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Obstetric complications in bipolar disorder: The role of mental health disorders in the risk of caesarean section
- Source :
- Journal of affective disorders. 252
- Publication Year :
- 2018
-
Abstract
- Women with Bipolar Disorder (BD) during pregnancy present a negative impact on them and their babies' health. Caesarean Section (C-Section) is an intervention to reduce complications associated with childbirth, but it also has risks, including maternal infections, anaesthetic and psychological complications. There are few studies that analyse the C-Section rates in women with BD compared to the general population.A case-control study was conducted in a general university hospital. 100 pregnant women with BD matched with 100 controls without psychiatric illness who were attending the same hospital at delivery. We compared obstetrical outcomes during pregnancy, Pre/During Labour, onset of labour and mode of delivery specifying the type of C-Section.Rate of C-Section was significantly higher in BD group compared to the control group (OR=2, 95% CI 1,4-1,6). Case group had more somatic illness (SI) without treatment (P, 001). BD (P=,021), primiparity (P=, 003), obstetric complications during pregnancy (P, 001), obstetric complications during labour (P,001), and SI with and without treatment (P,001 and P=,007, respectively) were higher in women that required C- section.Women with Bipolar Disorder have near two-fold increased risk of C-section than women without Bipolar Disorder of similar age, gestational age and parity. Somatic illness was more prevalent in BD group that required C-section and this relation probably is related to high probability of having somatic comorbidities in patients with BD.
- Subjects :
- Adult
medicine.medical_specialty
Bipolar Disorder
medicine.medical_treatment
Population
Gestational Age
03 medical and health sciences
Young Adult
0302 clinical medicine
Pregnancy
Risk Factors
medicine
Childbirth
Humans
Caesarean section
Bipolar disorder
Young adult
education
education.field_of_study
business.industry
Obstetrics
Cesarean Section
Case-control study
Gestational age
medicine.disease
030227 psychiatry
Pregnancy Complications
Psychiatry and Mental health
Clinical Psychology
Parity
Case-Control Studies
Female
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 15732517
- Volume :
- 252
- Database :
- OpenAIRE
- Journal :
- Journal of affective disorders
- Accession number :
- edsair.doi.dedup.....3a702b185afa512ef7d0b24af96a2472