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Severe maternal mor...
Severe maternal morbidity and postpartum mental health-related outcomes in Sweden : a population-based matched-cohort study
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Wall-Wieler, Elizabeth (författare)
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- Carmichael, Suzan L. (författare)
- Karolinska Institutet
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Urquia, Marcelo L. (författare)
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- Liu, Can (författare)
- Stockholms universitet,Centrum för forskning om ojämlikhet i hälsa (CHESS),Karolinska Institutet
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- Hjern, Anders (författare)
- Stockholms universitet,Centrum för forskning om ojämlikhet i hälsa (CHESS),Karolinska Institutet, Sweden
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(creator_code:org_t)
- 2018-10-17
- 2019
- Engelska.
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Ingår i: Archives of Women's Mental Health. - : Springer Science and Business Media LLC. - 1434-1816 .- 1435-1102. ; 22:4, s. 519-526
- Relaterad länk:
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https://europepmc.or...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- National registry data
- Psychiatric treatment
- Psychotropic medication
- Severe maternal morbidity
- folkhälsovetenskap
- Public Health Sciences
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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