Mehmet B Senturk1, Gazi Yıldız2, Pınar Yıldız2, Nese Yorguner3, Yusuf Çakmak4. 1. a Departments of Obstetrics and Gynecology , Zeynep Kamil Training and Research Hospital , İstanbul , Turkey. 2. b Departments of Obstetrics and Gynecology , Private Mus Sifa Hospital , Mus , Turkey. 3. c Departments of Psychiatry , Mus State Hospital , Mus , Turkey , and. 4. d Department of Obstetrics and Gynecology , Batman State Hospital , Batman , Turkey.
Abstract
OBJECTIVE: Psychiatric symptoms of varying degrees that accompany hyperemesis gravidarum (HG) may continue throughout the pregnancy or after, and these psychological problems may cause morbidity. In this study, we aimed to evaluate the relationship between the HG and psychiatric symptoms in the first trimester and postpartum depression. METHODS: Two hundred and seven pregnant who were diagnosed as HG and 177 healthy pregnant women included in this prospective study. All cases were assessed with SCL-90-R in first trimester and with ED in postpartum period. Factors related to postpartum psychiatric symptoms were investigated with bivariate logistic regression analysis. RESULTS: SCL-90-R and ED scores were statistically significant at HG group (p < 0.05). In cases who diagnosed as postpartum depression, the rates of HG and SCL-90-R results were higher (p< 0.05). In the bivariate analysis, the high rates of HG and high SCL-90-R scores were determined to be related to postpartum depression (p < 0.05). CONCLUSIONS: The results show that mental health is negatively affected by HG at pregnancy, and in this case, psychiatric symptoms may continue even after discontinuation HG.
OBJECTIVE:Psychiatric symptoms of varying degrees that accompany hyperemesis gravidarum (HG) may continue throughout the pregnancy or after, and these psychological problems may cause morbidity. In this study, we aimed to evaluate the relationship between the HG and psychiatric symptoms in the first trimester and postpartum depression. METHODS: Two hundred and seven pregnant who were diagnosed as HG and 177 healthy pregnant women included in this prospective study. All cases were assessed with SCL-90-R in first trimester and with ED in postpartum period. Factors related to postpartum psychiatric symptoms were investigated with bivariate logistic regression analysis. RESULTS: SCL-90-R and ED scores were statistically significant at HG group (p < 0.05). In cases who diagnosed as postpartum depression, the rates of HG and SCL-90-R results were higher (p< 0.05). In the bivariate analysis, the high rates of HG and high SCL-90-R scores were determined to be related to postpartum depression (p < 0.05). CONCLUSIONS: The results show that mental health is negatively affected by HG at pregnancy, and in this case, psychiatric symptoms may continue even after discontinuation HG.
Entities:
Keywords:
First trimester; hyperemesis gravidarum; morbidity; postpartum depression; pregnant women
Authors: Rafael A Caparros-Gonzalez; Borja Romero-Gonzalez; Helen Strivens-Vilchez; Raquel Gonzalez-Perez; Olga Martinez-Augustin; Maria Isabel Peralta-Ramirez Journal: PLoS One Date: 2017-08-28 Impact factor: 3.240