Does Urinary Incontinence and Mode of Delivery Affect Postpartum Depression? A Nationwide Population-Based Cohort Study in Korea
We investigated the association between urinary incontinence and postpartum depression. Data were extracted from the Korean National Health Insurance Service-National Sample Cohort and included women who delivered between 2004 and 2013. Postpartum depression was determined using diagnostic codes dur...
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doaj-f9a282b1375f4d5ab668e8b4942712102021-01-09T00:00:13ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012021-01-011843743710.3390/ijerph18020437Does Urinary Incontinence and Mode of Delivery Affect Postpartum Depression? A Nationwide Population-Based Cohort Study in KoreaJin Young Nam0Eun-Cheol Park1Eun Cho2Department of Healthcare Management, Eulji University, Sungnam-si 13135, Gyeonggi-do, KoreaDepartment of Preventive Medicine, Yonsei University College of Medicine, Seoul 03722, KoreaCollege of Pharmacy, Sookmyung Women’s University, Seoul 04310, KoreaWe investigated the association between urinary incontinence and postpartum depression. Data were extracted from the Korean National Health Insurance Service-National Sample Cohort and included women who delivered between 2004 and 2013. Postpartum depression was determined using diagnostic codes during the six-month postpartum period. Urinary incontinence was identified as having a prescription of incontinence drugs or a diagnosis. Cox proportional hazard models were used to calculate adjusted hazard ratios. Of the 83,066 women, 5393 (6.49%) had urinary incontinence and 691 (0.83%) had postpartum depression. Postpartum depression was higher among women with urinary incontinence, aged 15–19 years, ≥40 years old, the lowest income level, and who underwent cesarean section delivery. In the combined analysis, women with urinary incontinence and cesarean section had an approximately three times higher risk of postpartum depression compared with those without urinary incontinence and with spontaneous delivery. Women without urinary incontinence and cesarean section, and those with urinary incontinence and spontaneous delivery were at higher risk of postpartum depression compared with the reference group. Urinary incontinence and cesarean section delivery were significantly associated with postpartum depression during the first six months after childbirth. Therefore, further research should be conducted to evaluate whether urinary incontinence contributes to postpartum depression.https://www.mdpi.com/1660-4601/18/2/437urinary incontinencepostpartum depressionmode of deliverycohort study |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jin Young Nam Eun-Cheol Park Eun Cho |
spellingShingle |
Jin Young Nam Eun-Cheol Park Eun Cho Does Urinary Incontinence and Mode of Delivery Affect Postpartum Depression? A Nationwide Population-Based Cohort Study in Korea International Journal of Environmental Research and Public Health urinary incontinence postpartum depression mode of delivery cohort study |
author_facet |
Jin Young Nam Eun-Cheol Park Eun Cho |
author_sort |
Jin Young Nam |
title |
Does Urinary Incontinence and Mode of Delivery Affect Postpartum Depression? A Nationwide Population-Based Cohort Study in Korea |
title_short |
Does Urinary Incontinence and Mode of Delivery Affect Postpartum Depression? A Nationwide Population-Based Cohort Study in Korea |
title_full |
Does Urinary Incontinence and Mode of Delivery Affect Postpartum Depression? A Nationwide Population-Based Cohort Study in Korea |
title_fullStr |
Does Urinary Incontinence and Mode of Delivery Affect Postpartum Depression? A Nationwide Population-Based Cohort Study in Korea |
title_full_unstemmed |
Does Urinary Incontinence and Mode of Delivery Affect Postpartum Depression? A Nationwide Population-Based Cohort Study in Korea |
title_sort |
does urinary incontinence and mode of delivery affect postpartum depression? a nationwide population-based cohort study in korea |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2021-01-01 |
description |
We investigated the association between urinary incontinence and postpartum depression. Data were extracted from the Korean National Health Insurance Service-National Sample Cohort and included women who delivered between 2004 and 2013. Postpartum depression was determined using diagnostic codes during the six-month postpartum period. Urinary incontinence was identified as having a prescription of incontinence drugs or a diagnosis. Cox proportional hazard models were used to calculate adjusted hazard ratios. Of the 83,066 women, 5393 (6.49%) had urinary incontinence and 691 (0.83%) had postpartum depression. Postpartum depression was higher among women with urinary incontinence, aged 15–19 years, ≥40 years old, the lowest income level, and who underwent cesarean section delivery. In the combined analysis, women with urinary incontinence and cesarean section had an approximately three times higher risk of postpartum depression compared with those without urinary incontinence and with spontaneous delivery. Women without urinary incontinence and cesarean section, and those with urinary incontinence and spontaneous delivery were at higher risk of postpartum depression compared with the reference group. Urinary incontinence and cesarean section delivery were significantly associated with postpartum depression during the first six months after childbirth. Therefore, further research should be conducted to evaluate whether urinary incontinence contributes to postpartum depression. |
topic |
urinary incontinence postpartum depression mode of delivery cohort study |
url |
https://www.mdpi.com/1660-4601/18/2/437 |
work_keys_str_mv |
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