Fertility in Psychiatric Outpatients

Burr, Winthrop A.; Falek, Arthur; Strauss, Lilo T.; Brown, S.

doi:10.1176/ps.30.8.527

Cited by 26 publications

(22 citation statements)

References 16 publications

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“…Studies examining clinical samples of women report inconsistent results about unintended pregnancies. For example, one study (Burr, Falek, Strauss, & Brown, 1979), found no difference in the prevalence of unintended pregnancy in either outpatient or inpatient women with schizophrenia when compared to non-ill women in the general population, while another study (Miller & Finnerty, 1996), found that women with schizophrenia were more likely to have unintended pregnancies compared to women without any psychiatric disorder. A qualitative study conducted by McEvoy and colleagues (1983), reported that 14 out of 23 women with schizophrenia wanted to be pregnant (McEvoy et al, 1983).…”

Section: Discussionmentioning

confidence: 99%

Psychiatric Disorders Among Low-Income Women and Unintended Pregnancies

Tenkku¹,

Flick²,

Homan³

et al. 2009

Women's Health Issues

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Research Question-Prevalence of both unintended pregnancy and psychiatric disorder in pregnancy is high and each is associated with compromised birth outcomes and challenges in childrearing. This study examines the relationship between mental illness and unintended pregnancy in seeking to improve the care provided to women and our ability to minimize the number of children born unwanted and ill-cared for.Methods-The sample consisted of 744 pregnant WIC participants with a stratified enrollment design by residence and representative by race for each WIC county. Analysis consisted of poststratification by developmental age group with logistic regression models estimating odds of unintended pregnancy among women with and without a psychiatric disorder. Covariates included race, education and marital status.Findings-Almost one-third (30.9%) had at least one psychiatric disorder with over two-thirds (67.3%) reporting their pregnancy as unintended. No grouped psychiatric disorder was associated with unintended pregnancy with all ages combined. However, adolescent women (age 15-19) with a substance disorder were less likely to have an unintended pregnancy (aOR 0.3, CI 0.1-0.7) than women without a substance disorder and emerging adult women (age 20-23) with an anxiety disorder were less likely to have an unintended pregnancy (aOR 0.4, CI 0.2-1.0) compared to those without the targeted disorder.Conclusions-Prevalence of unintended pregnancy is not associated with having a psychiatric disorder, although substance use disorders and anxiety disorders were associated with a decreased

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Section: Discussionmentioning

confidence: 99%

Psychiatric Disorders Among Low-Income Women and Unintended Pregnancies

Tenkku¹,

Flick²,

Homan³

et al. 2009

Women's Health Issues

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“…More recent studies have provided conflicting results regarding fertility rates in women with psychotic disorders (6)(7)(8)(9)(10)(11)(12)(13). For example, a cohort study reported no differences in fertility between women with schizophrenia and comparison subjects (8), but cross-sectional surveys have found lower fertility rates in affected women (9,10), although with less of a fertility differential between women with psychoses and comparison subjects than was previously reported (10).…”

mentioning

confidence: 95%

The General Fertility Rate in Women With Psychotic Disorders

Howard¹,

Kumar²,

Leese³

et al. 2002

AJP

110

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This study found markedly lower fertility rates in women with psychotic disorders than in matched normal comparison subjects, particularly in women with non-affective disorders. Knowledge of fertility rates in women with psychotic disorders is fundamental for clinicians and researchers, since it has implications for family planning services, prevention of obstetric complications, child-care support, and hypotheses about the etiology of these disorders.

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“…More recent and methodologically rigorous studies show no difference in fertility between women with schizophrenia and controls (Burr et al 1979;Miller 1997). It is posited that an increase in fertility rates in women with chronic psychosis came with the decrease in ovulatory suppression seen with atypical antipsychotics relative to first generation neuroleptics (Howard et al 2002).…”

Section: Schizophrenia and Pregnancymentioning

confidence: 99%

Motherhood, Mental Illness and Recovery

Benders-Hadi¹,

Barber²

2014

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Fertility in Psychiatric Outpatients

Cited by 26 publications

References 16 publications

Psychiatric Disorders Among Low-Income Women and Unintended Pregnancies

Psychiatric Disorders Among Low-Income Women and Unintended Pregnancies

The General Fertility Rate in Women With Psychotic Disorders

Motherhood, Mental Illness and Recovery

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