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.
Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, Ohio, USA.
Matern Child Health J. 2022 Oct;26(10):1953-1958. doi: 10.1007/s10995-022-03487-2. Epub 2022 Aug 22.
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.
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.
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%).
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.
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.
精神健康状况是妊娠的主要合并症之一，但人们对孕妇在妊娠期间因精神健康相关问题而前往急诊部（ED）就诊的情况知之甚少。本研究旨在描述在美国，因精神健康相关问题在医院 ED 就诊的孕妇的特征，以及这些女性接受的最常见的精神健康诊断、药物类型和精神健康服务。
使用来自国家医院门诊医疗调查（2016-2019 年）的汇总、横断面数据。根据诊断和就诊原因代码识别孕妇。对孕妇的特征、提供的服务和接受的精神健康相关就诊的药物进行加权描述性分析。
精神健康相关就诊占妊娠期间所有 ED 就诊的 6.2%。与因其他原因就诊的孕妇相比，有精神健康相关就诊史的孕妇中，抑郁症的比例显著更高。有精神健康相关就诊的孕妇中最常见的诊断是物质使用障碍（30.7%）、焦虑相关障碍（19.1%）和抑郁障碍（14.6%）。最常使用的药物治疗是安定类药物和抗抑郁药。很少有女性在就诊期间看精神健康科医生（6.7%），而大多数被转介到外部诊所进行随访（55.0%）。
许多孕妇因精神健康相关原因前往 ED 就诊。培训在 ED 治疗孕妇的医疗保健专业人员如何提供有效的治疗方法仍然很重要，特别是针对物质使用障碍和焦虑症。
许多孕妇在妊娠期间到急诊部就诊。尽管精神健康状况是妊娠的主要合并症之一，但人们对孕妇在妊娠期间因精神健康相关问题而前往急诊部的情况知之甚少。本研究首次分析了 2016 年至 2019 年期间美国孕妇急诊就诊的代表性样本，并报告了与精神健康相关的就诊情况。在因精神健康相关问题而在 ED 就诊的孕妇中，最常见的诊断是物质使用障碍、焦虑相关障碍和抑郁障碍，但很少有女性在就诊期间看精神健康科医生。
