The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.
Risks and Predictors of Readmission for a Mental Disorder During the Postpartum Period
Abstract
CONTEXT: It has been suggested that the risk of inpatient psychiatric readmissions is elevated during the postpartum period. To our knowledge, no prior study has compared mothers and nonmothers to determine whether the risk of readmission differs between these 2 groups of women. OBJECTIVES: To compare mothers and nonmothers to assess whether childbirth increases the risk for psychiatric readmission and to identify predictors of psychiatric readmission during the postpartum period. DESIGN: A population-based cohort study merging data from the Danish Civil Registration System and the Danish Psychiatric Central Register. SETTING: The population of Denmark. PARTICIPANTS: Two partly overlapping study populations included a total of 28 124 women, 10 218 of whom were mothers, who were followed up from January 1, 1973, through June 30, 2005. Main Outcome Measure Readmission rates to psychiatric hospitals during the 12 months after childbirth (first live-born child). RESULTS: The period of highest risk of psychiatric readmission in new mothers was 10 to 19 days post partum (relative risk [RR], 2.71; 95% confidence interval [CI], 1.68-4.37), and the period of lowest risk was during pregnancy (0.54; 0.43-0.69). Childbirth was associated with an increased risk of readmission during the first postpartum month, after which risk for readmission was higher among nonmothers (RR, 1.53; 95% CI, 1.31-1.80). A previous diagnosis of bipolar affective disorder was the strongest predictor of readmissions 10 to 19 days post partum (RR, 37.22; 95% CI, 13.58-102.04). In all, 26.9% of mothers with this diagnosis were readmitted within the first postpartum year. CONCLUSIONS: Mothers with mental disorders have lower readmission rates compared with women with mental disorders who do not have children. However, the first month after childbirth is associated with increased risk of psychiatric readmission, and women with a history of bipolar affective disorder are at particular risk of postpartum psychiatric readmissions.
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“Women are vulnerable to affective psychoses after birth more than at any other time during their lives [28].”
From Perinatal mental illness: Definition, description and aetiology (2014) · cites this paper as [28]
Citations
Cites
Rates and risk of postpartum depression – a meta-analysis
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Statistical Models Based on Counting Processes
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Antenatal risk factors for postpartum depression: a synthesis of recent literature
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The Danish Civil Registration System. A cohort of eight million persons.
Pedersen, C. B., Gøtzsche, H., Møller, J. O., & Mortensen, P. B. (2006) · PubMed · Cited by 1,617
Self-citation- Statistical Models for Epidemiology
Broemeling, L. D. (2013) · Chapman & Hall/CRC eBooks · doi:10.1201/b15382-9 · Cited by 1,346
Cohort study of depressed mood during pregnancy and after childbirth
Evans, J., Heron, J., Francomb, H., Oke, S., & Golding, J. (2001) · BMJ · doi:10.1136/bmj.323.7307.257 · Cited by 1,273
Epidemiology of Puerperal Psychoses
Kendell, R. E., Chalmers, J. C., & Platz, C. (1987) · British Journal of Psychiatry · doi:10.1192/bjp.150.5.662 · Cited by 1,119
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New Parents and Mental Disorders: A Population-Based Register Study
Munk-Olsen, T., Laursen, T. M., Pedersen, C. B., Mors, O., & Mortensen, P. B. (2006) · JAMA · doi:10.1001/jama.296.21.2582 · Cited by 727
Self-citationThe Danish Psychiatric Central Register.
Munk‐Jørgensen, P., & Mortensen, P. B. (1997) · PubMed · Cited by 698
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Yatham, L. N., Kennedy, S. H., Parikh, S. V., Schaffer, A., Beaulieu, S., Alda, M., O’Donovan, C., MacQUEEN, G. M., McIntyre, R. S., Sharma, V., et al. (2012) · Bipolar Disorders · doi:10.1111/bdi.12025 · Cited by 1,230
“2), with 27% of women with BD being readmitted within the first year (213).”
BackgroundWisner, K. L., Sit, D. K. Y., McShea, M. C., Rizzo, D. M., Zoretich, R. A., Hughes, C. L., Eng, H. F., Luther, J. F., Wisniewski, S. R., Costantino, M. L., et al. (2013) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2013.87 · Cited by 1,091
Perinatal mental illness: Definition, description and aetiology
O'Hara, M. W., & Wisner, K. L. (2014) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2013.09.002 · Cited by 986
Bipolar disorder, affective psychosis, and schizophrenia in pregnancy and the post-partum period
Jones, I., Chandra, P. S., Dazzan, P., & Howard, L. M. (2014) · The Lancet · doi:10.1016/s0140-6736(14)61278-2 · Cited by 644
Barnes, T. R. E., Drake, R., Paton, C., Cooper, S. J., Deakin, J. F. W., Ferrier, I. N., Gregory, C. J., Haddad, P. M., Howes, O. D., Jones, I. R., et al. (2019) · Journal of Psychopharmacology · doi:10.1177/0269881119889296 · Cited by 615
Metadata
- Authors
- Munk-Olsen, T., Laursen, T. M., Mendelson, T., Pedersen, C. B., Mors, O., & Mortensen, P. B.
- Affiliations
- Aarhus University (DK)
- Johns Hopkins University (US)
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 2009-02-01
- Volume
- 66
- Issue
- 2
- Pages
- 189
- ISSN
- 0003-990X (ISSN-L)
- OpenAlex
- W2066961699
- Cited by
- 299
- References
- 34
- Citations by year
- 2026: 7 · 2025: 13 · 2024: 9 · 2023: 20 · 2022: 16 · 2021: 30 · 2020: 19 · 2019: 21 · 2018: 20 · 2017: 16 · 2016: 17 · 2015: 20 · 2014: 17 · 2013: 17 · 2012: 17
- FWCI
- 18.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of General Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- postpartum period, psychiatric readmission, maternal mental illness, bipolar disorder, childbirth, predictors of readmission, pregnancy, psychiatric hospitalization
- MeSH terms
- Adjustment Disorders, Adult, Feeding and Eating Disorders, Mental Disorders, Bipolar Disorder, Cross-Sectional Studies, Denmark, Female, Hospitals, Psychiatric, Humans, Patient Readmission, Personality Disorders, Pregnancy, Puerperal Disorders, Recurrence, Risk, Schizophrenia, Cohort Studies, Incidence, Depression, Postpartum, Substance-Related Disorders
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