ArticlePsychological medicine2017
Obstetrical, pregnancy and socio-economic predictors for new-onset severe postpartum psychiatric disorders in primiparous women.
Article in Psychological medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 3 of them syntheses that pooled it.
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Who cites it
68 citing papers in PubMed, 3 syntheses or guidelines pooled it, 149 citations in OpenAlex.
- Features of nausea and vomiting in pregnancy as predictive factors of post-partum depression: a systematic review.BMC pregnancy and childbirth · 2025Pooled it
- Association between postpartum depression and postpartum hemorrhage: A systematic review and meta-analysis.Acta obstetricia et gynecologica Scandinavica · 2024Pooled it
- Associations between maternal birth complications and postpartum depressive symptoms: A systematic narrative review and meta-analysis.Women's health (London, England)Pooled it
- Psychiatric History and Postpartum Depression: The Mediating Role of Obstetric Complications.Acta psychiatrica Scandinavica · 2026Article
- Postpartum Depression in High-Risk Pregnancies: Findings from a Telepsychiatry-Based Longitudinal Follow-Up.Journal of clinical medicine · 2026Article
- Postpartum Depression: Overlap Between Symptom-Based and Register-Based Measures.Acta psychiatrica Scandinavica · 2026Article
- Experiences of infertility-related traumatic events and their association with symptoms of Post-Traumatic Stress Disorder (PTSD) and Complex PTSD: results from a mixed-methods online survey.Human reproduction (Oxford, England) · 2026Article
- Adverse pregnancy outcomes as predictors of postpartum psychiatric illness: a retrospective cohort study.Archives of women's mental health · 2026Observational
- Atypical Postpartum Psychosis and Neuropsychiatric Manifestations Coexisting With Global Cortical Atrophy.Cureus · 2025Article
- A scoping study of postpartum mental health problems and associated factors: opportunities for research and practice.Discover mental health · 2025Review
- A new perspective on the causal pathway between maternal mental health and neonatal adversity.Archives of women's mental health · 2025Article
- Article
- Association of Medicaid Accountable Care Organizations and postpartum mental health care utilization.Health services research · 2025Article
- Development and validation of a multidimensional mental health screening questionnaire for pregnant women: A preliminary report.PCN reports : psychiatry and clinical neurosciences · 2025Article
- Experiences of attending prenatal ultrasounds during the COVID-19 pandemic in Australia: A cross-sectional survey.Birth (Berkeley, Calif.) · 2025Article
- Risk Factors for Postpartum Depression and Severe Distress among Mothers of Very Preterm Infants at NICU Discharge.American journal of perinatology · 2024Article
- Improvements in Maternal Cardiovascular Health Over the Perinatal Period Longitudinally Predict Lower Postpartum Psychological Distress Among Individuals Who Began Their Pregnancies With Overweight or Obesity.Journal of the American Heart Association · 2024Article
- Association of Postpartum Mental Illness Diagnoses with Severe Maternal Morbidity.Journal of women's health (2002) · 2024Article
- Biopsychosocial Predictors of Postpartum Depression: Protocol for Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2024Article
- The Association between Cesarean Section Delivery and Child Behavior: Is It Mediated by Maternal Post-Traumatic Stress Disorder and Maternal Postpartum Depression?Behavioral sciences (Basel, Switzerland) · 2024Article
8 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 4 countries.
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Abstract
backgroundChildbirth is a potent trigger for the onset of psychiatric illness in women including postpartum depression (PPD) and postpartum psychosis (PP). Medical complications occurring during pregnancy and/or childbirth have been linked to postpartum psychiatric illness and sociodemographic factors. We evaluated if pregnancy and obstetrical predictors have similar effects on different types of postpartum psychiatric disorders.
methodA population-based cohort study using Danish registers was conducted in 392 458 primiparous women with a singleton delivery between 1995 and 2012 and no previous psychiatric history. The main outcome was first-onset postpartum psychiatric episodes. Incidence rate ratios (IRRs) were calculated for any psychiatric contact in four quarters for the first year postpartum.
resultsPPD and postpartum acute stress reactions were associated with pregnancy and obstetrical complications. For PPD, hyperemesis gravidarum [IRR 2.69, 95% confidence interval (CI) 1.93-3.73], gestational hypertension (IRR 1.84, 95% CI 1.33-2.55), pre-eclampsia (IRR 1.45, 95% CI 1.14-1.84) and Cesarean section (C-section) (IRR 1.32, 95% CI 1.13-1.53) were associated with increased risk. For postpartum acute stress, hyperemesis gravidarum (IRR 1.93, 95% CI 1.38-2.71), preterm birth (IRR 1.51, 95% CI 1.30-1.75), gestational diabetes (IRR 1.42, 95% CI 1.03-1.97) and C-section (IRR 1.36, 95% CI 1.20-1.55) were associated with increased risk. In contrast, risk of PP was not associated with pregnancy or obstetrical complications.
conclusionsPregnancy and obstetrical complications can increase the risk for PPD and acute stress reactions but not PP. Identification of postpartum women requiring secondary care is needed to develop targeted approaches for screening and treatment. Future work should focus on understanding the contributions of psychological stressors and underlying biology on the development of postpartum psychiatric illness.
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