1 research outputs found
Association between Stress Urinary Incontinence and Depressive Symptoms after Birth: the Czech ELSPAC Study
The study objectives were to (1) identify risk factors related to stress urinary incontinence (SUI) and
postnatal depression (PD) after birth, and (2) investigate both possible directions of association
between SUI and PD in population-based sample of Czech mothers. 3,701 nulliparous and multiparous
women completed the self-reported questionnaires at 6 weeks and 6 months after birth and were
included into the analyses of this prospective cohort study. Unadjusted and adjusted logistic regressions
examined relationship between SUI a PD accounting for range of other risk factors. During the frst 6
months after birth, 650 mothers (17.6%) developed SUI and 641 (17.3%) displayed signs of PD. The
mode of delivery, parity and higher BMI were associated with SUI. The rate of PD symptoms was higher
in mothers with positive history of prenatal depression, and in divorced or widowed mothers. Both
conditions were associated with worse self-reported health, back pain and stop-smoker status. Initially,
SUI at 6 weeks was slightly, but signifcantly associated with onset of PD at 6 months (OR 1.51, 95%
CI 1.02–2.23) while PD at 6 weeks was not signifcantly related to new cases of SUI at 6 months (OR
1.48, 95% CI 0.91–2.39). After full adjustment these OR reduced to 1.41 and 1.38 (both non-signifcant),
respectively. SUI and PD are common conditions in women postpartum that share some risk factors.
Our study suggests that both directions of their relationship are possible although a larger study is
needed to confrm our fndings