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Identifying markers for mental ill-health during pregnancy in registry data
Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV). Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).ORCID iD: 0000-0001-7678-724X
Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV). Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
2008 (English)Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

Background: Population based studies report increasing mental ill- health levels of women in reproductive ages. The antenatal routine care program in Sweden consists of 8-10 visits with a nurse midwife. Data from these visits, delivery and postnatal care has been collected with the National Delivery Register since 1973. No variables however exist for identifying mental health. A computerized perinatal patient record system has been in use for12 years at the University Hospital in Malmö, Sweden. It consists of some 2,500 variables possible to use for follow-up studies, as well as searchable free-text. The record system is used by all clinical staff involved with the pregnant woman. Aim: To identify markers for mental ill-health in pregnancy in registry data to predict delivery outcome. Method: Patient records from six consecutive years with 22,000 pregnancies were selected. Theoretical markers of mental ill-health related words were identified and tested in a sub-sample. A free-text-search among all patient records was performed to identify the occurrence of each of the selected markers. Results: Twenty words relating to mental ill-health instruments were chosen for the free-text database search. Presence of reported words as "panic", “anxiety” and “stress” showed an increase OR for instrumental delivery, ruptured sphincter and caesarian section. The phrase "anti-depressive" seem to lower the OR for these outcomes. Conclusion: Preliminary data seems to indicate an increased risk of obstetric complications at delivery associated with some of the markers for ill-health. Further analyses could assist in developing variables for the identification of words predicting mental ill-health and increased obstetric risks. Ethical approval 350/2007. PhD-studies by faculty funding

Place, publisher, year, edition, pages
2nd Conference of Migrant Health in Europe , 2008.
Keywords [en]
Identifying, markers, mental, registry
National Category
General Practice
Identifiers
URN: urn:nbn:se:mau:diva-16596Local ID: 9770OAI: oai:DiVA.org:mau-16596DiVA, id: diva2:1420110
Conference
2nd Conference of Migrant Health in Europe
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2022-06-27Bibliographically approved

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Wangel, Anne-MarieÖstman, Margareta

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