Sifa Marie Joelle Muchanga1, Kahoko Yasumitsu-Lovell2, Masamitsu Eitoku3, Etongola Papy Mbelambela3, Hitoshi Ninomiya4, Kaori Komori3, Rahma Tozin5, Nagamasa Maeda6, Mikiya Fujieda7, Narufumi Suganuma8. 1. Department of Environmental Medicine, Kochi Medical School, Kochi University, Nankoku, Kochi, Japan; Department of Obstetrics and Gynecology, Medical Faculty, University of Kinshasa, Kinshasa, Democratic Republic of the Congo. 2. Department of Environmental Medicine, Kochi Medical School, Kochi University, Nankoku, Kochi, Japan; Gilbert Neuropsychiatry centre, University of Gothenburg, Gothenburg, Sweden. 3. Department of Environmental Medicine, Kochi Medical School, Kochi University, Nankoku, Kochi, Japan. 4. Integrated Center for Advanced Medical Technologies, Kochi Medical School, Kochi University, Nankoku, Kochi, Japan. 5. Department of Obstetrics and Gynecology, Medical Faculty, University of Kinshasa, Kinshasa, Democratic Republic of the Congo. 6. Department of Obstetrics and Gynecology, Kochi Medical School, Kochi University, Nankoku, Kochi, Japan. 7. Department of Pediatrics, Kochi Medical School, Kochi University, Nankoku, Kochi, Japan. 8. Department of Environmental Medicine, Kochi Medical School, Kochi University, Nankoku, Kochi, Japan. Electronic address: nsuganuma@kochi-u.ac.jp.
Abstract
BACKGROUND: Postpartum depression is one of the major causes of disability among women who are on their childbearing years. Identifying people at risk of postpartum depression may improve its management. The objective of this study was to determine the probable association between postpartum depression and some preconception gynecological morbidities. METHODS: Data from a nationwide birth cohort study, the Japan Environment and Children's study (JECS), up to one month of postpartum were analyzed. To assess postpartum depression, the Edinburgh Postnatal Depression Scale (EPDS) was used; 11 preconception gynecological morbidities were considered as risk factors. Covariates included psychiatric illness history, psychosocial factors, some pregnancy adverse outcomes, birth outcomes, socio-demographic and health behavioral factors. RESULTS: Except for the prevalence of previous miscarriage, leiomyoma and polycystic ovarian syndrome, depressive women had more gynecological morbidities compared to non-depressive ones. In logistic regression model, endometriosis (OR, 1.27; 95%CI: 1.15-1.41), dysmenorrhea (OR, 1.13; 95%CI: 1.06-1.21) and abnormal uterine bleeding (OR, 1.21; 95%CI: 1.15-1.29) were associated with postpartum depression. LIMITATIONS: CONCLUSION: Women with endometriosis and menstrual problems were at risk of developing postpartum depression. This study suggests a perinatal mental health screening for predisposed women.
BACKGROUND: Postpartum depression is one of the major causes of disability among women who are on their childbearing years. Identifying people at risk of postpartum depression may improve its management. The objective of this study was to determine the probable association between postpartum depression and some preconception gynecological morbidities. METHODS: Data from a nationwide birth cohort study, the Japan Environment and Children's study (JECS), up to one month of postpartum were analyzed. To assess postpartum depression, the Edinburgh Postnatal Depression Scale (EPDS) was used; 11 preconception gynecological morbidities were considered as risk factors. Covariates included psychiatric illness history, psychosocial factors, some pregnancy adverse outcomes, birth outcomes, socio-demographic and health behavioral factors. RESULTS: Except for the prevalence of previous miscarriage, leiomyoma and polycystic ovarian syndrome, depressivewomen had more gynecological morbidities compared to non-depressive ones. In logistic regression model, endometriosis (OR, 1.27; 95%CI: 1.15-1.41), dysmenorrhea (OR, 1.13; 95%CI: 1.06-1.21) and abnormal uterine bleeding (OR, 1.21; 95%CI: 1.15-1.29) were associated with postpartum depression. LIMITATIONS: CONCLUSION:Women with endometriosis and menstrual problems were at risk of developing postpartum depression. This study suggests a perinatal mental health screening for predisposed women.