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Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
Mood disorders and peripartum cardiomyopathy
Blake Neuburg1, Melissa Harris2, Anna Palatnik3,4
1Department of Obstetrics and Gynecology The Ohio State University Columbus Ohio USA.
Maternal mood disorders, including depression and anxiety, are linked to a doubled risk of peripartum cardiomyopathy (PPCM). This study highlights the importance of addressing mental health in pregnant and postpartum individuals to prevent cardiac complications.
Area of Science:
- Cardiology
- Psychiatry
- Obstetrics
Background:
- Peripartum cardiomyopathy (PPCM) is a rare but serious form of heart failure affecting women during pregnancy or postpartum.
- Mood disorders are common in pregnant and postpartum populations, but their association with PPCM is not well-established.
Purpose of the Study:
- To investigate the association between mood disorders and the incidence of peripartum cardiomyopathy (PPCM).
- To evaluate the relationship between maternal mood disorders and other adverse cardiac events during the peripartum period.
Main Methods:
- A retrospective cohort study analyzed data from the National Inpatient Sample (2017-2019) of pregnant and postpartum patients.
- Patients were categorized based on the presence or absence of ICD-10 diagnosed mood disorders (depression, bipolar depression, anxiety).
- Statistical analyses, including t-tests, chi-squared tests, and logistic regression, were used to compare outcomes and control for confounders.
Main Results:
- Over 2.2 million patients were included; 7.3% had a diagnosed mood disorder.
- Patients with mood disorders had a higher incidence of PPCM (0.12% vs. 0.06%) and composite adverse cardiac events (0.35% vs. 0.14%).
- Mood disorders remained independently associated with increased PPCM risk (aOR 1.37) and adverse cardiac events (aOR 1.58) after adjusting for confounders.
Conclusions:
- Maternal mood disorders are significantly associated with an increased risk of developing peripartum cardiomyopathy.
- The presence of mood disorders during pregnancy and postpartum is linked to higher rates of other adverse cardiac events.
- These findings underscore the importance of screening for and managing mood disorders in peripartum women to mitigate cardiac risks.
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