E-ISSN 2475-0581
 

Original Article 


Unintended and Unwanted Pregnancies in Women with Major Psychiatric Disorders: A Cross-Sectional Comparative Study

Elif Ozcan Tozoglu, Nazan Aydin, Suna Uysal Yalcin, Kamber Kasali.

Abstract
Objectives: A substantial number of women become pregnant unintentionally, and unintended but continued pregnancies can cause immense stress, particularly in cases where the pregnancy is unwanted. Failure to adopt may result in the first onset of psychiatric illness in vulnerable individuals or may exacerbate pre-existing mental illnesses. We investigate here unintended and unwanted pregnancy rates in psychiatric disease, epilepsy and healthy groups, and further assess whether unintended and unwanted pregnancies are associated with discontinuations of medical treatment and newborn complications.
Methods: Enrolled for the study were 95 psychiatric patients, 41 epileptic patients and 60 healthy controls. The psychiatric group comprised schizophrenia spectrum disorders, bipolar disorder and major depressive disorder. All of the participants completed a questionnaire inquiring the last pregnancy intention and related factors for each pregnancy that culminated in a live birth.
Results: Unintended pregnancy rates were significantly higher in psychiatric patients (63.1%) than in epilepsy patients (20%) and healthy controls (18.7%). Unwanted pregnancy rates were also significantly higher in psychiatric patients (23.6%) than in epilepsy patients (6.7%) and healthy controls (4.7%). The number of unwanted pregnancies was statistically higher in those with longer disease duration.
Conclusions: The unintended and unwanted pregnancies rates among women with psychiatric illnesses, especially those with schizophrenia spectrum disorders, were higher than those of patients with other chronic diseases (epilepsy) and healthy controls. Given the high rates and negative consequences of unintended and unwanted pregnancy, mental healthcare providers should provide information to the patients on family planning.

Key words: unintended pregnancy; unwanted pregnancy; mistimed pregnancy; maternal mental health; unplanned pregnancy


 
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How to Cite this Article
Pubmed Style

Tozoglu EO, Aydin N, Yalcin SU, Kasali K. Unintended and Unwanted Pregnancies in Women with Major Psychiatric Disorders: A Cross-Sectional Comparative Study. Psychiatry and Clinical Psychopharmacology - PCP. 2020; 30(3): 230-240. doi:10.5455/PCP.20200517084650


Web Style

Tozoglu EO, Aydin N, Yalcin SU, Kasali K. Unintended and Unwanted Pregnancies in Women with Major Psychiatric Disorders: A Cross-Sectional Comparative Study. http://www.psychiatryandclinicalpsychopharmacology.org/?mno=103855 [Access: October 01, 2020]. doi:10.5455/PCP.20200517084650


AMA (American Medical Association) Style

Tozoglu EO, Aydin N, Yalcin SU, Kasali K. Unintended and Unwanted Pregnancies in Women with Major Psychiatric Disorders: A Cross-Sectional Comparative Study. Psychiatry and Clinical Psychopharmacology - PCP. 2020; 30(3): 230-240. doi:10.5455/PCP.20200517084650



Vancouver/ICMJE Style

Tozoglu EO, Aydin N, Yalcin SU, Kasali K. Unintended and Unwanted Pregnancies in Women with Major Psychiatric Disorders: A Cross-Sectional Comparative Study. Psychiatry and Clinical Psychopharmacology - PCP. (2020), [cited October 01, 2020]; 30(3): 230-240. doi:10.5455/PCP.20200517084650



Harvard Style

Tozoglu, E. O., Aydin, . N., Yalcin, . S. U. & Kasali, . K. (2020) Unintended and Unwanted Pregnancies in Women with Major Psychiatric Disorders: A Cross-Sectional Comparative Study. Psychiatry and Clinical Psychopharmacology - PCP, 30 (3), 230-240. doi:10.5455/PCP.20200517084650



Turabian Style

Tozoglu, Elif Ozcan, Nazan Aydin, Suna Uysal Yalcin, and Kamber Kasali. 2020. Unintended and Unwanted Pregnancies in Women with Major Psychiatric Disorders: A Cross-Sectional Comparative Study. Psychiatry and Clinical Psychopharmacology, 30 (3), 230-240. doi:10.5455/PCP.20200517084650



Chicago Style

Tozoglu, Elif Ozcan, Nazan Aydin, Suna Uysal Yalcin, and Kamber Kasali. "Unintended and Unwanted Pregnancies in Women with Major Psychiatric Disorders: A Cross-Sectional Comparative Study." Psychiatry and Clinical Psychopharmacology 30 (2020), 230-240. doi:10.5455/PCP.20200517084650



MLA (The Modern Language Association) Style

Tozoglu, Elif Ozcan, Nazan Aydin, Suna Uysal Yalcin, and Kamber Kasali. "Unintended and Unwanted Pregnancies in Women with Major Psychiatric Disorders: A Cross-Sectional Comparative Study." Psychiatry and Clinical Psychopharmacology 30.3 (2020), 230-240. Print. doi:10.5455/PCP.20200517084650



APA (American Psychological Association) Style

Tozoglu, E. O., Aydin, . N., Yalcin, . S. U. & Kasali, . K. (2020) Unintended and Unwanted Pregnancies in Women with Major Psychiatric Disorders: A Cross-Sectional Comparative Study. Psychiatry and Clinical Psychopharmacology, 30 (3), 230-240. doi:10.5455/PCP.20200517084650