Preconception Mental Health, Socioeconomic Status, and Pregnancy Outcomes in Primiparous Women
Background:One in four women of childbearing age has some degree of mental disorders and are, therefore, prone to both pregnancy complications and adverse health outcomes in their offspring. We aimed to evaluate the impact of preconception severe mental disorders on pregnancy outcomes in primiparous...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-07-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.880339/full |
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| author | Satu-Maarit Björkstedt Satu-Maarit Björkstedt Hannu Koponen Hannu Kautiainen Hannu Kautiainen Mika Gissler Mika Gissler Pirjo Pennanen Johan G. Eriksson Johan G. Eriksson Johan G. Eriksson Johan G. Eriksson Merja K. Laine Merja K. Laine |
| author_facet | Satu-Maarit Björkstedt Satu-Maarit Björkstedt Hannu Koponen Hannu Kautiainen Hannu Kautiainen Mika Gissler Mika Gissler Pirjo Pennanen Johan G. Eriksson Johan G. Eriksson Johan G. Eriksson Johan G. Eriksson Merja K. Laine Merja K. Laine |
| author_sort | Satu-Maarit Björkstedt |
| collection | DOAJ |
| description | Background:One in four women of childbearing age has some degree of mental disorders and are, therefore, prone to both pregnancy complications and adverse health outcomes in their offspring. We aimed to evaluate the impact of preconception severe mental disorders on pregnancy outcomes in primiparous women.MethodsThe study cohort was composed of 6,189 Finnish primiparous women without previously diagnosed diabetes, who delivered between 2009 and 2015, living in the city of Vantaa, Finland. Women were classified to have a preconception severe mental disorder if they had one or more outpatient visits to a psychiatrist or hospitalization with a psychiatric diagnosis 1 year before conception. Data on pregnancies, diagnoses, and pregnancy outcomes were obtained from national registers at an individual level.ResultsPrimiparous women with preconception severe psychiatric diagnosis were younger, more often living alone, smokers, and had lower educational attainment and lower taxable income than women without psychiatric diagnosis (for all p < 0.001). Of all women, 3.4% had at least one psychiatric diagnosis. The most common psychiatric diagnoses were depression and anxiety disorders. The most common comorbidity was the combination of depression and anxiety disorders. There were no differences in the need for respiratory treatments, admissions to the neonatal intensive care unit, or antibiotic treatments between the offspring's groups.ConclusionAlthough primiparous women had severe mental disorders, the well-being of newborns was good. The most common severe mental health disorders were depression and anxiety disorders, and psychiatric comorbidity was common. Women with severe mental disorders more often belonged to lower socioeconomic groups. |
| first_indexed | 2024-04-13T04:42:12Z |
| format | Article |
| id | doaj.art-40c68e17ec294a088dd1e3072578ba5b |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-13T04:42:12Z |
| publishDate | 2022-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-40c68e17ec294a088dd1e3072578ba5b2022-12-22T03:01:57ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-07-011010.3389/fpubh.2022.880339880339Preconception Mental Health, Socioeconomic Status, and Pregnancy Outcomes in Primiparous WomenSatu-Maarit Björkstedt0Satu-Maarit Björkstedt1Hannu Koponen2Hannu Kautiainen3Hannu Kautiainen4Mika Gissler5Mika Gissler6Pirjo Pennanen7Johan G. Eriksson8Johan G. Eriksson9Johan G. Eriksson10Johan G. Eriksson11Merja K. Laine12Merja K. Laine13Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, FinlandSocial Services and Health Care Division, Helsinki, FinlandDepartment of Psychiatry, University of Helsinki and Helsinki University Hospital, Helsinki, FinlandFolkhälsan Research Center, Helsinki, FinlandPrimary Health Care Unit, Kuopio University Hospital, Kuopio, FinlandFinnish Institute for Health and Welfare, Helsinki, FinlandKarolinska Institute and Region Stockholm, Stockholm, SwedenVantaa Health Center, Vantaa, FinlandDepartment of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, FinlandFolkhälsan Research Center, Helsinki, FinlandDepartment of Obstetrics and Gynecology and Human Potential Translational Research Program, Yong Loo Lin School of Medicine, National University Singapore, Singapore, Singapore0Agency for Science, Technology and Research (A*STAR), Singapore Institute for Clinical Sciences (SICS), Singapore, SingaporeDepartment of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, FinlandFolkhälsan Research Center, Helsinki, FinlandBackground:One in four women of childbearing age has some degree of mental disorders and are, therefore, prone to both pregnancy complications and adverse health outcomes in their offspring. We aimed to evaluate the impact of preconception severe mental disorders on pregnancy outcomes in primiparous women.MethodsThe study cohort was composed of 6,189 Finnish primiparous women without previously diagnosed diabetes, who delivered between 2009 and 2015, living in the city of Vantaa, Finland. Women were classified to have a preconception severe mental disorder if they had one or more outpatient visits to a psychiatrist or hospitalization with a psychiatric diagnosis 1 year before conception. Data on pregnancies, diagnoses, and pregnancy outcomes were obtained from national registers at an individual level.ResultsPrimiparous women with preconception severe psychiatric diagnosis were younger, more often living alone, smokers, and had lower educational attainment and lower taxable income than women without psychiatric diagnosis (for all p < 0.001). Of all women, 3.4% had at least one psychiatric diagnosis. The most common psychiatric diagnoses were depression and anxiety disorders. The most common comorbidity was the combination of depression and anxiety disorders. There were no differences in the need for respiratory treatments, admissions to the neonatal intensive care unit, or antibiotic treatments between the offspring's groups.ConclusionAlthough primiparous women had severe mental disorders, the well-being of newborns was good. The most common severe mental health disorders were depression and anxiety disorders, and psychiatric comorbidity was common. Women with severe mental disorders more often belonged to lower socioeconomic groups.https://www.frontiersin.org/articles/10.3389/fpubh.2022.880339/fullmental illnesspreconception psychiatric diagnosispregnancy outcomesprimiparoussocioeconomic status |
| spellingShingle | Satu-Maarit Björkstedt Satu-Maarit Björkstedt Hannu Koponen Hannu Kautiainen Hannu Kautiainen Mika Gissler Mika Gissler Pirjo Pennanen Johan G. Eriksson Johan G. Eriksson Johan G. Eriksson Johan G. Eriksson Merja K. Laine Merja K. Laine Preconception Mental Health, Socioeconomic Status, and Pregnancy Outcomes in Primiparous Women Frontiers in Public Health mental illness preconception psychiatric diagnosis pregnancy outcomes primiparous socioeconomic status |
| title | Preconception Mental Health, Socioeconomic Status, and Pregnancy Outcomes in Primiparous Women |
| title_full | Preconception Mental Health, Socioeconomic Status, and Pregnancy Outcomes in Primiparous Women |
| title_fullStr | Preconception Mental Health, Socioeconomic Status, and Pregnancy Outcomes in Primiparous Women |
| title_full_unstemmed | Preconception Mental Health, Socioeconomic Status, and Pregnancy Outcomes in Primiparous Women |
| title_short | Preconception Mental Health, Socioeconomic Status, and Pregnancy Outcomes in Primiparous Women |
| title_sort | preconception mental health socioeconomic status and pregnancy outcomes in primiparous women |
| topic | mental illness preconception psychiatric diagnosis pregnancy outcomes primiparous socioeconomic status |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.880339/full |
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