Mental Health-related Utilization of Emergency Departments During Pregnancy in the U.S., 2016–2019.
Introduction: Mental health conditions are a leading comorbidity of pregnancy, but little is known about the use of emergency departments (EDs) for mental health-related care during pregnancy. This study aims to describe both the characteristics of pregnant women who receive mental health-related ca...
| Publicado en: | Maternal & Child Health Journal Vol. 26; no. 10; pp. 1953 - 1959 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Oct2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159213501&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159213501 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Oct2022 vid: 26 iid: 10 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 159213501 158650074 159213501 159213501 10.1007/s10995-022-03487-2 159213501 ppf: 1953 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Mental Health-related Utilization of Emergency Departments During Pregnancy in the U.S., 2016–2019. aug: au: Tyson, Danielle P. Kelleher, Kelly J. Chavez, Laura J. affil: Center for Child Health Equity and Outcomes Research, The Abigail Wexner Research Institute at Nationwide Children's Hospital, 700 Children's Drive, 43205, Columbus, OH, USA sug: subj: Expectant Mothers Psychosocial Factors Health Resource Utilization In Pregnancy Psychiatric Care Utilization Emergency Service In Pregnancy Mental Disorders Drug Therapy Mental Health Services Utilization Human Pregnancy Female United States Cross Sectional Studies Descriptive Statistics Depression Drug Therapy Substance Use Disorders Anxiety Disorders Drug Therapy Antianxiety Agents Therapeutic Use Antidepressive Agents Therapeutic Use Ambulatory Care Facilities After Care Mental Health In Pregnancy Adolescence Adult Middle Age Confidence Intervals Data Analysis Software Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Female ab: Introduction: Mental health conditions are a leading comorbidity of pregnancy, but little is known about the use of emergency departments (EDs) for mental health-related care during pregnancy. This study aims to describe both the characteristics of pregnant women who receive mental health-related care in hospital EDs in the United States and the most common mental health diagnoses, types of medications, and mental health services that these women receive. Methods: Pooled, cross-sectional data from the National Hospital Ambulatory Medical Care Survey (2016–2019) were used. Pregnant patients were identified based on diagnosis and reason for visit codes. Weighted descriptive analyses were performed to describe characteristics of pregnant women, services offered, and medications received for mental health-related visits. Results: Mental health-related visits comprised 6.2% of all ED visits during pregnancy. History of depression was significantly higher in pregnant patients with mental health-related visits compared to those pregnant patients presenting for other reasons. The most common diagnoses for pregnant patients with mental health-related visits were substance use disorders (30.7%), anxiety-related disorders (19.1%), and depressive disorders (14.6%). Anxiolytics and antidepressants were the most common pharmacotherapies given. Few women saw a mental health provider during their visit (6.7%), while most were referred to an outside clinic for follow-up (55.0%). Discussion: Many pregnant women seek care from EDs for mental health-related reasons. It remains important to train health care professionals who treat pregnant women in EDs how to deliver effective treatments, particularly for substance use disorders and anxiety. Significance: Many pregnant patients receive care in emergency departments during pregnancy. Despite mental health conditions being a leading comorbidity of pregnancy, little is known about the use of emergency departments for mental health-related reasons during pregnancy. This study is the first to analyze a representative sample of emergency department visits by pregnant women in the United States between 2016 and 2019 and report on mental health-related visits. Among pregnant women seen in the ED for mental health-related reasons, the most common diagnoses were substance use disorders, anxiety-related disorders, and depressive disorders, but few saw a mental health provider during their visit. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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