Patterns of psychiatric admission in Australian pregnant and childbearing women.

Austin, M-P; Ambrosi, TL; Reilly, N; Croft, M; Hutchinson, J; Donnolley, N; Mihalopoulos, C; Chatterton, ML; Chambers, GM; Sullivan, E; Knox, C; Xu, F; Highet, N; Morgan, VA

Patterns of psychiatric admission in Australian pregnant and childbearing women.

Austin, M-P Ambrosi, TL Reilly, N Croft, M Hutchinson, J Donnolley, N Mihalopoulos, C Chatterton, ML Chambers, GM Sullivan, E

Knox, C Xu, F Highet, N Morgan, VA

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Publisher:: Springer Science and Business Media LLC
Publication Type:: Journal Article
Citation:: Social psychiatry and psychiatric epidemiology, 2021, pp. 1-11
Issue Date:: 2021-07-22

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Field	Value	Language
dc.contributor.author	Austin, M-P
dc.contributor.author	Ambrosi, TL
dc.contributor.author	Reilly, N
dc.contributor.author	Croft, M
dc.contributor.author	Hutchinson, J
dc.contributor.author	Donnolley, N
dc.contributor.author	Mihalopoulos, C
dc.contributor.author	Chatterton, ML
dc.contributor.author	Chambers, GM
dc.contributor.author	Sullivan, E https://orcid.org/0000-0002-8718-2753
dc.contributor.author	Knox, C
dc.contributor.author	Xu, F
dc.contributor.author	Highet, N
dc.contributor.author	Morgan, VA
dc.date.accessioned	2021-12-17T02:13:03Z
dc.date.available	2021-07-09
dc.date.available	2021-12-17T02:13:03Z
dc.date.issued	2021-07-22
dc.identifier.citation	Social psychiatry and psychiatric epidemiology, 2021, pp. 1-11
dc.identifier.issn	0933-7954
dc.identifier.issn	1433-9285
dc.identifier.uri	http://hdl.handle.net/10453/152385
dc.description.abstract	<h4>Purpose</h4>The early postnatal period is a time of increased risk for psychiatric admission. However, there is scope to further examine if this increase in risk extends to the entire perinatal period (pregnancy and first postnatal year), and how it compares to admission outside of the perinatal period.<h4>Methods</h4>Data were linked across birth and hospital admission registers from July 2000 to December 2009. The study cohort, consisting of all pregnant and childbearing women with a psychiatric history, was divided into two groups: case women (at least one perinatal principal psychiatric admission in the study period) (38%) and comparison women (no perinatal principal psychiatric admissions) (62%). Outcomes were admission rate and length of stay adjusted for diagnosis, socio-demographic factors and timing of admission.<h4>Results</h4>Antenatal and postnatal admissions rates were both higher than non-perinatal admission rates for case women for all diagnoses. There was little evidence that women with perinatal admissions were at an increased risk of admissions at other times. Socially disadvantaged women had significantly fewer and shorter admissions than their respective counterparts.<h4>Conclusions</h4>The entire perinatal period is a time of increased risk for admission across the range of psychiatric disorders, compared to other times in a woman's childbearing years. Reduced admission rate and length of stay for socially disadvantaged women suggest lack of equity of access highlighting the importance of national perinatal mental health policy initiatives inclusive of disadvantaged groups.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Springer Science and Business Media LLC
dc.relation	http://purl.org/au-research/grants/nhmrc/1028554
dc.relation.ispartof	Social psychiatry and psychiatric epidemiology
dc.relation.isbasedon	10.1007/s00127-021-02137-2
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1701 Psychology, 1702 Cognitive Sciences
dc.subject.classification	Psychiatry
dc.title	Patterns of psychiatric admission in Australian pregnant and childbearing women.
dc.type	Journal Article
utslib.location.activity	Germany
utslib.for	1103 Clinical Sciences
utslib.for	1701 Psychology
utslib.for	1702 Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2021-12-17T02:13:02Z
pubs.publication-status	Published

Abstract:

Purpose

The early postnatal period is a time of increased risk for psychiatric admission. However, there is scope to further examine if this increase in risk extends to the entire perinatal period (pregnancy and first postnatal year), and how it compares to admission outside of the perinatal period.

Methods

Data were linked across birth and hospital admission registers from July 2000 to December 2009. The study cohort, consisting of all pregnant and childbearing women with a psychiatric history, was divided into two groups: case women (at least one perinatal principal psychiatric admission in the study period) (38%) and comparison women (no perinatal principal psychiatric admissions) (62%). Outcomes were admission rate and length of stay adjusted for diagnosis, socio-demographic factors and timing of admission.

Results

Antenatal and postnatal admissions rates were both higher than non-perinatal admission rates for case women for all diagnoses. There was little evidence that women with perinatal admissions were at an increased risk of admissions at other times. Socially disadvantaged women had significantly fewer and shorter admissions than their respective counterparts.

Conclusions

The entire perinatal period is a time of increased risk for admission across the range of psychiatric disorders, compared to other times in a woman's childbearing years. Reduced admission rate and length of stay for socially disadvantaged women suggest lack of equity of access highlighting the importance of national perinatal mental health policy initiatives inclusive of disadvantaged groups.

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http://hdl.handle.net/10453/152385