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Psychiatric Symptoms in Women with High-risk Pregnancy in the Postpartum Period: A Case-control Study
Objective: Psychiatric symptoms are common mental issues in pregnancy and the postpartum period. There is limited information regarding the psychiatric symptoms of women with high-risk pregnancy in the postpartum period. This study aimed to compare the severity of psychiatric symptoms and psycholog...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Revinter Publicações Ltda.
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208729/ https://www.ncbi.nlm.nih.gov/pubmed/37224840 http://dx.doi.org/10.1055/s-0043-1768997 |
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author | Basirat, Zahra Ramaezani, Fatemeh Sepidarkish, Mahdi Kashifard, Mahdi Faramarzi, Mahbobeh |
author_facet | Basirat, Zahra Ramaezani, Fatemeh Sepidarkish, Mahdi Kashifard, Mahdi Faramarzi, Mahbobeh |
author_sort | Basirat, Zahra |
collection | PubMed |
description | Objective: Psychiatric symptoms are common mental issues in pregnancy and the postpartum period. There is limited information regarding the psychiatric symptoms of women with high-risk pregnancy in the postpartum period. This study aimed to compare the severity of psychiatric symptoms and psychological distress in women with high-risk and low-risk pregnancies in the postpartum period. Methods: This case-control study examined 250 women in the postpartum period in two groups with low-risk (n = 112) and high-risk (n = 138) pregnancies. Women completed the Brief Symptom Inventory-53 (BSI-53) and the Risk Postnatal Psychosocial Depression Risk Questionnaire (PPDRQ). Results: The mean severity of psychiatric symptoms in women with high-risk pregnancies was significantly higher than that in women with low-risk pregnancies (39.34 ± 17.51 vs. 30.26 ± 17.08). Additionally, the frequency of psychological distress in women with high-risk pregnancies was approximately twice higher than that in women with low-risk pregnancies (30.3% vs. 15.2%). Furthermore, the risk factors for depression in women with high-risk pregnancies were almost 1.5 times (59.8% vs. 39.8%) higher than the factors in women with low-risk pregnancies. The results of the logistic analysis indicated that high-risk pregnancies could be twice the odds ratio of developing postpartum psychological distress (ß = 2.14, 95% CI 1.4-6.3, p= 0.036). Conclusion: Psychiatric symptoms and the psychological distress index are higher in postpartum women with high-risk pregnancies than in postpartum women with low-risk pregnancies. The study suggests that obstetricians and pregnant women's health care providers should strongly consider screening of psychiatric symptoms in women with high-risk pregnancies both during pregnancy and after delivery as the women's routine care priorities. |
format | Online Article Text |
id | pubmed-10208729 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Thieme Revinter Publicações Ltda. |
record_format | MEDLINE/PubMed |
spelling | pubmed-102087292023-07-27 Psychiatric Symptoms in Women with High-risk Pregnancy in the Postpartum Period: A Case-control Study Basirat, Zahra Ramaezani, Fatemeh Sepidarkish, Mahdi Kashifard, Mahdi Faramarzi, Mahbobeh Rev Bras Ginecol Obstet Objective: Psychiatric symptoms are common mental issues in pregnancy and the postpartum period. There is limited information regarding the psychiatric symptoms of women with high-risk pregnancy in the postpartum period. This study aimed to compare the severity of psychiatric symptoms and psychological distress in women with high-risk and low-risk pregnancies in the postpartum period. Methods: This case-control study examined 250 women in the postpartum period in two groups with low-risk (n = 112) and high-risk (n = 138) pregnancies. Women completed the Brief Symptom Inventory-53 (BSI-53) and the Risk Postnatal Psychosocial Depression Risk Questionnaire (PPDRQ). Results: The mean severity of psychiatric symptoms in women with high-risk pregnancies was significantly higher than that in women with low-risk pregnancies (39.34 ± 17.51 vs. 30.26 ± 17.08). Additionally, the frequency of psychological distress in women with high-risk pregnancies was approximately twice higher than that in women with low-risk pregnancies (30.3% vs. 15.2%). Furthermore, the risk factors for depression in women with high-risk pregnancies were almost 1.5 times (59.8% vs. 39.8%) higher than the factors in women with low-risk pregnancies. The results of the logistic analysis indicated that high-risk pregnancies could be twice the odds ratio of developing postpartum psychological distress (ß = 2.14, 95% CI 1.4-6.3, p= 0.036). Conclusion: Psychiatric symptoms and the psychological distress index are higher in postpartum women with high-risk pregnancies than in postpartum women with low-risk pregnancies. The study suggests that obstetricians and pregnant women's health care providers should strongly consider screening of psychiatric symptoms in women with high-risk pregnancies both during pregnancy and after delivery as the women's routine care priorities. Thieme Revinter Publicações Ltda. 2023-05-24 /pmc/articles/PMC10208729/ /pubmed/37224840 http://dx.doi.org/10.1055/s-0043-1768997 Text en Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Basirat, Zahra Ramaezani, Fatemeh Sepidarkish, Mahdi Kashifard, Mahdi Faramarzi, Mahbobeh Psychiatric Symptoms in Women with High-risk Pregnancy in the Postpartum Period: A Case-control Study |
title | Psychiatric Symptoms in Women with High-risk Pregnancy in the Postpartum Period: A Case-control Study |
title_full | Psychiatric Symptoms in Women with High-risk Pregnancy in the Postpartum Period: A Case-control Study |
title_fullStr | Psychiatric Symptoms in Women with High-risk Pregnancy in the Postpartum Period: A Case-control Study |
title_full_unstemmed | Psychiatric Symptoms in Women with High-risk Pregnancy in the Postpartum Period: A Case-control Study |
title_short | Psychiatric Symptoms in Women with High-risk Pregnancy in the Postpartum Period: A Case-control Study |
title_sort | psychiatric symptoms in women with high-risk pregnancy in the postpartum period: a case-control study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208729/ https://www.ncbi.nlm.nih.gov/pubmed/37224840 http://dx.doi.org/10.1055/s-0043-1768997 |
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