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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...

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Autores principales: Basirat, Zahra, Ramaezani, Fatemeh, Sepidarkish, Mahdi, Kashifard, Mahdi, Faramarzi, Mahbobeh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Revinter Publicações Ltda. 2023
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.
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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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