR = 2.53; 95%CI = 1.55–4.22), family psychiatry history (OR = 1.87; 95%CI = 1.15–3.06) and anxiety traits (OR = 1.12, 95%CI = 1.08–1.16). The results at 32 weeks showed the same risk factors. Conclusions The use of tobacco in postpartum had a considerable impact on mother's psychiatric health.
  • Editor: Elsevier SAS
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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