SynthesisBMC pregnancy and childbirth2022
Psychiatric vulnerability and the risk for unintended pregnancies, a systematic review and meta-analysis.
Synthesis in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Romantic relations, sexuality and intimacy among young adults and adolescents with severe mental illness: a review of the literature.BMC psychiatry · 2025Pooled it
- Decision-Making and Family Planning among People with Clinical Depressiveness-Findings from a Representative German Panel Study.Studies in family planning · 2026Article
- The Meanings and Experiences of Motherhood in Women Diagnosed With Severe Mental Illness: A Tidal Model-Informed Qualitative Study.International journal of mental health nursing · 2026Article
- Mental health after unintended pregnancy: insights from a context with available abortion care.Archives of women's mental health · 2026Article
- Co-Design of a Sexuality Support Training Program for Practitioners Supporting People With Mental Illness (RIKASEKU-SAPOPRO): Protocol for a Randomized Controlled Trial.JMIR research protocols · 2026Article
- Exploring social and public healthcare professionals' experiences providing pregnancy intentions and contraceptive counseling in the Netherlands.AJOG global reports · 2026Article
- Antipsychotic Discontinuation and Re-initiation in Pregnant Women With Schizophrenia: A Retrospective Cohort Study From South Korea.Schizophrenia bulletin · 2026Article
- Optimizing inpatient access to oral contraceptives: A quality improvement approach in behavioral health.Exploratory research in clinical and social pharmacy · 2026Article
- Exploring unintended pregnancy journeys among women with psychiatric vulnerability using interpretative phenomenological analysis.PloS one · 2026Article
- Psychometric properties of the frequency of suicidal ideation inventory (FSII) in pregnant women: evidence from SEM, measurement invariance, and IRT models.Frontiers in global women's health · 2026Article
- Unveiling the hidden burden: Common mental disorders among women attending antenatal care in selected health facilities of Lusaka, Zambia.PLOS mental health · 2026Article
- [Prevalence of Unwanted Pregnancies and Pregnancy Outcomes Among Women With Mental Illness. Findings from the ELSA Study].Psychiatrische Praxis · 2025Article
- Perspectives on Contraceptives: Insights From Care Providers and Women With Lived Experiences of Unintended Pregnancy in the Netherlands.Perspectives on sexual and reproductive health · 2025Article
- Reproductive psychiatric advance directives: promoting autonomy for perinatal people with serious mental illness diagnoses.Archives of women's mental health · 2025Review
- Article
- The Impact of a Structured Contraceptive Counseling Program on Reproductive Health Knowledge, Sexual Autonomy, and Mental Well-Being Among Romanian College Women.Healthcare (Basel, Switzerland) · 2025Article
- Interest in Contraceptive Information and Initiation Among Adolescents Hospitalized With Psychiatric Disorders.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025Article
- Sexual health in patient care: shortcomings in medical training and experienced barriers in sexual history taking.BMC medical education · 2025Article
- Contraceptive use and counselling in women with mental illness: KwaZulu-Natal, South Africa.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025Article
- Family planning decision-making in relation to psychiatric disorders in women: a qualitative focus group study.Reproductive health · 2024Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUnintended pregnancies (UPs) are a global health problem as they contribute to adverse maternal and offspring outcomes, which underscores the need for prevention. As psychiatric vulnerability has previously been linked to sexual risk behavior, planning capacities and compliance with contraception methods, we aim to explore whether it is a risk factor for UPs.
methodsElectronic databases were searched in November 2020. All articles in English language with data on women with age ≥ 18 with a psychiatric diagnosis at time of conception and reported pregnancy intention were included, irrespective of obstetric outcome (fetal loss, livebirth, or abortion). Studies on women with intellectual disabilities were excluded. We used the National Institutes of Health tool for assessment of bias in individual studies and the Grading of Recommendations Assessment, Development and Evaluation method for assessment of quality of the primary outcome.
findingsEleven studies reporting on psychiatric vulnerability and UPs were included. The participants of these studies were diagnosed with mood, anxiety, psychotic, substance use, conduct and eating disorders. The studies that have been conducted show that women with a psychiatric vulnerability (n = 2650) have an overall higher risk of UPs compared to women without a psychiatric vulnerability (n = 16,031) (OR 1.34, CI 1.08-1.67) and an overall weighed prevalence of UPs of 65% (CI 0.43-0.82) (n = 3881).
interpretationStudies conducted on psychiatric vulnerability and UPs are sparse and many (common) psychiatric vulnerabilities have not yet been studied in relation to UPs. The quality of the included studies was rated fair to poor due to difficulties with measuring the outcome pregnancy intention (use of various methods of assessment and use of retrospective study designs with risk of bias) and absence of a control group in most of the studies. The findings suggest an increased risk of UPs in women with psychiatric vulnerability. As UPs have important consequences for mother and child, discussing family planning in women with psychiatric vulnerabilities is of utmost importance.
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