Abstract
Objectives: To identify the adverse effect of psychiatric illness during pregnancy on pregnancy outcome. Methods: A large population-based study of deliveries (1988-2005) was conducted that compared women with and without psychiatric illness. Stratified analysis included multiple logistic regression models. Results: Out of 181,479 deliveries, 607 (0.3%) women reported psychiatric illness: depressive and anxiety disorders (39%), schizophrenia (11%), or other psychiatric illness (50%). The psychiatric patients were significantly older, with higher prevalence of diabetes and hypertensive disorders. Perinatal mortality rate, congenital malformations, low Apgar scores, and low birth weight (< 2500 g) were significantly increased. Multivariable logistic regression models determined that psychiatric illness during pregnancy is an independent risk factor for perinatal mortality (odds ratio [OR] 2.4; 95% CI, 1.5-3.7, P < 0.001) and congenital malformations (OR 1.4; 95% CI, 1.01-1.9, P = 0.03). Conclusions: Psychiatric illness is an independent risk factor for congenital malformations and perinatal mortality, and prenatal care should be adjusted accordingly.
Original language | English |
---|---|
Pages (from-to) | 53-56 |
Number of pages | 4 |
Journal | International Journal of Gynecology and Obstetrics |
Volume | 101 |
Issue number | 1 |
DOIs | |
State | Published - 1 Jan 2008 |
Keywords
- Fetal malformations
- Perinatal mortality
- Psychiatric illness
- Risk factors
ASJC Scopus subject areas
- Obstetrics and Gynecology