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P-992 - Smoking During Pregnancy and Postnatal Period and Postpartum Depression

Published online by Cambridge University Press:  15 April 2020

M.L. Imaz ,
E. Gelabert ,
L. Garcia Esteve ,
J. Sanjuan ,
K. Langhor ,
E. Vilella ,
M. Torrens  and
R. Martin-Santos
M.L. Imaz
Affiliation:
Perinatal Psychiatry and Gender Research Program, Department of Psychiatry, Hospital Clínic Barcelona, Spain
E. Gelabert
Affiliation:
Institut de Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universidad de Barcelona, Barcelona, Spain
L. Garcia Esteve
Affiliation:
Clinical and Health Psychology, Universitat Autònoma de Barcelona, Bellaterra, Spain
J. Sanjuan
Affiliation:
Psychiatry, Universidad de Valencia. Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Valencia, Spain
K. Langhor
Affiliation:
Human Pharmacology and Clinical Neurosciences, IMIM-Hospital del Mar, Barcelona, Spain Department of Psychiatry, Hospital Clinic Barcelona, Barcelona, Spain
E. Vilella
Affiliation:
University Psychiatric Hospital Institut Pere Mata, IISPV, University Rovira i Virgili, Reus, Spain
M. Torrens
Affiliation:
Psychiatry, Parc de Salut Mar, Barcelona, Spain
R. Martin-Santos
Affiliation:
Substance Use Disorders Research Group, IMIM-Hospital del Mar, Barcelona, Spain Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain

Abstract

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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. 1) No smoking,

  2. 2) Smoking postpartum,

  3. 3) Smoking pregnancy,

  4. 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.

Type
Abstract
Information
European Psychiatry , Volume 27 , Issue S1: Abstracts of the 20th European Congress of Psychiatry , 2012 , pp. 1
Copyright
Copyright © European Psychiatric Association 2012
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