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Severe maternal morbidity and postpartum mental health-related outcomes in Sweden: a population-based matched-cohort study
- Source :
- Archives of Women's Mental Health. 22:519-526
- Publication Year :
- 2018
- Publisher :
- Springer Science and Business Media LLC, 2018.
-
Abstract
- We examined whether women experiencing severe maternal morbidity (SMM) are more likely to be treated for a psychiatric illness or be prescribed psychotropic medications in the postpartum year than mothers who did not experience SMM. We also examine the relationship between SMM and specific mental health-related outcomes, and the relationship between specific SMM diagnoses/procedures and postpartum mental-health-related outcomes. The national registers in Sweden were used to create a population-based matched cohort. Every delivery with SMM between July 1, 2006, and December 31, 2012 (n = 8558), was matched with two deliveries without SMM (n = 17,116). Conditional logistic regression models assessed the relationship between SMM and postpartum mental health-related outcomes. Women who experienced SMM had significantly greater odds of being treated for a psychiatric disorder (aOR 1.22; 95% CI 1.03-1.45) and being prescribed psychotropic medications (aOR 1.40; 95% CI 1.24-1.58) in the postpartum year. Specifically, they had significantly greater odds of being treated for neuroses (aOR 1.35; 95% CI 1.09-1.69) and having a prescription for anxiolytics/hypnotics (aOR 1.36; 95% CI 1.18-1.58) or antidepressants (aOR 1.35; 95% CI 1.17-1.55). Women who were diagnosed with shock or uterine rupture/obstetric laparotomy during delivery had the greatest odds of postpartum mental health-related outcomes. This study identified mothers with SMM as a group at high risk for postpartum mental illness. Postpartum mental health services should be provided to ensure the well-being of these high-risk mothers.
- Subjects :
- Adult
medicine.medical_specialty
Population
Mothers
Maternal morbidity
Article
Odds
Cohort Studies
Young Adult
03 medical and health sciences
0302 clinical medicine
Matched cohort
Pregnancy
Risk Factors
medicine
Humans
030212 general & internal medicine
Medical prescription
education
Sweden
Psychotropic Drugs
education.field_of_study
030219 obstetrics & reproductive medicine
Obstetrics
business.industry
Mental Disorders
Postpartum Period
Obstetrics and Gynecology
Mental illness
medicine.disease
Mental health
Uterine rupture
Pregnancy Complications
Psychiatry and Mental health
Population Surveillance
Female
Morbidity
business
Maternal Age
Subjects
Details
- ISSN :
- 14351102 and 14341816
- Volume :
- 22
- Database :
- OpenAIRE
- Journal :
- Archives of Women's Mental Health
- Accession number :
- edsair.doi.dedup.....8e543942c81f1033d12789a4e9179601