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1 results

  • Birth without intervention in women with severe mental illness: cohort study

  • Clare Taylor, Robert Stewart, Rod Gibson, Dharmintra Pasupathy, Hitesh Shetty, Louise Howard
  • Journal:
    BJPsych Open / Volume 8 / Issue 2 / March 2022
    Published online by Cambridge University Press:
    24 February 2022, e50
    • Article
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  • Summary

    The rate of normal birth outcomes (i.e. full-term births without intervention) for women with severe mental illness (SMI – psychotic and bipolar disorders) is not known. We examined rates of birth without intervention (spontaneous labour onset, spontaneous vaginal delivery without instruments, no episiotomy and no indication of pre- or post-delivery anaesthesia) in women with SMI (584 pregnancies) compared with a control population (70 942 pregnancies). Outcome ratios were calculated standardising for age. Women with SMI were less likely to have a birth without intervention (29.5%) relative to the control population (36.8%) (standardised outcome ratio 0.74, 95% CI 0.63–0.87).