Psychiatric illness and adverse pregnancy outcome.
OBJECTIVE
To identify the adverse effect of psychiatric illness during pregnancy on pregnancy outcome.


METHODS
A large population-based study of deliveries (1988--2005) was conducted that compared women with and without psychiatric illness. Stratified analysis included multiple logistic regression models.


RESULTS
Out of 181,479 deliveries, 607 (0.3%) women reported psychiatric illness: depressive and anxiety disorders (39%), schizophrenia (11%), or other psychiatric illness (50%). The psychiatric patients were significantly older, with higher prevalence of diabetes and hypertensive disorders. Perinatal mortality rate, congenital malformations, low Apgar scores, and low birth weight (<2500 g) were significantly increased. Multivariable logistic regression models determined that psychiatric illness during pregnancy is an independent risk factor for perinatal mortality (odds ratio [OR] 2.4; 95% CI, 1.5-3.7, P<0.001) and congenital malformations (OR 1.4; 95% CI, 1.01-1.9, P=0.03).


CONCLUSIONS
Psychiatric illness is an independent risk factor for congenital malformations and perinatal mortality, and prenatal care should be adjusted accordingly.
Schneid-Kofman
Naomi
N
Department of Obstetrics and Gynecology, Ben Gurion University of the Negev, Beer-Sheva, Israel. shir2k@zahav.net.il
Sheiner
Eyal
E
Levy
Amalia
A
D000328:Adult; D005260:Female; D006801:Humans; D001523:Mental Disorders / Q000150:complications*; D054238:Perinatal Mortality; D011247:Pregnancy; D011248:Pregnancy Complications / Q000523:psychology*; D011256:Pregnancy Outcome / Q000523:psychology*; D012189:Retrospective Studies; D012307:Risk Factors