Risk factors for unplanned pregnancy in women with mental illness living in a developing country.

Journal: Archives of women's mental health

Volume: 21

Issue: 3

Year of Publication: 2018

Affiliated Institutions:  Maternal Mental Health Clinic, Stikland Hospital/Department of Psychiatry, Faculty of Health Sciences, Stellenbosch University, Tygerberg, Cape Town, South Africa. elsadutoit@gmail.com. Biostatistics Unit, Medical Research Council, Bellville and the Statistics and Population Studies Department, University of the Western Cape, Cape Town, South Africa. Maternal Mental Health Clinic, Stikland Hospital/Department of Psychiatry, Faculty of Health Sciences, Stellenbosch University, Tygerberg, Cape Town, South Africa. Tampere Center for Child Health Research, University of Tampere School of Medicine, Tampere, Finland.

Abstract summary 

Pregnant women in general are at an increased risk of experiencing symptoms of mental illness, and those living in a developing country are even more vulnerable. Research points towards a causal relationship between unplanned pregnancy and perinatal mental illness and suggests that pregnancy planning can aid in reducing the negative impact of mental illness on a woman, her unborn baby, and the rest of the family. In this quantitative, descriptive study, we investigated both socio-demographic factors and variables relating to mental illness itself that may place women at an increased risk of experiencing unplanned pregnancy. Data was gathered at two maternal mental health clinics in Cape Town by means of semi-structured interviews. Univariate analyses of the data revealed five independent key risk factors for unplanned pregnancy: lower levels of education, unmarried status, belonging to the Colored ethnic population, substance use, and having a history of two or more suicide attempts. Some of these factors overlap with findings of similar studies, but others are unique to the specific population (women with mental illness within a developing country). Screening of women based on these risk predictors may pave the way for early interventions and reduce the incidence of unplanned pregnancy and the negative consequences thereof in the South African population.

Authors & Co-authors:  du Toit Elsa E Jordaan Esme E Niehaus Dana D Koen Liezl L Leppanen Jukka J

Study Outcome 

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Statistics
Citations : 
Authors :  5
Identifiers
Doi : 10.1007/s00737-017-0797-7
SSN : 1435-1102
Study Population
Women
Mesh Terms
Adolescent
Other Terms
Mental illness;South Africa;Unplanned pregnancy
Study Design
Descriptive Study,Cross Sectional Study
Study Approach
Quantitative
Country of Study
South Africa
Publication Country
Austria