title: Maternal body mass index and self-reported postpartum depressive symptoms.
abstract: OBJECTIVE
  The association between extremes of body mass index (BMI) and depression in women has been documented, yet little is known about the relationship between obesity and postpartum depression (PPD). This study seeks to characterize the association between BMI and PPD.
  
  
  METHODS
  The 2000-2001 Utah data from Pregnancy Risk Assessment Monitoring System (PRAMS) were used to determine the proportion of women, stratified by prepregnancy body mass index, reporting postpartum depressed mood and stressors during pregnancy.
  
  
  RESULTS
  The prevalence of self-reported moderate or greater depressive symptoms was 27.7% (S.E. +/-2.2) in underweight, 22.8% (+/-1.2) in normal weight, 24.8% (+/-2.9) in overweight and 30.8% (+/-2.5) in obese women. After controlling for marital status and income, normal BMI (19.8-25.9) was associated with the lowest rate of self-reported postpartum depressive symptoms. There was a two-fold increase in self-reported depressive symptoms requiring assistance among overweight and obese women compared to normal weight women (1.53% normal, 2.99% overweight, and 3.10% obese [p < 0.001]). Obese women were significantly more likely to report emotional and traumatic stressors during pregnancy than normal weight women.
  
  
  CONCLUSIONS
  This population-based survey suggests a potential association between prepregnancy body mass index and self-reported postpartum depressive symptoms. Prospective studies of association between obesity and PPD, with improved diagnostic precision are warranted.
authors: Department of Obstetrics and Gynecology, University of Utah Health Sciences Center, 30N 1900E Suite 2B200, Salt Lake City, 84132, USA. yvette.lacoursiere@hsc.utah.edu
authors: D Yvette
authors: DY
authors: Lacoursiere
authors: Laurie
authors: L
authors: Baksh
authors: Lois
authors: L
authors: Bloebaum
authors: Michael W
authors: MW
authors: Varner