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PubMed1997

Social consequences of psychiatric disorders, II: Teenage parenthood.

OBJECTIVE: The subject of this study was the relation between retrospectively reported early-onset psychiatric disorders and subsequent teenage parenthood in the general population. METHOD: The data were from 5,877 respondents aged 15-54 years in the National Comorbidity Survey, a nationally representative household survey. Information on respondents' DSM-III-R anxiety disorders, mood disorders, substance abuse disorders, and conduct disorder, age at the birth of the first child, and teenage sexual activity was collected in face-to-face interviews. RESULTS: Early-onset psychiatric disorders were associated with subsequent teenage parenthood among both females and males, with significant odds ratios of 2.0-12.0 and population attributable risk proportions of 6.2%-33.7%. Disaggregation analyses showed that disorders were associated with increased probability of sexual activity but not with decreased probability of using contraception. CONCLUSIONS: These results add to a growing body of evidence that psychiatric disorders are associated with a variety of adverse life consequences. The current policy debate concerning universal insurance coverage needs to take this into consideration. Planners of interventions aimed at preventing teenage pregnancy should consider including a mental health treatment component in their intervention packages. Mental health professionals treating adolescents need to be sensitized to their higher risk of pregnancy, while family doctors and specialists treating teenage mothers or their children need to be sensitized to the mothers' higher risk of psychiatric disorder.

Adolescent↗
PubMed2003

Medical outcome of pregnancy in women with psychotic disorders and their infants in the first year after birth.

BACKGROUND: There has been little research into the health of infants of women with psychotic disorders. AIMS: To investigate the antenatal care of mothers with a history of psychotic disorders, obstetric outcomes and the subsequent health of their babies. METHOD: A matched, controlled cohort study was carried out using the General Practice Research Database. Women with a history of a psychotic disorder, who gave birth in 1996-1998, were compared with women matched for age and general practice (199 cases and 787 controls) and their infants. RESULTS: Cases had a higher proportion of stillbirths (OR=4.03, 95% CI 1.14-4.25, P=0.03) and neonatal deaths (P<0.001). There was no difference in gestational age at antenatal booking. Mothers with psychotic disorders were less likely than controls to attend for infant immunisations 90-270 days after birth (RR=0.94, 95% CI 0.88-0.99, P=0.03). There was no significant difference in the rates of accidents and hospital contacts for infants. CONCLUSIONS: There is an increased risk of stillbirth and neonatal death in women with a history of psychotic disorder, and it is therefore important for health care professionals to focus on optimal obstetric care. The physical health of babies who live with mothers with psychotic disorders is not significantly different from that of matched baby controls.

Accidents↗
PubMed1993

Patterns of plasma LH, FSH, oestradiol and corticosteroids from birth to the first oestrous cycle in Meishan gilts.

Hormonal changes associated with pubertal development in a breed of pig exhibiting early puberty were determined. In Expt 1, blood from prepubertal Meishan gilts was collected at about 1 (n = 5), 10 (n = 5), 20 (n = 4), 30 (n = 5), 50 (n = 5), 70 (n = 10), 80 (n = 10) and 90 (n = 7) days of age. In Expt 2, females were sampled between 99 and 116 days of age before (n = 16) or during (n = 9) the first oestrous cycle. Serial blood samples were collected through a jugular catheter at 20 min intervals. In Expt 2, age at puberty was determined by daily examination for oestrus and weekly evaluation of plasma progesterone and found to occur at 111 days of age. Hormone profiles determined at least 19 days before the first oestrus were grouped to constitute a prepubertal stage. In Expt 1, mean concentration of LH was high at 1 day of age, significantly lower at 10 days and showed nonsignificant variations until 90 days. Frequency of LH pulses increased between 10 and 50 days (0.42 versus 0.85 pulse h-1, P < 0.05), decreased between 50 and 70 days (0.49 pulse h-1, P < 0.05) and remained low thereafter. Amplitude of LH pulses was high between 1 and 30 days and declined progressively until 80 days. Mean concentration of FSH was high between 1 and 20 days and decreased progressively until 80 days (7.2 and 2.3 ng ml-1, respectively, at 20 and 80 days, P < 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)

Adrenal Cortex Hormones↗
PubMed2000

Expectant parents' anticipated changes in workload after the birth of their first child.

OBJECTIVE: We hoped to evaluate gender differences in prenatal workload and anticipated prenatal to postpartum changes in workload for a group of expectant parents. METHODS: We included a total of 149 couples who were living together, expecting their first child, and enrolled in prenatal classes presented by 2 metropolitan hospitals. The couples completed a prenatal survey containing information about demographic characteristics and prenatal work responsibilities and a worksheet listing the number of hours per week that each partner planned to devote to various household, child care, and employment responsibilities at 6 months postpartum. RESULTS: Though both men and women anticipated large increases in workload from the prenatal to the postpartum period, women expected greater increases (85% vs 53%). As a result of their greater anticipated involvement in household work and child care, women planned to work 9 hours more per week than men after the arrival of the baby. These expectant parents tended to occupy somewhat traditional gender work roles, with women contributing more time to cooking, cleaning, laundry, and shopping, and men devoting more time to lawn care, snow removal, household repairs, and employment. Men appeared to be more satisfied than women with their partner's contribution to household work (mean=6.0 and 5.4; P=.000). Partners' perceptions of how they shared household work were congruent, with 90% of the couples' summed congruency scores in the range within 1 point of a perfect match. CONCLUSIONS: Expectant parents in this study anticipated large increases in workload after childbirth. The projected work increases were greater for women than for men. It is interesting to note that these gender differences are anticipated even when couples were given an opportunity to systematically plan their postpartum work distribution together.

Adult↗