Fear of childbirth and psychiatric disorders decrease the likelihood of subsequent births: a retrospective register-based cohort study

Reproductive Health, Journal Year: 2025, Volume and Issue: 22(1)

Published: Jan. 22, 2025

Mirroring other developed countries globally, the birth rate has decreased in Finland recent years. The effects of a fear childbirth (FOC) and psychiatric disorders on likelihood having more than one child remain relatively unstudied. This study aims to assess influence FOC, disorders, mode first delivery second among primiparous women. Data were collected from Medical Birth Register, Hospital Discharge Statistics census data. We used t-test compare continuous variables chi-square test or for relative proportions categorical variables. calculated hazard ratios (HRs) 95% confidence intervals (CIs) using Cox regression analysis. Altogether, 317 219 women delivering their 2006–2016 met inclusion criteria, 216 521 whom (68.3%) had during that time. A total 11 108 (3.5%) diagnosed with FOC pregnancy, 34 381 (10.8%) disorder before pregnancy 10 331 (3.3%) received new diagnosis condition following birth. Between 2006–2021, was born 47.5% (n = 5276), 56.8% 19 540), 53.4% receiving after 5514) 70.2% without either these diagnoses 191 572). Women 22% lower [aHR 0.78 (95% CI 0.76–0.80)] compared FOC. by 28% 0.72 0.71–0.73)] 51% (aHR 0.49 0.48–0.50)] disorder. Among all women, caesarean section as reduced are associated low birthrate delivery. Caesarean decreases disorders. register-based who 2006–2016, aimed determine if before, have fewer subsequent births such diagnoses. In total, 2006–2021. Moreover, experienced 5276 (47.5%) fears. birth, 540 (56.8%) reduction noted them, 5514 (53.4%) resulting diagnosis. According our findings, both lowest (40.8%) those (70.2%). delivered via regardless

Language: Английский

Sexual and Reproductive Healthcare Provided to Women Diagnosed with Serious Mental Illness: Healthcare Professionals’ Perspectives

Nursing Reports, Journal Year: 2025, Volume and Issue: 15(4), P. 119 - 119

Published: March 28, 2025

Background: Women diagnosed with serious mental illness (SMI) face increased vulnerability and significant risks to their sexual reproductive health, an issue that is often overlooked in healthcare systems. Aim: This study aimed explore the provided women SMI, based on perspectives of professionals specialising health health. Methods: A descriptive qualitative design was used. Semi-structured interviews were conducted a purposive sample from community Catalonia (Spain). Data analysed using thematic analysis. Results: Two themes identified: clinical practice professional context. The theme had three sub-themes: lack preventive framework, attention needs, supporting desire for motherhood pregnancy. context four cross-disciplinary coordination, protocols, human resources time, training Conclusions: Mental expressed different about pointing need greater coordination.

Language: Английский