Antepartum urinary tract infection and postpartum depression in Taiwan – a nationwide population-based study

Liu, Jui Ming; Chiu, Feng Hsiang; Liu, Yueh Ping; Chen, Shu Pin; Chan, Hsun Hao; Yang, Jing; Chang, Fung Wei; Hsu, Ren Jun

doi:10.1186/s12884-018-1692-6

Cited by 5 publications

(3 citation statements)

References 46 publications

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“…Furthermore, urinary infection was one of the most prevalent CM in our sample, presenting a strength of association for PPD similar to what is described in Asian research studies [44,45]. Researchers like Nam and colleagues explain that the presence of an urinary infection causes postnatal stress in women, culminating for the apparition of future urinary pathologies during the immediate puerperium [46].…”

Section: Discussionsupporting

confidence: 69%

Risk factors associated to a positive screening for Postpartum Depression in Mexican women with elective cesarean delivery: an analytical cross-sectional study during the early postoperative stage

Hernández-Muñoz,

Fletes-Reyes,

López-Jiménez

et al. 2024

Preprint

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Background. It has been reported that the Postpartum Depression (PPD)’s symptomatology increases during the first 72 hours after delivery. Although PPD’s screening is recommended during this period, there is few evidence about the associated Risk Factors (RF) that determine this disorder in women who exclusively underwent an Elective Cesarean Delivery (ECD). Hence, our objective was to determine the RF for PPD’s positive screening in the early postoperative stage after an ECD. Methods. An analytical cross-sectional study was conducted in 123 women, rooming-in at Guadalajara’s Civil Hospital Fray Antonio Alcalde, during the average hospital length of stay after an ECD (2.1±1.02 days). To screen the PPD’s symptomatology, we applied the Edinburgh Postpartum Depression Scale (EPDS). To identify possible RF, we checked the women’s sociodemographic characteristics, obstetric/pregnancy complications, and neonatal comorbidities in their Medical Records. Subsequently, we carried out Odds Ratio (OR) analysis, followed by logistic regression that determined adjusted OR (aOR) and 95% Confidence Intervals (95% CI). Results. By applying the EPDS, we identified 32.5% of PPD’s positive screening, significantly associated with miscarriages (OR 2.6, 95% CI: 1.06-6.30), multiparity (OR 2.6, 95% CI: 1.08-6.43) and age ≥30 years (OR 2.3, 95% CI: 1.04-5.20). Other associations were found with less than four prenatal visits (OR 2.4, 95% CI: 1.10-5.35), unplanned pregnancy (OR 2.7, 95%CI: 1.29-5.98), newborn comorbidities (OR 2.7, 95% CI: 1.18-6.03), and obstetric complications (OR 3.1, 95% CI: 1.37-7.07). Nevertheless, the logistic regression determined that previous history of depression (aOR 8.8, 95% CI: 1.62-13.8), obstetric complications (aOR 8.8, 95% CI: 1.58-9-43), and newborn comorbidities (aOR 9.9, 95% CI: 1.86-14.7) were RF for PPD. Conclusions. Newborn and obstetric complications, along with previous depression, were main causes for the presence of depressive symptoms in women with an ECD. By considering not only the latter, but also that the prevalence for PPD’s positive screening that we found was higher than the results from national reports, we suggest that clinical and surgical professionals seek these RF during this early postoperative period, in order to treat and prevent any negative long-term effects on the mother’s mental well-being.

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Section: Discussionsupporting

confidence: 69%

Risk factors associated to a positive screening for Postpartum Depression in Mexican women with elective cesarean delivery: an analytical cross-sectional study during the early postoperative stage

Hernández-Muñoz,

Fletes-Reyes,

López-Jiménez

et al. 2024

Preprint

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“…A number of studies examined the links between the outcome of depression and physical health-related factors, such as bladder outlet obstruction, cerebral atrophy, cataract, stroke, epilepsy, body mass index and obesity, diabetes, urinary tract infection, forms of cancer, inflammatory bowel disorder, glaucoma, acne, urea accumulation, cerebral small vessel disease, traumatic brain injury, and disability in multiple sclerosis [ 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , ...…”

Section: Resultsmentioning

confidence: 99%

Biological, Psychological, and Social Determinants of Depression: A Review of Recent Literature

2021

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Depression is one of the leading causes of disability, and, if left unmanaged, it can increase the risk for suicide. The evidence base on the determinants of depression is fragmented, which makes the interpretation of the results across studies difficult. The objective of this study is to conduct a thorough synthesis of the literature assessing the biological, psychological, and social determinants of depression in order to piece together the puzzle of the key factors that are related to this condition. Titles and abstracts published between 2017 and 2020 were identified in PubMed, as well as Medline, Scopus, and PsycInfo. Key words relating to biological, social, and psychological determinants as well as depression were applied to the databases, and the screening and data charting of the documents took place. We included 470 documents in this literature review. The findings showed that there are a plethora of risk and protective factors (relating to biological, psychological, and social determinants) that are related to depression; these determinants are interlinked and influence depression outcomes through a web of causation. In this paper, we describe and present the vast, fragmented, and complex literature related to this topic. This review may be used to guide practice, public health efforts, policy, and research related to mental health and, specifically, depression.

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“…Several studies support that low income is associated with PPD [ 43 , 44 ]. Chronic kidney disease, such as kidney and urinary infections, might be associated with PPD symptoms and a PPD diagnosis [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Preterm Labor Using Tocolysis as a Possible Risk Factor for Postpartum Depression: A 14-Year Population-Based Study in Taiwan

Liu

Hsu

et al. 2021

IJERPH

Self Cite

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Postpartum depression (PPD) is associated with negative physical and mental health outcomes for the mother and infant. Women often experience elevated symptoms of PPD, and the incidence of PPD has increased in recent years. There were lack of studies to investigate the effects of medications during pregnancy. Herein, we focused on the most common obstetric medical therapies used in labor and determined whether the medical therapies cause mental stress in pregnant women. This 14-year retrospective population-based nationwide study was based on the National Health Insurance Research Database. Univariate and multivariate logistic regression analyses were used to evaluate unadjusted and adjusted odds ratios and 95% confidence intervals for each tocolytic and uterotonic treatments during pregnancy and common medical illnesses. In comparing the effects of tocolytic and uterotonic medications on maternal PPD, tocolysis with the injection form of ritodrine resulted in a significantly higher risk of PPD based on multivariate analysis. This study supports existing research demonstrating an association between tocolysis with ritodrine and PPD. Ritodrine treatment for preterm labor was a significant risk factor for PPD, especially the injection form. This information provides obstetricians and health policy providers to pay attention to maternal mental health outcomes among high-risk pregnant women.

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Antepartum urinary tract infection and postpartum depression in Taiwan – a nationwide population-based study

Cited by 5 publications

References 46 publications

Risk factors associated to a positive screening for Postpartum Depression in Mexican women with elective cesarean delivery: an analytical cross-sectional study during the early postoperative stage

Risk factors associated to a positive screening for Postpartum Depression in Mexican women with elective cesarean delivery: an analytical cross-sectional study during the early postoperative stage

Biological, Psychological, and Social Determinants of Depression: A Review of Recent Literature

Preterm Labor Using Tocolysis as a Possible Risk Factor for Postpartum Depression: A 14-Year Population-Based Study in Taiwan

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