title: The relationship between hyperemesis gravidarum and maternal psychiatric well-being during and after pregnancy: controlled study.
abstract: OBJECTIVE
  Psychiatric symptoms of varying degrees that accompany hyperemesis gravidarum (HG) may continue throughout the pregnancy or after, and these psychological problems may cause morbidity. In this study, we aimed to evaluate the relationship between the HG and psychiatric symptoms in the first trimester and postpartum depression.
  
  
  METHODS
  Two hundred and seven pregnant who were diagnosed as HG and 177 healthy pregnant women included in this prospective study. All cases were assessed with SCL-90-R in first trimester and with ED in postpartum period. Factors related to postpartum psychiatric symptoms were investigated with bivariate logistic regression analysis.
  
  
  RESULTS
  SCL-90-R and ED scores were statistically significant at HG group (p < 0.05). In cases who diagnosed as postpartum depression, the rates of HG and SCL-90-R results were higher (p< 0.05). In the bivariate analysis, the high rates of HG and high SCL-90-R scores were determined to be related to postpartum depression (p < 0.05).
  
  
  CONCLUSIONS
  The results show that mental health is negatively affected by HG at pregnancy, and in this case, psychiatric symptoms may continue even after discontinuation HG.
authors.affiliation: a Departments of Obstetrics and Gynecology , Zeynep Kamil Training and Research Hospital , İstanbul , Turkey.
authors.forename: Mehmet B
authors.initials: MB
authors.lastname: Senturk
authors.affiliation: b Departments of Obstetrics and Gynecology , Private Mus Sifa Hospital , Mus , Turkey.
authors.forename: Gazi
authors.initials: G
authors.lastname: Yıldız
authors.affiliation: b Departments of Obstetrics and Gynecology , Private Mus Sifa Hospital , Mus , Turkey.
authors.forename: Pınar
authors.initials: P
authors.lastname: Yıldız
authors.affiliation: c Departments of Psychiatry , Mus State Hospital , Mus , Turkey , and.
authors.forename: Nese
authors.initials: N
authors.lastname: Yorguner
authors.affiliation: d Department of Obstetrics and Gynecology , Batman State Hospital , Batman , Turkey.
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Çakmak
mesh_terms: D000328:Adult; D000786:Anger; D001007:Anxiety / Q000150:complications / Q000523:psychology; D016022:Case-Control Studies; D003863:Depression / Q000150:complications / Q000523:psychology; D019052:Depression, Postpartum / Q000150:complications / Q000523:psychology*; D005260:Female; D006801:Humans; D006939:Hyperemesis Gravidarum / Q000150:complications / Q000523:psychology*; D016015:Logistic Models; D049590:Postpartum Period / Q000523:psychology*; D011247:Pregnancy; D011261:Pregnancy Trimester, First / Q000523:psychology*; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D012944:Social Support; D018709:Statistics, Nonparametric; D055815:Young Adult
keywords: First trimester; hyperemesis gravidarum; morbidity; postpartum depression; pregnant women