The overall aim of this dissertation was to identify mental ill-health, examine prior psychiatric inpatient care, in association with mode of delivery, and investigate mental health status and explore risk factors in a multicultural population of childbearing women in southern Sweden.
Sub-aims:
To identify markers of mental ill-health documented in electronic medical perinatal registry system for pregnant women.
To analyze markers for mental ill-health associated with mode of delivery in nulliparous women.
To examine a history of inpatient care and identify psychiatric diagnoses by ICD-10 codes in childbearing women.
To analyze risk factors associated with cesarean sections in women with prior psychiatric inpatient care and the occurrence of markers of mental ill-health in pregnancy records.
To explore risk factors for symptoms of depression and posttraumatic stress among native and non-native Swedish speaking women.
To describe the frequency of emotional, physical, and sexual abuse, analyze associations with symptoms of depression and posttraumatic stress in pregnancy, comparing native and non-native Swedish speaking women.
Publications
I. Wangel A-M, Molin J, Östman M, Jernström H. Emergency cesarean sections can be predicted by markers for stress, worry, and sleep disturbances in first-time mothers. Acta Obstetricia et Gynecologica Scandinavica 2011; 90: 238–44.
II. Wangel A-M, Molin J, Moghaddassi M, Östman M. Prior psychiatric inpatient care and risk of cesarean sections – a registry study. Journal of Psychosomatic Obstetrics and Gynecology 2011; 34 (4): 189–97.
III. Wangel A-M, Schei B, Ryding EL, Östman M. Mental health status in pregnancy among native and non-native Swedish speaking women: A Bidens study. Acta Obstetricia et Gynecologica Scandinavica, DOI: 10.1111/j.1600-412.2012.01512.x
IV. Wangel A-M, Ryding EL, Schei B, Östman M. Emotional, physical, and sexual abuse and associations with depressive and posttraumatic stress symptoms in a multiethnic pregnant population: A Bidens study. (In manuscript).