Evidence map›Paper›PMID 40804178›Full record

ArticleCommunications medicine2025

Associations of mental disorders with maternal health outcomes.

Pallavi Dubey, Alok Kumar Dwivedi, Kunal Sharma, Sarah L Martin, Peter M Thompson, Sireesha Y Reddy

Abstract read
In one paragraph

Article in Communications medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Pallavi DubeyDepartment of Obstetrics and Gynecology, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA.
Alok Kumar DwivediDivision of Biostatistics & Epidemiology, Department of Molecular and Translational Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA. alok.dwivedi@ttuhsc.edu.ORCID http://orcid.org/0000-0003-4574-1761
Kunal SharmaDepartment of Internal Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA.ORCID http://orcid.org/0000-0001-5720-0706
Sarah L MartinDepartment of Psychiatry, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA.ORCID http://orcid.org/0000-0003-3139-2783
Peter M ThompsonDepartment of Psychiatry, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA.
Sireesha Y ReddyDepartment of Obstetrics and Gynecology, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental disorders are highly prevalent during pregnancy and are associated with unfavorable obstetrical outcomes, including maternal mortality. This study examined specific and combined associations of mental disorders with maternal morbidities.

methodsA cross-sectional study of all delivery hospitalizations between the ages of 12-55 years was conducted using the National Inpatient Sample data from 2017. The International Classification of Diseases-10 codes were used to define exposures including depressive, anxiety, post-traumatic stress (PTSD), sleep, and bipolar disorders, and outcomes including premature rupture of membranes (PROM), hydramnios, placental disorder, cesarean delivery, fetal death, preterm birth, and postpartum hemorrhage (PPH). Survey-weighted logistic regression analysis was conducted to evaluate the associations between mental disorders and obstetric outcomes after adjusting for age, race/ethnicity, household income, primary payer, smoking, alcohol use, substance use, and obesity.

resultsThe analysis of 715,810 delivery hospitalizations, representing 3,579,046 deliveries in the US demonstrates that sleep disorder is associated with PROM (OR = 1.41; 95% CI: 1.13, 1.75), placental disorder (OR = 1.56; 95% CI: 1.24, 1.95), cesarean delivery (OR = 1.50; 95% CI: 1.36, 1.65), and PPH (OR = 1.36; 95% CI: 1.10, 1.68) to a greater extent than other mental disorders. However, depressive disorder is greatly associated with hydramnios (OR = 1.16; 95% CI: 1.08, 1.25) and fetal death (OR = 1.38; 95% CI: 1.18, 1.61), while PTSD (OR = 1.40; 95% CI: 1.19, 1.64) is associated with preterm birth than other mental disorders.

conclusionsMost mental disorders are independently associated with critical obstetric outcomes, with the extent of associations depending on specific obstetric outcomes. The study findings indicate the need for mandatory screening and management of mental health conditions in routine obstetrical care to improve maternal and child health outcomes.

Identifiers

PMID40804178
PMCPMC12350604

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.