Association of postpartum depressive symptoms and urinary incontinence. A cohort study

European Journal of Obstetrics, Gynecology, and Reproductive Biology
X Fritel“EDEN Mother-Child Cohort Study Group”

Abstract

Our objective was to clarify whether de novo urinary incontinence (UI) in the postpartum period is associated with depressive symptoms or antidepressant drug consumption. 2002 pregnant women were recruited between 2003 and 2006 for the EDEN mother-child cohort. This analysis included 1413 women who reported no UI before pregnancy. Severity of UI was assessed by the Sandvik index. At 4 and 12 months postpartum, depressive symptoms were assessed by the Edinburgh Postpartum Depression Scale (EPDS≥10 defines depressive symptoms) and consumption of antidepressant drugs was reported. At 4 months postpartum, 198 women (14%) reported de novo UI; 74% (n=146) reported mild UI, 26% (n=52) moderate, and none severe; prevalence of depressive symptoms was higher in women with than without UI (22.1% vs. 15.9%, p=0.045), and consumption of antidepressant drugs was more frequent (4.7% vs. 1.4%, p=0.005). At 12 months postpartum, the mean (±SD) EPDS score differed between women with than without UI (7.30±3.46 vs. 6.57±3.72, p=0.016) but was half that at 4 months postpartum. The incidence of new cases of depressive symptoms or antidepressant consumption at 12 months was greater with than without UI (23.8% vs. 15.3%, p=0.012). Although UI is mild ...Continue Reading

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Citations

Mar 1, 2018·Female Pelvic Medicine & Reconstructive Surgery·Andrew D DoeringJonathan A Schaffir
Dec 25, 2019·BJOG : an International Journal of Obstetrics and Gynaecology·X FritelUNKNOWN EDEN Mother-Child Cohort Study Group
Feb 19, 2019·Journal of Physical Therapy Science·Sachiko Madokoro, Hiroichi Miaki
Oct 19, 2019·Medical Acupuncture·Poovadan Sudhakaran
Oct 4, 2020·Female Pelvic Medicine & Reconstructive Surgery·Lauren E GiugaleSallie S Oliphant
Dec 5, 2020·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·M Charrié, S Billecocq

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