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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2018

Open Access 01-12-2018 | Research article

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

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

Published in: BMC Pregnancy and Childbirth | Issue 1/2018

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Abstract

Background

Urinary tract infections (UTIs) are among the most common bacterial infections in pregnant women due to anatomic and physiologic changes in the female urinary tract during pregnancy, and antepartum UTIs can cause adverse pregnancy outcomes that may induce mental stress. There have only been a few studies, however, investigating antepartum UTIs and mental stress. As such, the present study was conducted in order to investigate the association between antepartum UTIs and postpartum depression (PPD).

Methods

We used data from the 2000–2013 National Health Insurance Research Database (NHIRD) of Taiwan. Data regarding a total of 55,087 singleton pregnancies was utilized, including data regarding 406 women who were newly diagnosed with PPD in the first 6 months postpartum. The associations between PPD and antepartum UTIs or other risk factors were examined by multiple logistic regression analysis.

Results

The logistic regression analysis results indicated that PPD was associated with antepartum UTIs (adjusted odds ratio [aOR] 1.27; 95% confidence interval [CI] (1.07–1.65). Furthermore, the risk of PPD was higher in women with an upper antepartum UTI (aOR 2.97 (1.31, 6.77) than in those with a lower antepartum UTI (aOR 1.21 (1.02, 1.58)).

Conclusions

Antepartum UTIs, particularly upper antepartum UTIs, are significantly associated with PPD. This information may encourage physicians to pay greater attention to the mental health of women who have suffered upper UTIs during their pregnancies.
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Metadata
Title
Antepartum urinary tract infection and postpartum depression in Taiwan – a nationwide population-based study
Authors
Jui-Ming Liu
Feng-Hsiang Chiu
Yueh-Ping Liu
Shu-Pin Chen
Hsun-Hao Chan
Jing-Jung Yang
Fung-Wei Chang
Ren-Jun Hsu
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2018
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-018-1692-6

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