孕婦泌尿道感染與產後憂鬱之相關性研究
柳瑞明, 詹勳昊1, 許仁駿2
衛生福利部桃園醫院 外科部 泌尿科; 1佑民醫療社團法人佑民醫院 泌尿科；2三軍總醫院 病理部
Antepartum urinary tract infection and postpartum depression in Taiwan: a nationwide population-based study
Jui-Ming Liu, Hsun-Hao Chan1, Ren-Jun Hsu 2
Division of Urology, Department of Surgery Taoyuan General Hospital, Ministry of Health and Welfare
1 Division of Urology, Department of Surgery ,Yumin medical corporation Yumin hospital, Nantou, Taiwan
2 Department of Pathology and Graduate Institute of Pathology and Parasitology, the Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
Background
Urinary tract infections (UTI) are one of the most common bacterial infections in pregnant women. Antepartum UTI can cause adverse pregnancy outcomes that may induce mental stress. In the present study, we aimed to investigate the association between antepartum UTI and postpartum depression (PPD)
Methods
We used the 2000–2013 National Health Insurance Research Database (NHIRD) of Taiwan. A total of 55,939 singleton pregnancies were enrolled including 552 newly diagnosed women with PPD in the first 6 months postpartum. The association between PPD and antepartum UTI or other risk factors was examined by multiple logistic regression analysis.
Results
After using the logistic regression analysis, PPD was shown to be associated with antepartum UTI (odds ratio [OR] 1.475; 95% confidence interval [CI] (1.079–2.017); p = 0.015). The risk of PPD was higher in women with upper antepartum UTI (OR 2.702 (1.081, 6.750); p = 0.035) than those with lower antepartum UTI (OR 1.386 (1.004, 1.912); p = 0.033). The higher risk of PPD in women with lower monthly income was also noted.
Conclusion
Antepartum UTI is significantly associated with PPD, particularly upper antepartum UTI.