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Eur J Obstet Gynecol Reprod Biol. 2016 Mar;198:62-67. doi: 10.1016/j.ejogrb.2015.12.028. Epub 2016 Jan 8.

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

Author information

1
Université de Poitiers, Faculté de Médecine et Pharmacie, INSERM CIC1402, Poitiers, France; CHU de Poitiers, Service de Gynécologie-Obstétrique et Médecine de la Reproduction, Poitiers, France; INSERM, CESP Centre for Research in Epidemiology and Population Health, U1018, Gender, Sexual and Reproductive Health Team, Univ Paris-Sud, UMRS 1018, Kremlin-Bicêtre, France; Institut National des Etudes Démographiques, Paris, France. Electronic address: xavier.fritel@univ-poitiers.fr.
2
INSERM UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epopé), Center for Epidemiology and Statistics Sorbonne-Paris-Cité, DHU Risks in Pregnancy, Paris Descartes University, France.
3
CHU de Poitiers, Service de Gynécologie-Obstétrique et Médecine de la Reproduction, Poitiers, France.

Abstract

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.

KEYWORDS:

Antidepressant consumption; Cohort study; Postnatal depression; Postpartum care; Urinary incontinence

PMID:
26799771
DOI:
10.1016/j.ejogrb.2015.12.028
[Indexed for MEDLINE]

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