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RESEARCH PRODUCT

P-992 - Smoking during pregnancy and postnatal period and postpartum depression

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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) No smoking, 2) Smoking postpartum, 3) Smoking pregnancy, 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  Conclusions The use of tobacco in postpartum had a considerable impact on mother's psychiatric health.