A comparison of maternal and neonatal outcomes of pregnancy with mental disorders: results of an analysis using propensity score-based weighting

Kitai, Toshihiro; Komoto, Yoshiko; Kakubari, Reisa; Konishi, Hisashi; Tanaka, Eriko; Nakajima, Shoko; Muraji, Miho; Ugaki, Hiromi; Matsunaga, Hidenori; Takemura, Masahiko

doi:10.1007/s00404-014-3304-7

Cited by 12 publications

(13 citation statements)

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“…We used electronic medical records to identify maternal psychiatric disorders, and as such, we may be subject to underreporting of psychiatric disorders compared to studies with interview data [36]. Our observed association between psychiatric disorders and preterm birth <37 weeks' gestation was also smaller than that found in other studies [16,18], also supporting the notion of underreporting of psychiatric disorders in our obstetric population. Therefore our results can be considered to be conservative.…”

Section: Discussionsupporting

confidence: 65%

Maternal psychiatric disorders and risk of preterm birth

Männistö

Mendola²,

Kiely

et al. 2016

Annals of Epidemiology

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Purpose To study the effect of maternal psychiatric disorders (depression, anxiety disorder, bipolar disease, schizophrenia, unspecified psychiatric disorder, and comorbid conditions) and odds of preterm birth. Methods The Consortium on Safe Labor (2002-2008), an observational cohort with 12 centers from across the U.S. included 223,394 singleton pregnancies with clinical data obtained from electronic medical records and maternal diagnoses of psychiatric disorders from maternal discharge summaries. Length of gestation was based on the best clinical estimate and categorized as birth <39, <37, <34 and <28 weeks’ gestation. The adjusted odds ratios (ORs) with 95% confidence intervals of birth were estimated by logistic regression with generalized estimating equations. Results Any maternal psychiatric disorder was associated with odds of birth <39 weeks’ gestation (OR=1.32, 95% confidence interval 1.28-1.37), <37 weeks’ gestation (OR=1.45, 1.38-1.52), <34 weeks’ gestation (OR=1.47, 1.35-1.59) and <28 weeks’ gestation (OR=1.57, 1.36-1.82). Specifically, odds of birth <37 weeks’ gestation were associated with maternal depression (OR=1.31, 1.23-1.40), anxiety disorder (OR=1.68, 1.41-2.01), depression with anxiety disorder (OR=2.31, 1.93-2.78), bipolar disease (OR=1.54, 1.22-1.94), bipolar disease with depression and=or anxiety disorder (OR=1.70, 1.30-2.22) and unspecified psychiatric disorder (OR=1.52, 1.41-1.64). Conclusions Maternal psychiatric disorders, especially comorbid psychiatric conditions, were associated with increased likelihood of preterm birth.

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Section: Discussionsupporting

confidence: 65%

Maternal psychiatric disorders and risk of preterm birth

Männistö

Mendola²,

Kiely

et al. 2016

Annals of Epidemiology

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“…There was significant variability of the prevalence of personality disorder within the studies, specifically, 0.012% [59], 0.00764% [60], 0.3% [41], 0.857% [61], and 2.193% [26]. The overall prevalence rate of personality disorder (combining the five studies) is 0.013% (95% CI: 0.012-0.014%).…”

Section: Prevalence Rates Of Personality Disordermentioning

confidence: 93%

“…Five studies were included in this systematic review and meta-analysis [26,41,[59][60][61]. From the included studies, 1114 women were identified as having a personality disorder and 8,527,780 women formed the control group.…”

Section: Study Summarymentioning

confidence: 99%

“…Two of the included studies [41,59] focused on women with borderline personality disorder. One study included women with antisocial personality disorder [26], and a further two studies did not specify the type of personality disorder of the women in the study [60,61]. Three studies [26,60,61] included women with a number of different mental illnesses and then looked at outcomes against a number of different diagnosis of mental illness.…”

Section: Population Of Study/identifying the Populationmentioning

confidence: 99%

“…One study included women with antisocial personality disorder [26], and a further two studies did not specify the type of personality disorder of the women in the study [60,61]. Three studies [26,60,61] included women with a number of different mental illnesses and then looked at outcomes against a number of different diagnosis of mental illness. One of the studies considered the specific and combined role of domestic violence and mental illness on new-born health [26].…”

Section: Population Of Study/identifying the Populationmentioning

confidence: 99%

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The Relationship between Maternal Personality Disorder and Early Birth Outcomes: A Systematic Review and Meta-Analysis

