The association between postpartum hemorrhage and postpartum depression: A Swedish national register-based study.

<h4>Background</h4>Postpartum hemorrhage is an important cause of maternal death and morbidity. However, it is unclear whether women who experience postpartum hemorrhage are at an increased risk of postpartum depression.<h4>Objectives</h4>To examine whether postpartum hemorrh...

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Autores principales:	Can Liu, Alexander Butwick, Anna Sand, Anna-Karin Wikström, Jonathan M Snowden, Olof Stephansson
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a8dc1e09c46c48c980c3f54974216ce7
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spelling	oai:doaj.org-article:a8dc1e09c46c48c980c3f54974216ce72021-12-02T20:18:20ZThe association between postpartum hemorrhage and postpartum depression: A Swedish national register-based study.1932-620310.1371/journal.pone.0255938https://doaj.org/article/a8dc1e09c46c48c980c3f54974216ce72021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255938https://doaj.org/toc/1932-6203<h4>Background</h4>Postpartum hemorrhage is an important cause of maternal death and morbidity. However, it is unclear whether women who experience postpartum hemorrhage are at an increased risk of postpartum depression.<h4>Objectives</h4>To examine whether postpartum hemorrhage is associated with postpartum depression.<h4>Methods</h4>We conducted a national register-based cohort study of 486,476 Swedish-born women who had a singleton livebirth between 2007 and 2014. We excluded women with pre-existing depression or who filled a prescription for an antidepressant before childbirth. We classified postpartum depression up to 12 months after giving birth by the presence of an International Classification of Diseases, version 10 (ICD-10) diagnosis code for depression or a filled outpatient prescription for an antidepressant. We used Cox proportional hazard models, adjusting for maternal sociodemographic and obstetric factors.<h4>Results</h4>Postpartum depression was identified in 2.0% (630/31,663) of women with postpartum hemorrhage and 1.9% (8601/455,059) of women without postpartum hemorrhage. In our unadjusted analysis, postpartum hemorrhage was not associated with postpartum depression (unadjusted hazard ratio (HR) = 1.06, 95% confidence interval (CI) 0.97-1.15). After adjusting for maternal age, parity, education, cohabitation status, maternal smoking status, and early pregnancy maternal BMI, gestational age, and birthweight, the association did not appreciably change, with confidence intervals overlapping the null (adjusted HR = 1.08, 95% CI 0.99, 1.17).<h4>Conclusions</h4>Within a population-based cohort of singleton women in Sweden with no prior history of depression, postpartum hemorrhage was not associated with postpartum depression.Can LiuAlexander ButwickAnna SandAnna-Karin WikströmJonathan M SnowdenOlof StephanssonPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255938 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Can Liu Alexander Butwick Anna Sand Anna-Karin Wikström Jonathan M Snowden Olof Stephansson The association between postpartum hemorrhage and postpartum depression: A Swedish national register-based study.
description	<h4>Background</h4>Postpartum hemorrhage is an important cause of maternal death and morbidity. However, it is unclear whether women who experience postpartum hemorrhage are at an increased risk of postpartum depression.<h4>Objectives</h4>To examine whether postpartum hemorrhage is associated with postpartum depression.<h4>Methods</h4>We conducted a national register-based cohort study of 486,476 Swedish-born women who had a singleton livebirth between 2007 and 2014. We excluded women with pre-existing depression or who filled a prescription for an antidepressant before childbirth. We classified postpartum depression up to 12 months after giving birth by the presence of an International Classification of Diseases, version 10 (ICD-10) diagnosis code for depression or a filled outpatient prescription for an antidepressant. We used Cox proportional hazard models, adjusting for maternal sociodemographic and obstetric factors.<h4>Results</h4>Postpartum depression was identified in 2.0% (630/31,663) of women with postpartum hemorrhage and 1.9% (8601/455,059) of women without postpartum hemorrhage. In our unadjusted analysis, postpartum hemorrhage was not associated with postpartum depression (unadjusted hazard ratio (HR) = 1.06, 95% confidence interval (CI) 0.97-1.15). After adjusting for maternal age, parity, education, cohabitation status, maternal smoking status, and early pregnancy maternal BMI, gestational age, and birthweight, the association did not appreciably change, with confidence intervals overlapping the null (adjusted HR = 1.08, 95% CI 0.99, 1.17).<h4>Conclusions</h4>Within a population-based cohort of singleton women in Sweden with no prior history of depression, postpartum hemorrhage was not associated with postpartum depression.
format	article
author	Can Liu Alexander Butwick Anna Sand Anna-Karin Wikström Jonathan M Snowden Olof Stephansson
author_facet	Can Liu Alexander Butwick Anna Sand Anna-Karin Wikström Jonathan M Snowden Olof Stephansson
author_sort	Can Liu
title	The association between postpartum hemorrhage and postpartum depression: A Swedish national register-based study.
title_short	The association between postpartum hemorrhage and postpartum depression: A Swedish national register-based study.
title_full	The association between postpartum hemorrhage and postpartum depression: A Swedish national register-based study.
title_fullStr	The association between postpartum hemorrhage and postpartum depression: A Swedish national register-based study.
title_full_unstemmed	The association between postpartum hemorrhage and postpartum depression: A Swedish national register-based study.
title_sort	association between postpartum hemorrhage and postpartum depression: a swedish national register-based study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/a8dc1e09c46c48c980c3f54974216ce7
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The association between postpartum hemorrhage and postpartum depression: A Swedish national register-based study.

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