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

BackgroundAttention-deficit/hyperactivity disorder (ADHD) is one of the most common neurobehavioral disorders globally. Although some investigations implied a relationship between ADHD and maternal psychosocial stress exposure during pregnancy, little is known about the effects of maternal occupational exposure and even postpartum mental health. This study aimed to investigate whether maternal employment status during pregnancy and postpartum depressive symptoms are related to offspring hyperactivity, one of the key early symptoms of children ADHD.MethodsTaiwan Birth Cohort Study recruited representative mother-infant pairs, as a result of approximately 12% of all deliveries in 2005 using multistage stratified sampling. Employment status with or without job stress during pregnancy and postpartum depressive symptoms were inquired when the child was six months of age by face-to-face interview. Ever having hyperactivity syndrome as evaluated by physicians, psychologists, or special educators was inquired when the child was eight years of age. Factors of hyperactivity, including maternal employment, job stress, and postpartum depression were studied by adjusted odds ratios (aORs) and 95% confidence interval (CI) using logistic regression, adjusting for gender, urban/rural residence, birth season and household income.Results18 215 mother-infant pairs were included in the final analysis, where 421 (2.3%) of children had been diagnosed as having hyperactivity before 8 years of age. Comparing to mothers employed and without job stress during pregnancy, the aOR (95% CI) of child hyperactivity was 1.47 (95%CI: 1.12, 1.94) for mothers with job stress and 1.43 (95%CI: 1.12, 1.84) for mothers with no employment during pregnancy, respectively. Besides, children were 1.36 (95% CI: 1.07, 1.73) times more likely to receive an ADHD diagnosis if their mother experienced postpartum depressive symptoms.ConclusionsIn this prospective birth cohort study, mothers’ employment status, job stress during pregnancy, and postpartum depressive symptoms were risk factors for the occurrence of hyperactivity in their children.

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Neuraxial Labour Analgesia is Associated with a Reduced Risk of Postpartum Depressive Symptoms: A Multicentre, Prospective Cohort Study

SSRN Electronic Journal ◽

10.2139/ssrn.3263660 ◽

2018 ◽

Author(s):

Chun-Mei Deng ◽

Ting Ding ◽

Shu Li ◽

Bo Lei ◽

Ming-Jun Xu ◽

...

Keyword(s):

Cohort Study ◽

Depressive Symptoms ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Labour Analgesia ◽

Postpartum Depressive Symptoms ◽

Reduced Risk

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Faculty Opinions recommendation of Epidural Analgesia During Childbirth and Postpartum Depressive Symptoms: A Population-Based Longitudinal Cohort Study.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.736138041.793566733 ◽

2019 ◽

Author(s):

Grace Lim

Keyword(s):

Cohort Study ◽

Depressive Symptoms ◽

Epidural Analgesia ◽

Population Based ◽

Longitudinal Cohort Study ◽

Longitudinal Cohort ◽

Postpartum Depressive Symptoms

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The COVID-19 outbreak increases maternal stress during pregnancy, but not the risk for postpartum depression

Archives of Women s Mental Health ◽

10.1007/s00737-021-01104-9 ◽

2021 ◽

Author(s):

Myrthe G. B. M. Boekhorst ◽

Lotte Muskens ◽

Lianne P. Hulsbosch ◽

Katrijn Van Deun ◽

Veerle Bergink ◽

...

Keyword(s):

Mental Health ◽

Cohort Study ◽

Depressive Symptoms ◽

The Netherlands ◽

Postpartum Depression ◽

Prospective Cohort ◽

Vulnerable Groups ◽

Symptoms Of Depression ◽

Postpartum Depressive Symptoms ◽

Perinatal Women

AbstractThe COVID-19 pandemic affects society and may especially have an impact on mental health of vulnerable groups, such as perinatal women. This prospective cohort study of 669 participating women in the Netherlands compared perinatal symptoms of depression and stress during and before the pandemic. After a pilot in 2018, recruitment started on 7 January 2019. Up until 1 March 2020 (before the pandemic), 401 women completed questionnaires during pregnancy, of whom 250 also completed postpartum assessment. During the pandemic, 268 women filled out at least one questionnaire during pregnancy and 59 postpartum (1 March–14 May 2020). Pregnancy-specific stress increased significantly in women during the pandemic. We found no increase in depressive symptoms during pregnancy nor an increase in incidence of high levels of postpartum depressive symptoms during the pandemic. Clinicians should be aware of the potential for increased stress in pregnant women during the pandemic.

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