Marshall

Jomeen

Huang

et al. 2020

IJERPH

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(1) Background: Women with personality disorder are at risk of social and emotional problems which impact deleteriously on everyday functioning. Moreover, a personality disorder diagnosis has been established to have an adverse impact upon pregnancy outcomes and child health. Understanding this impact is critical to improving both maternal and child outcomes. This systematic review and meta-analysis will evaluate the contemporary evidence regarding these relationships. (2) Methods: Prospero and Cochrane were searched for any systematic reviews already completed on this topic. Academic Search Premier, CINAHL Complete, MEDLINE, PsycARTICLES, PsycINFO via the EBSCO host, and the Web of Science Core Collection were searched to include research articles published between 1980 and 2019. A total of 158 records were identified; 105 records were screened by reviewing the abstract; 99 records were excluded; 6 full text articles were assessed for eligibility; 5 records were included in the review. (3) Results: All the included studies reported on preterm birth. The meta-analysis indicates significant risk of preterm birth in women with personality disorder (overall odds ratio (OR) 2.62; CI 2.24–3.06; p < 0.01). Three studies reported on low birth weight, with the meta-analysis indicating a raised risk of low birth weight of the babies born to women with personality disorder (overall OR 2.00 CI 1.12–3.57 (p = 0.02)). Three studies reported on appearance, pulse, grimace, activity, and respiration (APGAR) score, with the meta-analysis of OR’s indicating a risk of low APGAR score in women with personality disorder (overall OR 2.31; CI 1.17–4.55; p = 0.02). (4) Conclusions: The infants of women with personality disorder are at elevated risk of preterm birth, low birth weight and low APGAR score.

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Effect of maternal obsessive‐compulsive disorder (OCD) on feto‐maternal outcomes: A systematic review and meta‐analysis

Aujla,

Sandeep,

Aparnavi

et al. 2024

Intl J Gynecology & Obste

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BackgroundMental health disorders in pregnant women have been related to unfavorable obstetric and neonatal outcomes. Obsessive‐compulsive disorder (OCD) significantly distresses mothers and affects the maternal–infant bond.ObjectivesThe present meta‐analysis and systematic review aimed to assess the association of maternal OCD with adverse feto‐maternal outcomes.Search StrategyA systematic search was undertaken in the five databases—Cochrane, Embase, ProQuest, Web of Science, and PubMed—on September 5, 2023.Selection CriteriaStudies that included pregnant women with OCD in whom the feto‐maternal outcomes were reported were included in the systematic review.Data Collection and AnalysisTwo pass screening (“title‐abstract screening” followed by “full‐text review”), and data extraction by two authors independently using the Nested‐Knowledge Auto living semi‐automated systematic review platform was carried out. The decision for selected studies was reviewed by a third author. Of the 360 studies identified, eight were included for the meta‐analysis. Meta‐analysis was conducted using R software.Main ResultsOf the 24 maternal and neonatal adverse outcomes assessed, 11 were found to be associated with maternal OCD, notably pre‐eclampsia (odds ratio [OR] 1.37, 95% confidence interval [CI] 1.19–1.57), antepartum hemorrhage or placental abruption (OR 1.32, 95% CI 1.13–1.54), postpartum hemporrhage (OR 1.19, 95% CI 1.08–1.31), cesarean section delivery (OR 1.32, 95% CI 1.23–1.41), emergency cesarean section (OR 1.22, 95% CI 1.15–1.30), preterm birth (OR 1.41, 95% CI 1.21–1.64), low birth weight (OR 1.41, 95% CI 1.28–1.54), low Apgar score at 5 min (OR 2.37, 95% CI 1.32–4.27), neonatal hypoglycemia (OR 1.37, 95% CI 1.23–1.53), neonatal respiratory distress (OR 1.77, 95% CI 1.44–2.16), and major congenital malformations (OR 1.37, 95% CI 1.08–1.74).ConclusionOCD in pregnant women might be associated with multiple adverse feto‐maternal outcomes.

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A comparison of maternal and neonatal outcomes of pregnancy with mental disorders: results of an analysis using propensity score-based weighting

Abstract: Maternal mental disorders were associated with adverse birth outcomes and socioeconomic disadvantage.

Cited by 12 publications

References 28 publications

Maternal psychiatric disorders and risk of preterm birth

Maternal psychiatric disorders and risk of preterm birth

The Relationship between Maternal Personality Disorder and Early Birth Outcomes: A Systematic Review and Meta-Analysis

Effect of maternal obsessive‐compulsive disorder (OCD) on feto‐maternal outcomes: A systematic review and meta‐analysis

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