{"id":20744,"date":"2024-11-19T16:29:18","date_gmt":"2024-11-19T21:29:18","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=20744"},"modified":"2024-11-19T16:29:19","modified_gmt":"2024-11-19T21:29:19","slug":"new-perinatal-mental-health-conditions-diagnosed-during-covid-19","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/new-perinatal-mental-health-conditions-diagnosed-during-covid-19\/","title":{"rendered":"New perinatal mental health conditions diagnosed during COVID-19: a population-based, retrospective cohort study of birthing people in Ontario"},"content":{"rendered":"<p><strong>Purpose <\/strong>\u2014\u00a0We aimed to determine the incidence of mental health diagnoses and associated health and social risk factors among perinatal people in three different COVID-19 phases.<\/p>\n<p><strong>Methods<\/strong> \u2014\u00a0We conducted a population-based, retrospective cohort study using linked administrative datasets. We included persons with live, in-hospital births in Ontario, Canada from January 1 to March 31 in 2019, 2021, or 2022 (three phases relative to COVID-19 with different public health policy measures). We excluded people with prior mental health diagnoses. We used diagnostic codes to identify new onset of depression, anxiety, or adjustment disorder in the antenatal and postpartum period. We developed multivariable, modified Poisson models to examine associations between sociodemographic and clinical factors and new mental health diagnoses in each phase.<\/p>\n<p><strong>Results<\/strong> \u2014\u00a0There were 72,242 people in our cohort. Antenatal mental health diagnoses were significantly higher in 2021 (aRR\u2009=\u20091.32; CI\u2009=\u20091.20\u20131.46) and 2022 (aRR\u2009=\u20091.22; CI\u2009=\u20091.11\u20131.35) versus 2019. Postpartum diagnoses were significantly greater in 2021 (aRR\u2009=\u20091.16; CI\u2009=\u20091.08\u20131.25) versus 2019. Antenatal diagnoses were associated with birth year, previous stillbirth, pre-existing hypertension, multiparity, residential instability, and ethnocultural diversity. Postpartum diagnoses were associated with birth year, maternal age, multiparity, care provider profession, assisted reproductive technology, birthing mode, pre-existing hypertension, intensive care admission, hospital readmission, residential instability, and ethnocultural diversity. Family physicians increasingly made mental health diagnoses in 2021 and 2022.<\/p>\n<p><strong>Conclusion <\/strong>\u2014\u00a0Increased incidence of perinatal mental health diagnoses during COVID-19 suggests complex dynamics involving pandemic and health and social risk factors.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Purpose \u2014\u00a0We aimed to determine the incidence of mental health diagnoses and associated health and social risk factors among perinatal people in three different COVID-19 phases. Methods \u2014\u00a0We conducted a population-based, retrospective cohort study using linked administrative datasets. We included persons with live, in-hospital births in Ontario, Canada from January 1 to March 31 in [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[26,34,35],"migration-helper-qa-sample-set":[],"class_list":["post-20744","journal_article","type-journal_article","status-publish","hentry","topic-maternity-and-neonatal-care","topic-mental-health-and-addictions","topic-public-health"],"acf":{"citation":"Correia RH, Greyson D, Kirkwood D, Darling EK, Pahwa M, Bayrampour H, Jones A, Kuyvenhoven C, Liauw J, Vanstone M. <em>Arch Womens Ment Health<\/em>. 2024; Nov 19 [Epub ahead of print].","source_url":"https:\/\/doi.org\/10.1007\/s00737-024-01534-1","ices_scientist":[1212,1276],"site":[6737],"research_program":[6747],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | New perinatal mental health conditions diagnosed during COVID-19: a population-based, retrospective cohort study of birthing people in Ontario<\/title>\n<meta name=\"description\" content=\"Purpose \u2014\u00a0We aimed to determine the incidence of mental health diagnoses and associated health and social risk factors among perinatal people in three\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link 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