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Disponible online el 27 de septiembre de 2023
Maternity in women with schizophrenia and schizoaffective disorder
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Gemma Safonta, Marina Garrigab, Alexandre González-Rodrígueza, Silvia Amorettib,c,d, Olga Simóna, Eva Solèb, Clemente Garcia-Rizod, Belén Arranze, Eduard Vietac, Miquel Bernardod,
Autor para correspondencia
bernardo@clinic.cat

Corresponding author.
a Department of Psychiatry, Hospital Universitari Mútua Terrassa, Terrassa, Spain
b Bipolar and Depressive Disorders Unit, Hospital Clínic de Barcelona; Departament de Medicina, Institut de Neurociències (UBNeuro), Universitat de Barcelona (UB); Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS); CIBERSAM, ISCIII, Barcelona, Spain
c Department of Psychiatry, Hospital Universitari Vall d’Hebron; Group of Psychiatry, Mental Health and Addictions, Psychiatric Genetics Unit, Vall d’Hebron Research Institute (VHIR), Barcelona, Spain; Biomedical Network Research Centre on Mental Health (CIBERSAM), ISCIII, Spain; Universitat Autònoma de Barcelona, Barcelona, Spain
d Barcelona Clinic Schizophrenia Unit, Hospital Clínic de Barcelona; Departament de Medicina, Institut de Neurociències (UBNeuro), Universitat de Barcelona (UB); Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS); CIBERSAM, ISCIII, Barcelona, Spain
e Department of Mental Health, Parc Sanitari Sant Joan de Déu, CIBERSAM, Barcelona, Spain
Este artículo ha recibido
Recibido 06 Septiembre 2021. Aceptado 14 Abril 2023
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Table 1. Demographic variables by diagnosis.
Table 2. Motherhood and obstetric variables by diagnosis.
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Abstract
Purpose

Maternity rates in women with schizophrenia have tripled in the past decades, with a current percentage similar to the general population (50–60%). However, mothers with schizophrenia present higher rates of single marital status, and social dysfunction than the general population. In addition, the incidence of unplanned pregnancy, abortions, miscarriages and obstetric complications is higher.

This study aimed to describe variables related to maternity in this population.

Methods

One-hundred and ninety-two outpatient women diagnosed with schizophrenia and schizoaffective disorders were included (DSM-IV-TR criteria) in a two-site study. Psychosocial risk factors, demographic variables and clinical features were recorded in the same visit. Non-parametric tests were used in order to describe variables for likelihood offspring in psychotic women.

Results

One-hundred and forty-seven (76.6%) women suffered from schizophrenia and 45 (23.4%) schizoaffective disorder. Psychotic mothers used to be married/having a partner and presented a later onset of the illness (over 36 years old) compared to non-mothers. In addition, mothers generally presented pregnancy before the onset of illness. Regarding obstetric complications, around the 80% of the sample presented at least one obstetric complication. Although desire or wish of pregnancy was reported in 66.3% of the mothers, rates of planned pregnancy were 25% and only the 47.9% were currently taking care of their children with their husband/partner.

Conclusion

Maternity rate is high in this population. This study highlights the need to promote reproductive health care for women with mental disorders and to consider their reproductive life plan.

Later onset of disease and being married are potential predictors of maternity in our sample of women with a schizophrenia and schizoaffective disorders while only the half were caring their children at the moment of the evaluation.

Keywords:
Maternity
Psychotic disorder
Schizophrenia
Schizoaffective

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