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

Wangel, Anne-Marie; Molin, Johan LU ; Moghaddassi, Mahnaz LU and Ostman, Margareta (2011) In Journal of Psychosomatic Obstetrics and Gynecology 32(4). p.189-197
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... (More)
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. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cesarean section, inpatient care, psychiatric, registry study, risk
in
Journal of Psychosomatic Obstetrics and Gynecology
volume
32
issue
4
pages
189 - 197
publisher
Taylor & Francis
external identifiers
  • wos:000296741100004
  • scopus:80955140385
ISSN
0167-482X
DOI
10.3109/0167482X.2011.626940
language
English
LU publication?
yes
id
2a43cc5b-ca46-4622-8e2c-285bbffe99ab (old id 2254379)
date added to LUP
2012-01-02 08:03:37
date last changed
2017-06-11 04:03:54
@article{2a43cc5b-ca46-4622-8e2c-285bbffe99ab,
  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 &lt; 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 &lt; 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.},
  author       = {Wangel, Anne-Marie and Molin, Johan and Moghaddassi, Mahnaz and Ostman, Margareta},
  issn         = {0167-482X},
  keyword      = {Cesarean section,inpatient care,psychiatric,registry study,risk},
  language     = {eng},
  number       = {4},
  pages        = {189--197},
  publisher    = {Taylor & Francis},
  series       = {Journal of Psychosomatic Obstetrics and Gynecology},
  title        = {Prior psychiatric inpatient care and risk of cesarean sections: a registry study},
  url          = {http://dx.doi.org/10.3109/0167482X.2011.626940},
  volume       = {32},
  year         = {2011},
}