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The physical-mental health interface during pregnancy planning

Published online by Cambridge University Press:  01 September 2022

C. Tosh ,
K. Kavanagh ,
A. Flynn ,
S. White ,
R. Catalao  and
C. Wilson
C. Tosh
Affiliation:
University of Strathclyde, Mathematics And Statistics, Glasgow, United Kingdom
K. Kavanagh
Affiliation:
University of Strathclyde, Mathematics And Statistics, Glasgow, United Kingdom
A. Flynn
Affiliation:
King’s College London, Department Of Women’s Health, London, United Kingdom
S. White
Affiliation:
King’s College London, Department Of Women’s Health, London, United Kingdom
R. Catalao
Affiliation:
King’s College London, Section Of Women’s Mental Health, London, United Kingdom
C. Wilson*
Affiliation:
King’s College London, Section Of Women’s Mental Health, London, United Kingdom
*
*Corresponding author.

Abstract

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Introduction

The physical and mental health of women prior to conception can have a significant impact on pregnancy and child outcomes. Given the rising burden of non-communicable diseases, the aim of this analysis was to explore the relationship between mental health, physical health and health behaviour in women planning a pregnancy.

Objectives

To investigate the association between indices of physical and mental health in a large population of women in the UK planning a pregnancy.

Methods

Responses to a preconception health digital education tool provided data on the physical and mental health and health behaviour of 131,182 women planning pregnancy. Logistic regression was used to explore associations between mental health and physical health variables. Multiple imputation by chained equations was implemented to handle missing data.

Results

There was evidence for an association between physical and mental health conditions (OR 2.22; 95% CI 2.14, 2.3). There was also an association between having a mental disorder and physical inactivity (OR 1.14; 95% CI 1.11, 1.18), substance misuse (OR 2.4; 95% CI 2.25, 2.55) and less folic acid use (OR 0.89; 95% CI 0.86,0.92).

Conclusions

There is a need for greater integration of physical and mental healthcare for women in the preconception period, which could support women, including those who wish to conceive, to optimise their health during this time.

Disclosure

No significant relationships.

Keywords

preconceptionpregnancyhealth behaviourmental disorder
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S104
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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