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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.
Afiliação
  • Basirat, Zahra; Babol University of Medical Sciences. Babol. IR
  • Ramaezani, Fatemeh; Babol University of Medical Sciences. Babol. IR
  • Sepidarkish, Mahdi; Babol University of Medical Sciences. Babol. IR
  • Kashifard, Mahdi; Babol University of Medical Sciences. Babol. IR
  • Faramarzi, Mahbobeh; Babol University of Medical Sciences. Babol. IR
Rev. bras. ginecol. obstet ; Rev. bras. ginecol. obstet;45(4): 186-191, 2023. tab
Article em En | LILACS | ID: biblio-1449722
Biblioteca responsável: BR26.1
ABSTRACT
Abstract

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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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Estudos de Casos e Controles / Gravidez de Alto Risco / Período Pós-Parto / Angústia Psicológica / Transtornos Mentais Tipo de estudo: Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Limite: Female / Humans / Pregnancy Idioma: En Revista: Rev. bras. ginecol. obstet Assunto da revista: GINECOLOGIA / OBSTETRICIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Irã País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Estudos de Casos e Controles / Gravidez de Alto Risco / Período Pós-Parto / Angústia Psicológica / Transtornos Mentais Tipo de estudo: Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Limite: Female / Humans / Pregnancy Idioma: En Revista: Rev. bras. ginecol. obstet Assunto da revista: GINECOLOGIA / OBSTETRICIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Irã País de publicação: Brasil