Prior psychiatric inpatient care and risk of cesarean sections : a registry study

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Prior psychiatric inpatient care and risk of cesarean sections : a registry study

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Publication Article, peer reviewed scientific
Title Prior psychiatric inpatient care and risk of cesarean sections : a registry study
Author(s) Wangel, Anne-Marie ; Molin, Johan ; Moghaddassi, Mahnaz ; Östman, Margareta
Date 2011
English abstract
This study of 17,443 childbearing women, investigated the relationship between hospital admissions 5 years prior to index birth, type of mental disorders and risk factors for mode of delivery. Hospital based electronic perinatal medical records between 2001 and 2006, were linked with the Swedish National Inpatient Care Registry 1996–2006. Of all the women, 39.3% had had inpatient care prior to index birth (27.3% had had obstetric, 10.1% somatic, and 1.9% psychiatric inpatient care). Diagnoses of mental disorders at psychiatric admission (n = 333) were categorized into five groups: personality/behavioral/unspecified disorder (30.9%), affective disorders and ‘suicide attempt’ (28.9%), neurotic/somatoform disorders (18.9%), substance use (17.1%) and schizophrenia (4.2%). Women with history of psychiatric care were more often smokers, below age 24 and single (p < 0.001, respectively), had more markers of mental ill-health in pregnancy records (p ≤ 0.001), compared to women without such previous care, and fewer were nulliparous (p < 0.001). The results show that women with prior psychiatric inpatient care and those with identified mental ill-health in pregnancy records, were associated with increased adjusted risks of cesarean sections. Identifying a woman’s mental health status in pregnancy may predict and prevent emergency cesarean section.
DOI http://dx.doi.org/10.3109/0167482X.2011.626940 (link to publisher's fulltext)
Publisher Informa Healthcare
Host/Issue Journal of Psychosomatic Obstetrics and Gynecology;4
Volume 32
ISSN 0167-482X
Pages 189-197
Language eng (iso)
Subject(s) Cesarean section
inpatient care
psychiatric
registry study
risk
Medicine
Research Subject Categories::MEDICINE
Handle http://hdl.handle.net/2043/12607 (link to this page)

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