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

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 Nat...

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Published in:Journal of psychosomatic obstetrics and gynaecology 2011-12, Vol.32 (4), p.189-197
Main Authors: Wangel, Anne-Marie, Molin, Johan, Moghaddassi, Mahnaz, Östman, Margareta
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container_title Journal of psychosomatic obstetrics and gynaecology
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creator Wangel, Anne-Marie
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description 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 
doi_str_mv 10.3109/0167482X.2011.626940
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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.</description><identifier>ISSN: 0167-482X</identifier><identifier>ISSN: 1743-8942</identifier><identifier>EISSN: 1743-8942</identifier><identifier>DOI: 10.3109/0167482X.2011.626940</identifier><identifier>PMID: 22040006</identifier><identifier>CODEN: JPOGDP</identifier><language>eng</language><publisher>New York, NY: Informa Healthcare</publisher><subject>Adult ; Arbetsmedicin och miljömedicin ; Biological and medical sciences ; Cesarean section ; Cesarean Section - utilization ; Clinical Medicine ; Delivery. Postpartum. Lactation ; Disorders ; Environmental Health and Occupational Health ; Female ; Fundamental and applied biological sciences. Psychology ; Gynecology and obstetrics ; Gynecology. Andrology. Obstetrics ; Health Sciences ; Hospitalization - statistics &amp; numerical data ; Humans ; Hälsovetenskap ; inpatient care ; Klinisk medicin ; Logistic Models ; Medical and Health Sciences ; Medical sciences ; Medicin och hälsovetenskap ; Mental Disorders - epidemiology ; Multivariate Analysis ; Obstetrics, Gynecology and Reproductive Medicine ; Pregnancy ; Pregnancy Outcome ; Prenatal Care ; Prevalence ; psychiatric ; Psychology and medicine ; Psychology. Psychoanalysis. Psychiatry ; Psychology. 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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.</description><subject>Adult</subject><subject>Arbetsmedicin och miljömedicin</subject><subject>Biological and medical sciences</subject><subject>Cesarean section</subject><subject>Cesarean Section - utilization</subject><subject>Clinical Medicine</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Disorders</subject><subject>Environmental Health and Occupational Health</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gynecology and obstetrics</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Health Sciences</subject><subject>Hospitalization - statistics &amp; numerical data</subject><subject>Humans</subject><subject>Hälsovetenskap</subject><subject>inpatient care</subject><subject>Klinisk medicin</subject><subject>Logistic Models</subject><subject>Medical and Health Sciences</subject><subject>Medical sciences</subject><subject>Medicin och hälsovetenskap</subject><subject>Mental Disorders - epidemiology</subject><subject>Multivariate Analysis</subject><subject>Obstetrics, Gynecology and Reproductive Medicine</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Prenatal Care</subject><subject>Prevalence</subject><subject>psychiatric</subject><subject>Psychology and medicine</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. 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Postpartum. Lactation</topic><topic>Disorders</topic><topic>Environmental Health and Occupational Health</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gynecology and obstetrics</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Health Sciences</topic><topic>Hospitalization - statistics &amp; numerical data</topic><topic>Humans</topic><topic>Hälsovetenskap</topic><topic>inpatient care</topic><topic>Klinisk medicin</topic><topic>Logistic Models</topic><topic>Medical and Health Sciences</topic><topic>Medical sciences</topic><topic>Medicin och hälsovetenskap</topic><topic>Mental Disorders - epidemiology</topic><topic>Multivariate Analysis</topic><topic>Obstetrics, Gynecology and Reproductive Medicine</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Prenatal Care</topic><topic>Prevalence</topic><topic>psychiatric</topic><topic>Psychology and medicine</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychology. Psychophysiology</topic><topic>Registries - statistics &amp; numerical data</topic><topic>registry study</topic><topic>Reproduktionsmedicin och gynekologi</topic><topic>risk</topic><topic>Risk Factors</topic><topic>Sweden - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wangel, Anne-Marie</creatorcontrib><creatorcontrib>Molin, Johan</creatorcontrib><creatorcontrib>Moghaddassi, Mahnaz</creatorcontrib><creatorcontrib>Östman, Margareta</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Lunds universitet</collection><jtitle>Journal of psychosomatic obstetrics and gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wangel, Anne-Marie</au><au>Molin, Johan</au><au>Moghaddassi, Mahnaz</au><au>Östman, Margareta</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prior psychiatric inpatient care and risk of cesarean sections: a registry study</atitle><jtitle>Journal of psychosomatic obstetrics and gynaecology</jtitle><addtitle>J Psychosom Obstet Gynaecol</addtitle><date>2011-12-01</date><risdate>2011</risdate><volume>32</volume><issue>4</issue><spage>189</spage><epage>197</epage><pages>189-197</pages><issn>0167-482X</issn><issn>1743-8942</issn><eissn>1743-8942</eissn><coden>JPOGDP</coden><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. 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subjects Adult
Arbetsmedicin och miljömedicin
Biological and medical sciences
Cesarean section
Cesarean Section - utilization
Clinical Medicine
Delivery. Postpartum. Lactation
Disorders
Environmental Health and Occupational Health
Female
Fundamental and applied biological sciences. Psychology
Gynecology and obstetrics
Gynecology. Andrology. Obstetrics
Health Sciences
Hospitalization - statistics & numerical data
Humans
Hälsovetenskap
inpatient care
Klinisk medicin
Logistic Models
Medical and Health Sciences
Medical sciences
Medicin och hälsovetenskap
Mental Disorders - epidemiology
Multivariate Analysis
Obstetrics, Gynecology and Reproductive Medicine
Pregnancy
Pregnancy Outcome
Prenatal Care
Prevalence
psychiatric
Psychology and medicine
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Registries - statistics & numerical data
registry study
Reproduktionsmedicin och gynekologi
risk
Risk Factors
Sweden - epidemiology
title Prior psychiatric inpatient care and risk of cesarean sections: a registry study
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