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Behavior and Psychology

Pregnancy complications associated with the co-prevalence of excess maternal weight and depression

International Journal of Obesity volume 39, pages 1710–1716 (2015)Cite this article

Subjects

Abstract

Objectives:

Obesity and depression have become prevalent pregnancy complications, individually associated with adverse perinatal health outcomes. Despite the co-prevalence of these two risk factors, their combined effects on maternal health are yet to be studied. The objective of this study was to examine the combined associations of overweight/obesity and depression with maternal and delivery complications.

Methods:

A retrospective cohort study of women with singleton gestations at >20 weeks, in Ontario, Canada (April 2007 to March 2010), was conducted. Our primary outcomes were a composite of maternal complications (for example, gestational hypertension, pre-eclampsia, preterm premature rupture of membranes and so on), and a composite of delivery complications (for example, caesarean delivery, shoulder dystocia, postpartum haemorrhage and so on).

Results:

The study population consisted of 70 605 women, of whom 50.3% were overweight/obese. Depression was reported in 5.0% of normal-weight women and 6.2% of overweight/obese women. The proportion of women with maternal complications was the highest among the overweight/obese depressed pregnant women (16% of normal-weight non-depressed, 22% of normal-weight depressed, 22% of overweight/obese non-depressed and 29% of overweight/obese depressed, P<0.001), as was the proportion of women with delivery complications (44%, 49%, 50% and 53%, respectively, P<0.001). Overweight/obese depressed pregnant women also experienced the highest odds of the composite of maternal complications and the composite of delivery complications (adjusted odds ratio (OR): 1.55, 95% confidence interval (CI): 1.35–1.77 and OR: 1.27, 95% CI: 1.13–1.42, respectively) after adjustment for potential confounders.

Conclusions:

The combined associations of excess weight and depression with adverse pregnancy outcomes are important to recognize in order to focus counselling and care, both before and during pregnancy.

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Acknowledgements

This work was supported by a Regional Medical Association (RMA) grant and SDM is supported by the Canadian Institutes of Health Research (CIHR) New Investigator Award CNI 95357. RMA and CIHR had no role in the design and conduct of the study, collection, management, analysis and interpretation of the data, and preparation, review, or approval of the manuscript.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ontario, Canada

    O Lutsiv & B McKinney

  2. Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada

    G Foster, E Pullenayegum & S D McDonald

  3. Department of Psychiatry, Women’s College Hospital, Toronto, Ontario, Canada

    V H Taylor

  4. Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ontario, Canada

    S D McDonald

  5. Department of Diagnostic Imaging, McMaster University, Hamilton, Ontario, Canada

    S D McDonald

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  1. O Lutsiv
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Correspondence to O Lutsiv.

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Lutsiv, O., McKinney, B., Foster, G. et al. Pregnancy complications associated with the co-prevalence of excess maternal weight and depression. Int J Obes 39, 1710–1716 (2015). https://doi.org/10.1038/ijo.2015.119

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