Tags

Type your tag names separated by a space and hit enter

Prenatal care and adverse pregnancy outcomes among women with schizophrenia: a nationwide population-based study in Taiwan.
J Clin Psychiatry. 2009 Sep; 70(9):1297-303.JC

Abstract

OBJECTIVE

To compare the number of prenatal care visits for women with and without schizophrenia and to explore the relationship between the level of prenatal care and adverse pregnancy outcomes (low birth weight [LBW], preterm gestation, and small-for-gestational-age [SGA] babies).

METHOD

We identified a total of 607 women who gave birth from 2001 to 2003, who had been diagnosed with schizophrenia (ICD-9-CM criteria) in the 2 years preceding the index delivery, together with 1,821 matched women as a comparison cohort. Multivariate logistic regression and Poisson regression analyses were performed for estimation.

RESULTS

Results show women with schizophrenia had a significantly lower mean number of prenatal care visits (7.92 vs 8.72, P <. 001). Multivariate logistic regression shows that, after adjusting for characteristics of mother and infant, women with schizophrenia were 1.77 (95% CI, 1.46-2.15; P <. 001) times more likely than women without schizophrenia to receive inadequate prenatal care. The results also show that after adjusting for other factors, schizophrenic women who received inadequate prenatal care were 2.47 (95% CI, 1.27-4.77; P = .007), 1.84 (95% CI, 1.02-3.37; P = .036), and 1.77 (95% CI, 1.15-2.73; P = .010) times more likely to have preterm births, LBW babies, and SGA babies, compared to schizophrenic women who received adequate care.

CONCLUSIONS

We conclude that women with schizophrenia were more likely to receive inadequate prenatal care than women without this disorder. Schizophrenic women who received inadequate prenatal care had a higher risk of adverse pregnancy outcomes than schizophrenic women who received adequate care.

Authors+Show Affiliations

School of Health Care Administration, Taipei Medical University, Taipei 110, Taiwan.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19818245

Citation

Lin, Herng-Ching, et al. "Prenatal Care and Adverse Pregnancy Outcomes Among Women With Schizophrenia: a Nationwide Population-based Study in Taiwan." The Journal of Clinical Psychiatry, vol. 70, no. 9, 2009, pp. 1297-303.
Lin HC, Chen YH, Lee HC. Prenatal care and adverse pregnancy outcomes among women with schizophrenia: a nationwide population-based study in Taiwan. J Clin Psychiatry. 2009;70(9):1297-303.
Lin, H. C., Chen, Y. H., & Lee, H. C. (2009). Prenatal care and adverse pregnancy outcomes among women with schizophrenia: a nationwide population-based study in Taiwan. The Journal of Clinical Psychiatry, 70(9), 1297-303. https://doi.org/10.4088/JCP.09m05087
Lin HC, Chen YH, Lee HC. Prenatal Care and Adverse Pregnancy Outcomes Among Women With Schizophrenia: a Nationwide Population-based Study in Taiwan. J Clin Psychiatry. 2009;70(9):1297-303. PubMed PMID: 19818245.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prenatal care and adverse pregnancy outcomes among women with schizophrenia: a nationwide population-based study in Taiwan. AU - Lin,Herng-Ching, AU - Chen,Yi-Hua, AU - Lee,Hsin-Chien, PY - 2009/01/29/received PY - 2009/02/19/accepted PY - 2009/10/13/entrez PY - 2009/10/13/pubmed PY - 2009/10/22/medline SP - 1297 EP - 303 JF - The Journal of clinical psychiatry JO - J Clin Psychiatry VL - 70 IS - 9 N2 - OBJECTIVE: To compare the number of prenatal care visits for women with and without schizophrenia and to explore the relationship between the level of prenatal care and adverse pregnancy outcomes (low birth weight [LBW], preterm gestation, and small-for-gestational-age [SGA] babies). METHOD: We identified a total of 607 women who gave birth from 2001 to 2003, who had been diagnosed with schizophrenia (ICD-9-CM criteria) in the 2 years preceding the index delivery, together with 1,821 matched women as a comparison cohort. Multivariate logistic regression and Poisson regression analyses were performed for estimation. RESULTS: Results show women with schizophrenia had a significantly lower mean number of prenatal care visits (7.92 vs 8.72, P <. 001). Multivariate logistic regression shows that, after adjusting for characteristics of mother and infant, women with schizophrenia were 1.77 (95% CI, 1.46-2.15; P <. 001) times more likely than women without schizophrenia to receive inadequate prenatal care. The results also show that after adjusting for other factors, schizophrenic women who received inadequate prenatal care were 2.47 (95% CI, 1.27-4.77; P = .007), 1.84 (95% CI, 1.02-3.37; P = .036), and 1.77 (95% CI, 1.15-2.73; P = .010) times more likely to have preterm births, LBW babies, and SGA babies, compared to schizophrenic women who received adequate care. CONCLUSIONS: We conclude that women with schizophrenia were more likely to receive inadequate prenatal care than women without this disorder. Schizophrenic women who received inadequate prenatal care had a higher risk of adverse pregnancy outcomes than schizophrenic women who received adequate care. SN - 1555-2101 UR - https://www.unboundmedicine.com/medline/citation/19818245/Prenatal_care_and_adverse_pregnancy_outcomes_among_women_with_schizophrenia:_a_nationwide_population_based_study_in_Taiwan_ L2 - http://www.psychiatrist.com/jcp/article/pages/2009/v70n09/v70n0914.aspx DB - PRIME DP - Unbound Medicine ER -