医学
爱丁堡产后忧郁量表
尿失禁
萧条(经济学)
产后
怀孕
产后抑郁症
队列
队列研究
产科
抗抑郁药
入射(几何)
前瞻性队列研究
抑郁症状
内科学
精神科
外科
焦虑
经济
宏观经济学
物理
光学
海马体
生物
遗传学
作者
Xavier Fritel,Yawo Edem Tsegan,F. Pierre,Marie‐Josèphe Saurel‐Cubizolles
标识
DOI:10.1016/j.ejogrb.2015.12.028
摘要
Objective Our objective was to clarify whether de novo urinary incontinence (UI) in the postpartum period is associated with depressive symptoms or antidepressant drug consumption. Study design 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. Results 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). Conclusions Although UI is mild in most cases at 4 months postpartum, it is followed by more new cases of depressive symptoms or antidepressant consumption at 12 months.
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