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Updated: Mar 16, 2026

Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
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Postpartum psychiatric emergency visits: a nested case-control study.

Lucy Church Barker1, Paul Kurdyak1,2,3, Kinwah Fung3,4

  • 1Department of Psychiatry, University of Toronto, Toronto, Canada.

Archives of Women'S Mental Health
|August 12, 2016
PubMed
Summary
This summary is machine-generated.

Many women use emergency departments (EDs) for postpartum mental health concerns, especially those facing marginalization. Improved access to outpatient mental health services is crucial for equitable postpartum care.

Keywords:
Health servicesMarginalizationMaternal healthMental healthPerinatal epidemiology

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Area of Science:

  • Public Health
  • Mental Health Services Research
  • Reproductive Health

Background:

  • Mental health conditions are a leading cause of postpartum emergency department (ED) visits.
  • Understanding the characteristics of women utilizing EDs for mental health and their prior service use is essential.

Purpose of the Study:

  • To characterize women experiencing psychiatric ED visits within one year postpartum.
  • To compare women whose ED visit was their first physician mental health contact to those who had prior contact, focusing on indicators of marginalization.

Main Methods:

  • Analysis of data for women in Ontario, Canada (2006-2012) who delivered a live infant and had a psychiatric ED visit postpartum (n=8728).
  • Comparison of women based on whether the ED visit was their first physician mental health contact since delivery.
  • Examination of associations between marginalization indicators and prior mental health service access.

Main Results:

  • 60.4% of women had their first physician mental health contact via the ED.
  • Women presenting to the ED were more likely to experience material deprivation, residential instability, live in rural areas, and have lower income.
  • The majority presented with mood or anxiety disorders, with only 13.6% requiring hospital admission.

Conclusions:

  • The high utilization of EDs for initial mental health contact highlights a need for improved access to timely, equitable outpatient postpartum mental health care.
  • Marginalized women are disproportionately likely to use EDs as their first point of contact, indicating a critical need to address their specific needs in future interventions and research.