Severe Maternal Morbidity Can Adversely Affect Mental Health

TOPLINE:

Folks with severe maternal morbidity (SMM) are at an elevated menace for mental health situation-associated hospitalization or emergency department (ED) visits up to 13 years after supply.

METHODOLOGY:

• This retrospective cohort look for compared mental health hospitalizations and ED visits in postpartum folks with and with out SMM over 13 years after supply from April 2008 to March 2021.
• The look for analyzed 1,579,392 folks passe 18-55 years with a first recorded liveborn or stillborn supply from a pregnancy lasting 20-43 weeks, of which 35,825 (2.3%) had exposure to SMM.
• The SMM exposure turned into once analyzed for events going on after 20 weeks’ gestation and up to 42 days after supply sanatorium discharge within the important recorded delivery; these with out SMM had been idea to be unexposed.
• The foremost turned into once a mixture of mental health hospitalizations or ED visits going on on the least 43 days after the index delivery hospitalization.

TAKEAWAY:

• Folks with SMM had a 1.3-fold elevated menace of mental health hospitalizations or ED visits.
• The sanatorium or ED visits per 10,000 individual-years had been 59.2 for mood and terror complications, 17.1 for substance abuse and associated complications, 4.8 for suicidality or self-afflict, and 4.1 for schizophrenia spectrum or other psychotic complications.
• Following SMM, an elevated menace turned into once seen for all mental health outcomes except one (schizophrenia spectrum and other psychotic complications), with the absolute most practical menace viewed for suicidality and self-afflict (aHR, 1.54).

IN PRACTICE:

“Information of the fast- and long-length of time risks of principal mental health stipulations after SMM and its subtypes also can tell the need for enhanced postpartum supportive resources,” the authors wrote.

SOURCE:

This look for turned into once led by Asia Blackman, MSc, Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Québec, Canada. It turned into once published online on April 23, 2024, in JAMA Network Open.

LIMITATIONS:

The look for is proscribed by its observational perform, lacking knowledge, and misclassification bias.

DISCLOSURES:

This look for turned into once supported by funding from the Canadian Institutes of Health Analysis. Three authors reported receiving non-public prices or grants outdoors the submitted work. No other conflicts of passion had been reported.