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Published (Version of Record)CC BY V4.0, Open Access
Journal article
Perinatal outcomes of Aboriginal women with mental health disorders
Australian and New Zealand journal of psychiatry, Vol.57(10), pp.1331-1342
2023
PMID: 36927100
Abstract
Objective: Maternal mental disorders have been associated with adverse perinatal outcomes such as low birthweight and preterm birth, although these links have been examined rarely among Australian Aboriginal populations. We aimed to evaluate the association between maternal mental disorders and adverse perinatal outcomes among Aboriginal births.
Methods: We used whole population-based linked data to conduct a retrospective cohort study (N=38,592) using all Western Australia singleton Aboriginal births (1990–2015). Maternal mental disorders were identified based on the International Classification of Diseases diagnoses and grouped into six broad diagnostic categories. The perinatal outcomes evaluated were preterm birth, small for gestational age, perinatal death, major congenital anomalies, foetal distress, low birthweight and 5-minute Apgar score. We employed log-binomial/-Poisson models to calculate risk ratios and 95% confidence intervals.
Results: After adjustment for sociodemographic factors and pre-existing medical conditions, having a maternal mental disorder in the five years before the birth was associated with adverse perinatal outcomes, with risk ratios (95% confidence intervals) ranging from 1.26 [1.17, 1.36] for foetal distress to 2.00 [1.87, 2.15] for low birthweight. We found similar associations for each maternal mental illness category and neonatal outcomes, with slightly stronger associations when maternal mental illnesses were reported within 1year rather than 5years before birth and for substance use disorder.
Conclusions: This large population-based study demonstrated an increased risk of several adverse birth outcomes among Aboriginal women with mental disorders. Holistic perinatal care, treatment and support for women with mental disorders may reduce the burden of adverse birth outcomes.
Details
- Title
- Perinatal outcomes of Aboriginal women with mental health disorders
- Authors/Creators
- Akilew A. Adane - Murdoch UniversityCarrington C. J. Shepherd - Curtin UniversityRoz Walker - Murdoch UniversityHelen D. Bailey - Curtin UniversityMegan Galbally - Murdoch UniversityRhonda Marriott - Murdoch University
- Publication Details
- Australian and New Zealand journal of psychiatry, Vol.57(10), pp.1331-1342
- Publisher
- SAGE Publications Ltd.
- Number of pages
- 12
- Grant note
- APP 2011958 / Australian National Health and Medical Research Council (NHMRC) Ideas grant; National Health and Medical Research Council (NHMRC) of Australia
- Identifiers
- 991005569343907891
- Copyright
- © The Author(s) 2023
- Murdoch Affiliation
- Centre for Computational and Systems Medicine; Ngangk Yira Institute for Change
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.72 Obstetrics & Gynecology
- 1.72.1072 Perinatal Mental Health
- Web Of Science research areas
- Psychiatry
- ESI research areas
- Psychiatry/Psychology