Perinatal outcomes of Aboriginal women with mental health disorders
Objective: Maternal mental disorders have been associated with adverse perinatal outcomes such as low birthweight and preterm birth, although these links have been examined rarely among Australian Aboriginal populations. We aimed to evaluate the association between maternal mental disorders and adve...
| Main Authors: | , , , , , |
|---|---|
| Format: | Journal Article |
| Language: | English |
| Published: |
2023
|
| Subjects: | |
| Online Access: | http://purl.org/au-research/grants/arc/LP190100968 http://hdl.handle.net/20.500.11937/94249 |
| _version_ | 1848765852984279040 |
|---|---|
| author | Adane, A.A. Shepherd, Carrington Walker, R. Bailey, Helen Galbally, M. Marriott, R. |
| author_facet | Adane, A.A. Shepherd, Carrington Walker, R. Bailey, Helen Galbally, M. Marriott, R. |
| author_sort | Adane, A.A. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objective: Maternal mental disorders have been associated with adverse perinatal outcomes such as low birthweight and preterm birth, although these links have been examined rarely among Australian Aboriginal populations. We aimed to evaluate the association between maternal mental disorders and adverse perinatal outcomes among Aboriginal births. Methods: We used whole population-based linked data to conduct a retrospective cohort study (N = 38,592) using all Western Australia singleton Aboriginal births (1990–2015). Maternal mental disorders were identified based on the International Classification of Diseases diagnoses and grouped into six broad diagnostic categories. The perinatal outcomes evaluated were preterm birth, small for gestational age, perinatal death, major congenital anomalies, foetal distress, low birthweight and 5-minute Apgar score. We employed log-binomial/-Poisson models to calculate risk ratios and 95% confidence intervals. Results: After adjustment for sociodemographic factors and pre-existing medical conditions, having a maternal mental disorder in the five years before the birth was associated with adverse perinatal outcomes, with risk ratios (95% confidence intervals) ranging from 1.26 [1.17, 1.36] for foetal distress to 2.00 [1.87, 2.15] for low birthweight. We found similar associations for each maternal mental illness category and neonatal outcomes, with slightly stronger associations when maternal mental illnesses were reported within 1 year rather than 5 years before birth and for substance use disorder. Conclusions: This large population-based study demonstrated an increased risk of several adverse birth outcomes among Aboriginal women with mental disorders. Holistic perinatal care, treatment and support for women with mental disorders may reduce the burden of adverse birth outcomes. |
| first_indexed | 2025-11-14T11:41:50Z |
| format | Journal Article |
| id | curtin-20.500.11937-94249 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | eng |
| last_indexed | 2025-11-14T11:41:50Z |
| publishDate | 2023 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-942492024-02-06T06:17:46Z Perinatal outcomes of Aboriginal women with mental health disorders Adane, A.A. Shepherd, Carrington Walker, R. Bailey, Helen Galbally, M. Marriott, R. Aboriginal linked data low birthweight mental disorder perinatal death preterm birth Pregnancy Infant, Newborn Female Humans Premature Birth Birth Weight Retrospective Studies Fetal Distress Mental Health Australia Pregnancy Complications Substance-Related Disorders Humans Pregnancy Complications Fetal Distress Premature Birth Substance-Related Disorders Birth Weight Retrospective Studies Mental Health Pregnancy Infant, Newborn Australia Female Objective: Maternal mental disorders have been associated with adverse perinatal outcomes such as low birthweight and preterm birth, although these links have been examined rarely among Australian Aboriginal populations. We aimed to evaluate the association between maternal mental disorders and adverse perinatal outcomes among Aboriginal births. Methods: We used whole population-based linked data to conduct a retrospective cohort study (N = 38,592) using all Western Australia singleton Aboriginal births (1990–2015). Maternal mental disorders were identified based on the International Classification of Diseases diagnoses and grouped into six broad diagnostic categories. The perinatal outcomes evaluated were preterm birth, small for gestational age, perinatal death, major congenital anomalies, foetal distress, low birthweight and 5-minute Apgar score. We employed log-binomial/-Poisson models to calculate risk ratios and 95% confidence intervals. Results: After adjustment for sociodemographic factors and pre-existing medical conditions, having a maternal mental disorder in the five years before the birth was associated with adverse perinatal outcomes, with risk ratios (95% confidence intervals) ranging from 1.26 [1.17, 1.36] for foetal distress to 2.00 [1.87, 2.15] for low birthweight. We found similar associations for each maternal mental illness category and neonatal outcomes, with slightly stronger associations when maternal mental illnesses were reported within 1 year rather than 5 years before birth and for substance use disorder. Conclusions: This large population-based study demonstrated an increased risk of several adverse birth outcomes among Aboriginal women with mental disorders. Holistic perinatal care, treatment and support for women with mental disorders may reduce the burden of adverse birth outcomes. 2023 Journal Article http://hdl.handle.net/20.500.11937/94249 10.1177/00048674231160986 eng http://purl.org/au-research/grants/arc/LP190100968 http://purl.org/au-research/grants/nhmrc/2011958 http://creativecommons.org/licenses/by/4.0/ fulltext |
| spellingShingle | Aboriginal linked data low birthweight mental disorder perinatal death preterm birth Pregnancy Infant, Newborn Female Humans Premature Birth Birth Weight Retrospective Studies Fetal Distress Mental Health Australia Pregnancy Complications Substance-Related Disorders Humans Pregnancy Complications Fetal Distress Premature Birth Substance-Related Disorders Birth Weight Retrospective Studies Mental Health Pregnancy Infant, Newborn Australia Female Adane, A.A. Shepherd, Carrington Walker, R. Bailey, Helen Galbally, M. Marriott, R. Perinatal outcomes of Aboriginal women with mental health disorders |
| title | Perinatal outcomes of Aboriginal women with mental health disorders |
| title_full | Perinatal outcomes of Aboriginal women with mental health disorders |
| title_fullStr | Perinatal outcomes of Aboriginal women with mental health disorders |
| title_full_unstemmed | Perinatal outcomes of Aboriginal women with mental health disorders |
| title_short | Perinatal outcomes of Aboriginal women with mental health disorders |
| title_sort | perinatal outcomes of aboriginal women with mental health disorders |
| topic | Aboriginal linked data low birthweight mental disorder perinatal death preterm birth Pregnancy Infant, Newborn Female Humans Premature Birth Birth Weight Retrospective Studies Fetal Distress Mental Health Australia Pregnancy Complications Substance-Related Disorders Humans Pregnancy Complications Fetal Distress Premature Birth Substance-Related Disorders Birth Weight Retrospective Studies Mental Health Pregnancy Infant, Newborn Australia Female |
| url | http://purl.org/au-research/grants/arc/LP190100968 http://purl.org/au-research/grants/arc/LP190100968 http://hdl.handle.net/20.500.11937/94249 |