Psychosocial Factors Associated with Lower Urinary Tract Symptoms One Year Postpartum
Shayna D Cunningham1, Rogie Royce Carandang1, Lisa M Boyd2
1Department of Public Health Sciences, University of Connecticut School of Medicine, Farmington, CT 06030, USA.
International Journal of Environmental Research and Public Health
|January 22, 2024
Summary
Postpartum lower urinary tract symptoms (LUTSs) are common. Depressive symptoms and stress increase LUTSs risk, while social support offers protection. Addressing psychological factors is key for bladder health after childbirth.
Area of Science:
- Obstetrics and Gynecology
- Urology
- Psychology
Background:
- Pregnancy poses significant risks for developing lower urinary tract symptoms (LUTSs).
- Limited understanding exists regarding modifiable psychosocial factors influencing postpartum LUTSs.
- Postpartum LUTSs can have lifelong impacts on bladder health.
Purpose of the Study:
- To examine the associations between depressive symptoms, perceived stress, and postpartum LUTSs.
- To investigate the moderating effects of perceived social support on these associations.
Main Methods:
- A cohort study of 462 participants in the Expect With Me group prenatal care program.
- Data collected one year postpartum to assess LUTSs, depressive symptoms, perceived stress, and social support.
Main Results:
- 40.3% of participants reported one or more postpartum LUTSs.
- Higher depressive symptoms (AOR 1.08) and perceived stress (AOR 1.12) were linked to increased odds of LUTSs.
- Greater perceived social support was associated with lower odds of LUTSs (AOR 0.94) and mitigated adverse effects of stress and depression.
Conclusions:
- Depressive symptoms and perceived stress are significant risk factors for postpartum LUTSs.
- Perceived social support plays a protective role, reducing the likelihood of LUTSs.
- Interventions for postpartum bladder health should incorporate psychological support and social factors.
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