Severe maternal morbidity was associated with an increased risk for hospitalization or emergency room visits for mental health conditions up to 13 years postpartum.
Individuals with severe maternal morbidity are at an increased risk for mental health condition-related hospitalization or emergency department visits up to 13 years after delivery.This retrospective cohort study compared mental health hospitalizations and ED visits in postpartum individuals with and without SMM over 13 years after delivery from April 2008 to March 2021.
The study analyzed 1,579,392 individuals aged 18-55 years with a first recorded liveborn or stillborn delivery from a pregnancy lasting 20-43 weeks, of which 35,825 had exposure to SMM. The SMM exposure was analyzed for events occurring after 20 weeks' gestation and up to 42 days after delivery hospital discharge in the first recorded birth; those without SMM were considered unexposed.
The main outcome was a combination of mental health hospitalizations or ED visits occurring at least 43 days after the index birth hospitalization.Individuals with SMM had a 1.3-fold increased risk of mental health hospitalizations or ED visits. Following SMM, an elevated risk was observed for all mental health outcomes except one , with the highest risk seen for suicidality and self-harm ."Knowledge of the short- and long-term risks of serious mental health conditions after SMM and its subtypes could inform the need for enhanced postpartum supportive resources," the authors wrote.
Pregnant Postpartum Postpartum Period Postnatal Puerperium Erectile Dysfunction Impotence ED Erectile Dysfunction (ED) Birth Canada Canadian Deliberate Self-Harm Self-Harm Self-Injury Self-Mutilation DSH - Deliberate Self-Harm Hospitals Schizophrenia Substance Abuse Anxiety Disorder Addiction Abuse Anxiety Epidemiology Grant Occupational Health
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