DEPRESSION, PHYSICAL ACTIVITY, AND PREECLAMPSIA: UNRAVELING THE MATERNAL HEALTH CONNECTION

Main Article Content

Munazzah Meraj
Mukhry Pasham
Farah Naz
Syed Murtaza Ali4
Sidra Faisal
Arsalan Ahmed
Aroosa Maraj

Keywords

depression, physical activity, preeclampsia, pregnancy, mental health

Abstract

The two main symptoms of preeclampsia, a potentially lethal pregnancy illness, are hypertension and organ failure. Depression and physical activity are significant factors in the pathophysiology of preeclampsia. The PMC Hospital Nawabshah hosted this cross-sectional observational study to examine the complex link between depression, physical activity, and the risk of preeclampsia during pregnancy. In total, 275 pregnant women participated in the study. The Edinburgh Postnatal Depression Scale (EPDS) was used to measure depression levels during each trimester of pregnancy, and the Pregnancy Physical Activity Questionnaire (PPAQ) was used to measure physical activity during pregnancy. Preeclampsia and depression were found to be significantly correlated in the study, meaning that pregnant women who had depression were more likely to Preeclampsia risk was found to be lowered by physical exercise, especially at moderate to intense levels (P-value = 0.01). The study emphasizes how complex preeclampsia development is and how crucial it is to address psychological and lifestyle issues in addition to physiological reasons while providing prenatal care. To reduce the occurrence of preeclampsia, healthcare practitioners should use a comprehensive strategy that includes encouraging physical activity and being diligent in diagnosing and addressing depression in pregnant women.

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References

1. Abazarnejad, T., Ahmadi, A., Nouhi, E., Mirzaee, M., & Atghai, M. (2019). Effectiveness of psycho-educational counseling on anxiety in preeclampsia. Trends in psychiatry and psychotherapy, 41, 276-282.
2. Bennett, H. A., Einarson, A., Taddio, A., Koren, G., & Einarson, T. R. (2019). Prevalence of depression during pregnancy: Systematic review. Obstetrics & Gynecology, 103(4), 698-709.
3. Bisson, C., Dautel, S., Patel, E., Suresh, S., Dauer, P., & Rana, S. (2023). Preeclampsia pathophysiology and adverse outcomes during pregnancy and postpartum. Frontiers in Medicine, 10, 485.
4. Brown, W. J., Hayman, M., Haakstad, L. A., Lamerton, T., Mena, G. P., Green, A., ... & Mielke, G. I. (2022). Australian guidelines for physical activity in pregnancy and postpartum. Journal of Science and Medicine in Sport, 25(6), 511-519.
5. Cramer, E. M., Chung, J. E., & Li, J. (2022). # Preeclampsiasurvivor and symbolic interactionism in women’s maternal health. Health Care for Women International, 1-20.
6. DiPietro, L., Evenson, K. R., Bloodgood, B., Sprow, K., Troiano, R. P., Piercy, K. L., ... & Powell, K. E. (2019). Benefits of physical activity during pregnancy and postpartum: an umbrella review. Medicine and science in sports and exercise, 51(6), 1292.
7. Gascoigne, E. L., Webster, C. M., Honart, A. W., Wang, P., Smith-Ryan, A., & Manuck, T. A. (2023). Physical activity and pregnancy outcomes: an expert review. American journal of obstetrics & gynecology MFM, 5(1), 100758.
8. Girchenko, P., Robinson, R., Rantalainen, V. J., Lahti-Pulkkinen, M., Heinonen-Tuomaala, K., Lemola, S., ... & Räikkönen, K. (2022). Maternal postpartum depressive symptoms partially mediate the association between preterm birth and mental and behavioral disorders in children. Scientific Reports, 12(1), 947.
9. Huppertz, B. (2018). Preeclampsia: A complex disease with multiple pathogenic pathways. Journal of Maternal-Fetal and Neonatal Medicine, 21(1), 1-7.
10. Lackovic, M., Nikolic, D., Jankovic, M., Rovcanin, M., & Mihajlovic, S. (2023). Stroke vs. Preeclampsia: Dangerous Liaisons of Hypertension and Pregnancy. Medicina, 59(10), 1707.
11. Lin, D., & Chen, Y. (2022). Maternal depression and preeclampsia: Effects on the maternal and offspring's mental and physical health. Heart and Mind, 6(1), 16-21.
12. Owe, K. M., Nystad, W., Bø, K., & Stigum, H. (2016). Exercise during pregnancy and risk of cesarean delivery in nulliparous women: a large population-based cohort study. American Journal of Obstetrics and Gynecology, 204(4), 151.e1-151.e8.
13. Raguema, N., Benletaifa, D., Mahjoub, T., & Lavoie, J. L. (2020). Increased physical activity is correlated with improved pregnancy outcomes in women with preeclampsia: A retrospective study. Pregnancy Hypertension, 21, 118-123.
14. Roberts, J. M., Gammill, H. S., & Preeclampsia, E. C. (2017). Recent Insights. Hypertension, 60(6), 1316-1323.
15. Smith, G. C., & Pell, J. P. (2020). Possible explanations for the increase in the risk of preeclampsia with maternal age. Social Science & Medicine, 50(6), 835-846.
16. Yuan, M., Bedell, S., De Vrijer, B., Eastabrook, G., Frisbee, J. C., & Frisbee, S. J. (2022). Highlighting the Mechanistic Relationship Between Perinatal Depression and Preeclampsia: A Scoping Review. Women's Health Reports, 3(1), 850-866.