Do Changes in Body Shape Due to Pregnancy Lead to Cosmetic Surgery? A Cross-Sectional Study

Abstract

Objective Pregnants and puerperas show different perceptions of their body image and appearance, so authors investigated their perceptions related to pregnancy and puerperium, evaluating their views on cosmetic surgery, by a cross-sectional study.

Materials and Methods 5-item questionnaires were administrated to women at first pregnancy and puerperas. Patients were submitted also to Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI) and Body Image Inventory (BII) analysis, indicating the level of anxiety, depression and body dissatisfaction for somatic changes during pregnancy and after childbirth.

Results 186 healthy women, aged between 25–35 years, equally divided in pregnancy and puerperium, were compared in terms of body image, with no significant difference between groups. Analyzing the item “cosmetic surgery is required after all pregnancies”, there was a significant difference in puerperas and the item “cosmetic surgery is necessary for postpartum” was the principal. The comparison of BII, BDI, BAI values between pregnants and puerperas showed a significant difference between groups (p<0.00), with higher scores in postpartum patients.

Conclusion Body shape and physical dissatisfaction during pregnancy is linked with increased risk of depression in pregnancy and puerperium, pushing women to opt for cosmetic surgery, especially in puerperium.

Key words

pregnancy - delivery - Puerperium - body shape - cosmetic surgery

Publication History

Received: 18 July 2021

Accepted after revision: 07 February 2022

Article published online:
02 May 2022

• References

• 1 Mann L, Kleinpaul JF, Mota CB. et al. Alterações biomecânicas durante o período gestacional: uma revisão. Motriz 2010; 16: 730-741
• 2 Clark A, Skouteris H, Wertheim EH. et al. The relationship between depression and body dissatisfaction across pregnancy and the postpartum: a prospective study. J Health Psychol 2009; 14: N27-N35
• 3 Fairburn CG, Welch S. The impact of pregnancy on eating habits and attitudes to weight and shape. Int J Eat Disord 1990; 9: 153-160
• 4 Coker E, Abraham S. Body weight dissatisfaction before, during and after pregnancy: a comparison of women with and without eating disorders. Eat Weight Disord 2015; 20: 71-79
• 5 Brittany W, Matthew FT, Jaclyn B. et al. The meaning of body image experiences during the perinatal period: a systematic review of the qualitative literature. Body Image 2015; 14: 102-113
• 6 Fuller-Tyszkiewicz M, Skouteris H, Watson B. et al. Body image during pregnancy: an evaluation of the suitability of the body attitudes questionnaire. BMC Pregnancy Childbirth 2012; 12: 91-101
• 7 Goodwin A, Astbury J, McMeeken J. Body image and psychological well-being in pregnancy. A comparison of exercisers and non-exercisers. Aust N Z J Obstet Gynaecol 2000; 40: 442-447
• 8 Skouteris H, Carr R, Wertheim EH. et al. A prospective study of factors that lead to body dissatisfaction during pregnancy. Body Image 2005; 2: 347-361
• 9 Clark A, Skouteris H, Wertheim EH. et al. The relationship between depression and body dissatisfaction across pregnancy and the postpartum: a prospective study. J Health Psychol 2009; 14: 27-35
• 10 Duncombe D, Wertheim EH, Skouteris H. et al. How well do women adapt to changes in their body size and shape across the course of pregnancy?. J Health Psychol 2008; 13: 503-515
• 11 DiPietro JA, Millet S, Costigan KA. et al. Psychosocial influences on weight gain attitudes and behaviors during pregnancy. J Am Diet Assoc 2003; 103: 1314-1319
• 12 Trivedi MK, Kroumpouzos G, Murase JE. A review of the safety of cosmetic procedures during pregnancy and lactation. Int J Womens Dermatol 2017; 3: 6-10
• 13 Matarasso A, Smith DM. Combined breast surgery and abdominoplasty: strategies for success. Plast Reconstr Surg 2015; 135: 849-860
• 14 Hovardaoğlu S. Body Perception. Journal of Psychiatry, Psychology, Psychopharmacology (3P). Test Special Supplement 1 1992; 26-27
• 15 Hisli N. A study on the validity of the Beck Depression Inventory. Psychol J 1988; 6: 118-122
• 16 Ulusoy M, Şahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: Psychometric properties. J Cogn Psychother 1998; 12: 163-172
• 17 Rasmussen KM, Catalano PM, Yaktine AL. New guidelines for weight gain during pregnancy: what obstetrician/gynecologists should know. Curr Opin Obstet Gyn 2009; 21: 521-526
• 18 Abraham S, Taylor A, Conti J. Postnatal depression, eating, exercise, and vomiting before and during pregnancy. Int J Eat Disorder 2001; 29: 482-487
• 19 Abraham S, King W, Llewellyn-Jones D. Attitudes to body weight, weight gain and eating behavio in pregnancy. J Psychosom ObstGyn 1994; 15: 189195
• 20 Clark A, Skouteris H, Wertheim EH. et al. My baby body: a qualitative insight into women’s body related experiences and mood during pregnancy and the postpartum. J Reprod Infant Psyc 2009; 27: 330345
• 21 Marquez-Sterling S, Perry AC, Kaplan TA. et al. Physical and psychological changes with vigorous exercise in sedentary primigravidae. Med Sci Sports Exerc 2000; 32: 58-62
• 22 Ayano M, Takeo F. Intimate partner violence during pregnancy and postpartum depression in Japan: a cross-sectional study. Front Public Health 2017; 5: 81
• 23 Brown A, Rance J, Warren L. Body image concerns during pregnancy are associated with a shorter breast feeding duration. Midwifery 2015; 31: 80-89
• 24 Downs DS, Di Nallo JM, Kirner TL. Determinants of pregnancy and postpartum depression: prospective influences of depressive symptoms, body image satisfaction, and exercise behavior. Ann Behav Med 2008; 6: 54-63
• 25 Helen S, Roxane C, Eleanor HW. et al. A prospective study of factors that lead to body dissatisfaction during pregnancy. Body Image 2005; 2: 347-361
• 26 Sequin L, St-Denis M, Laisella J. Chronic stressors, social support and depression during pregnancy. Obstet Gynecol 1995; 85: 583-539
• 27 Leddy MA, Jones C, Morgan MA. et al. Eating disorders and obstetric gynecologic care. J Women’s Health 2009; 18: 1395-1401
• 28 Walker LO. Managing excessive weight gain during pregnancy and the postpartum period. J Obstet Gynecol Neonatal Nurs 2007; 36: 490-500
• 29 Huang TT, Fong DT. Weight retention predictors for Taiwanese women at six-month postpartum. J Nurs Res 2007; 15: 11-20
• 30 Tavakoli M, Hasanpoor-Azghady SB, Farahani LA. Predictors of mothers’ postpartum body dissatisfaction based on demographic and fertility factors. BMC Pregnancy Childbirth 2021; 21: 8