title: Unplanned pregnancies and reproductive health among women with bipolar disorder.
abstract: BACKGROUND
  The aim of this study was to investigate reproductive health and level of planning of pregnancies among women with bipolar disorder (BDW).
  
  
  METHODS
  63 euthymic women, with bipolar disorder type I, II or not otherwise specified diagnosis, were included and were matched with a control group of 63 healthy women. Demographic and clinical data, structured reproductive health measures and planning level of pregnancies were obtained and compared between groups.
  
  
  RESULTS
  Lower level of planning of pregnancies and higher frequency of unplanned pregnancies were found among BDW. Women with bipolar disorder reported history of voluntary interruption of pregnancies more frequent than women from control group. Current reproductive health care showed no differences between groups.
  
  
  CONCLUSIONS
  Data based on self-report of participants and retrospective nature of some collected measures may be affected by information bias. The pregnancy planning measure has not been validated in this population before. Demographic and clinical characteristics of the sample study limit generalization of these findings.
  
  
  CONCLUSIONS
  Adverse reproductive events, as unplanned pregnancies and elective interruption of pregnancies, may be more frequent among BDW. Clinician must be aware of the reproductive health during treatment of young BDW and take measures to improve better family planning access.
authors.affiliation: Bipolar Disorder Program, Institute of Neurosciences, Favaloro University, Buenos Aires, Argentina; National Council of Scientific and Technical Research (CONICET), Argentina.
authors.forename: Eliana
authors.initials: E
authors.lastname: Marengo
authors.affiliation: Bipolar Disorder Program, Institute of Neurosciences, Favaloro University, Buenos Aires, Argentina; National Council of Scientific and Technical Research (CONICET), Argentina.
authors.forename: Diego J
authors.initials: DJ
authors.lastname: Martino
authors.affiliation: Bipolar Disorder Program, Institute of Neurosciences, Favaloro University, Buenos Aires, Argentina.
authors.forename: Ana
authors.initials: A
authors.lastname: Igoa
authors.affiliation: Bipolar Disorder Program, Institute of Neurosciences, Favaloro University, Buenos Aires, Argentina.
authors.forename: María
authors.initials: M
authors.lastname: Scápola
authors.affiliation: Bipolar Disorder Program, Institute of Neurosciences, Favaloro University, Buenos Aires, Argentina.
authors.forename: Guillermo
authors.initials: G
authors.lastname: Fassi
authors.affiliation: Bipolar Disorder Program, Institute of Neurosciences, Favaloro University, Buenos Aires, Argentina.
authors.forename: Mariana Urtueta
authors.initials: MU
authors.lastname: Baamonde
authors.affiliation: Bipolar Disorder Program, Institute of Neurosciences, Favaloro University, Buenos Aires, Argentina. Electronic address: sstreji@gmail.com.
authors.forename: Sergio A
authors.initials: SA
authors.lastname: Strejilevich
mesh_terms: D000328:Adult; D001118:Argentina / Q000453:epidemiology; D001714:Bipolar Disorder / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011247:Pregnancy; D049168:Pregnancy, Unplanned / Q000523:psychology; D060728:Reproductive Health; D012189:Retrospective Studies; D057566:Self Report; D047568:Unsafe Sex
keywords: Bipolar disorder; Reproductive health; Unplanned pregnancy; Woman