Obstetric complications in mothers with ADHD

BackgroundThere is currently limited research on the intersection of pregnancy and ADHD and the unique pregnancy risk factors for mothers with an ADHD diagnosis. With an increased population of patients with ADHD in the recent decades and an increase in ADHD medication use during pregnancy it is imp...

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Main Authors: Caroline J. Walsh, Sofie L. Rosenberg, Elijah W. Hale
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Reproductive Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/frph.2022.1040824/full
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author Caroline J. Walsh
Sofie L. Rosenberg
Elijah W. Hale
author_facet Caroline J. Walsh
Sofie L. Rosenberg
Elijah W. Hale
author_sort Caroline J. Walsh
collection DOAJ
description BackgroundThere is currently limited research on the intersection of pregnancy and ADHD and the unique pregnancy risk factors for mothers with an ADHD diagnosis. With an increased population of patients with ADHD in the recent decades and an increase in ADHD medication use during pregnancy it is important to consider what unique risks mothers with ADHD face during the perinatal period.ObjectiveInvestigate a variety of outcomes in maternal ADHD.MethodsWe identified female patients with a diagnosis of pregnancy and ADHD diagnosis. We also further separated the ADHD cohort for separate sub-analyses based on medication type. Odds ratios and relative risk were calculated from outcome incidence within each cohort. Cohorts were balanced on age, sex, and race.ResultsWe identified 45,737 pregnant females with ADHD. We matched these patients to pregnant females without ADHD, for a total of 42,916 pairs. Compared to the group without ADHD, mothers with ADHD had higher rates of every outcome except for HPV infection, which was statistically insignificant (P = 0.768). The odds ratios ranged from 1.08 for anemia complicating pregnancy to 2.63 for depressive episodes. Most outcomes were between 1.2 and 1.8 times more likely to occur in the cohort with ADHD.ConclusionThis study presents substantial advancements in our knowledge of pregnancy-related ADHD care. Armed with an increased awareness of these potential complications and their relationship with ADHD, obstetricians, psychiatrists, and providers of all specialties may be able to reduce the rate of complications within this specific patient population.
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spelling doaj.art-7efdb39d7a614c20a4130ffb6fbe83792022-12-22T03:40:14ZengFrontiers Media S.A.Frontiers in Reproductive Health2673-31532022-11-01410.3389/frph.2022.10408241040824Obstetric complications in mothers with ADHDCaroline J. WalshSofie L. RosenbergElijah W. HaleBackgroundThere is currently limited research on the intersection of pregnancy and ADHD and the unique pregnancy risk factors for mothers with an ADHD diagnosis. With an increased population of patients with ADHD in the recent decades and an increase in ADHD medication use during pregnancy it is important to consider what unique risks mothers with ADHD face during the perinatal period.ObjectiveInvestigate a variety of outcomes in maternal ADHD.MethodsWe identified female patients with a diagnosis of pregnancy and ADHD diagnosis. We also further separated the ADHD cohort for separate sub-analyses based on medication type. Odds ratios and relative risk were calculated from outcome incidence within each cohort. Cohorts were balanced on age, sex, and race.ResultsWe identified 45,737 pregnant females with ADHD. We matched these patients to pregnant females without ADHD, for a total of 42,916 pairs. Compared to the group without ADHD, mothers with ADHD had higher rates of every outcome except for HPV infection, which was statistically insignificant (P = 0.768). The odds ratios ranged from 1.08 for anemia complicating pregnancy to 2.63 for depressive episodes. Most outcomes were between 1.2 and 1.8 times more likely to occur in the cohort with ADHD.ConclusionThis study presents substantial advancements in our knowledge of pregnancy-related ADHD care. Armed with an increased awareness of these potential complications and their relationship with ADHD, obstetricians, psychiatrists, and providers of all specialties may be able to reduce the rate of complications within this specific patient population.https://www.frontiersin.org/articles/10.3389/frph.2022.1040824/fullADHDobstetricsmaternal ADHDobstetric complicationcomorbid ADHD
spellingShingle Caroline J. Walsh
Sofie L. Rosenberg
Elijah W. Hale
Obstetric complications in mothers with ADHD
Frontiers in Reproductive Health
ADHD
obstetrics
maternal ADHD
obstetric complication
comorbid ADHD
title Obstetric complications in mothers with ADHD
title_full Obstetric complications in mothers with ADHD
title_fullStr Obstetric complications in mothers with ADHD
title_full_unstemmed Obstetric complications in mothers with ADHD
title_short Obstetric complications in mothers with ADHD
title_sort obstetric complications in mothers with adhd
topic ADHD
obstetrics
maternal ADHD
obstetric complication
comorbid ADHD
url https://www.frontiersin.org/articles/10.3389/frph.2022.1040824/full
work_keys_str_mv AT carolinejwalsh obstetriccomplicationsinmotherswithadhd
AT sofielrosenberg obstetriccomplicationsinmotherswithadhd
AT elijahwhale obstetriccomplicationsinmotherswithadhd