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  • Original Article

    Prevalence of Depression in Pregnant Women with Bariatric Surgery History and Associated Factors

    Rev Bras Ginecol Obstet. 2022;44(2):109-117

    Summary

    Original Article

    Prevalence of Depression in Pregnant Women with Bariatric Surgery History and Associated Factors

    Rev Bras Ginecol Obstet. 2022;44(2):109-117

    DOI 10.1055/s-0042-1742682

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    Abstract

    Objective

    To analyze the prevalence and factors associated with depressive symptoms among Brazilian pregnant women with history of bariatric surgery (BS).

    Methods

    This is a cohort study with 247 women who got pregnant after BS. Based on data collection via Google Form, the recruitment of participants occurred in Facebook groups for 13 months. All of them answered a form with Informed Consent, a general data protocol and the Brazilian version of the Depression, Anxiety and Stress Scale-21. Descriptive and inferential analysis were performed, and a binary logistic regression model was tested to predict the factors associated with depressive symptoms.

    Results

    The prevalence of depressive symptoms was 32.8%, noted as being higher in the first (40.6%) and third (34.3%) gestational trimesters. Significative associations were found between depression and marital status (p=0.000), planned pregnancy (p=0.001), desired pregnancy (p=0.004) and psychiatric history (p=0.000). Women who were not married (odds ratio, OR=3,38; p=0.002) and had a psychiatric history (OR=2.70; p=0.102) had higher chances of showing depression symptoms; while planned and desired pregnancy showed as protective factors to the symptoms of depression.

    Conclusion

    These findings highlight the importance of psychological assistance for pregnant women with history of BS, to prevent development of mental disorders and their outcomes for maternal-child health.

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  • Original Article

    Nutritional and psychological factors associated with the occurrence of pica in pregnant women

    Rev Bras Ginecol Obstet. 2015;37(12):571-577

    Summary

    Original Article

    Nutritional and psychological factors associated with the occurrence of pica in pregnant women

    Rev Bras Ginecol Obstet. 2015;37(12):571-577

    DOI 10.1590/S0100-720320150005419

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    Abstract

    PURPOSE:

    To evaluate the nutritional and psychological factors associated with the occurrence of the practice of pica in pregnant women attending a public hospital in Rio de Janeiro, Brazil.

    METHODS:

    The study was based on a descriptive design with exploratory features, and conducted on 13 adult and adolescent pregnant women aged 16 to 40 years with a diagnosis of pica in the current pregnancy. Pica was diagnosed by a nutritionist in a standardized interview situation, when questions about the occurrence and frequency of pica, and types of substance ingestion were investigated. After signing the Informed Consent Form (ICF), all participants were evaluated by a nutritionist and seven of them were submitted to psychological assessment with standardized instruments to evaluate stress and anxiety, and to assess coping strategies.

    RESULTS:

    The type of pica most frequently reported was pagophagia (30.8%) and the consumption of fruit with salt (30.8%). The most prevalent coping strategies were "religious practice-focused" and "seeking social support", both presented by 42% of the pregnant women. We observed the occurrence of some degree of stress and anxiety in all pregnant women, as well as comorbidities (69.2%) and gastrointestinal symptoms (84.6%).

    CONCLUSION:

    Considering that pica may be associated with increased perinatal risk, it is very important to investigate this disorder during prenatal care, and to dopt obstetric, psychological and nutritional preventive practices to reduce the complications for mother and fetus.

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