Hsi-Sheng Wei, Hsiao-Lin Hwa, April Chiung-Tao Shen, Jui-Ying Feng, Yi-Ping Hsieh, Soar Ching-Yu Huang
Physical Conditions and Special Needs as Risk Factors of Peer Victimization Among School Children in Taiwan
The Journal of school nursing : the official publication of the National Association of School Nurses
severe maternal morbidity smm longterm health consequences affected mother association smm future maternal mental health conditions well studied assess association smm first recorded birth risk hospitalization emergency department ed visits mental health condition 13year period populationbased retrospective cohort study used data postpartum individuals aged 18 55 years first hospital delivery 2008 2021 11 provinces territories canada except qubec data analyzed january june 2023 smm defined composite conditions septic shock severe preeclampsia eclampsia severe hemorrhage intervention complications occurring 20 weeks gestation 42 days first delivery main outcome hospitalization ed visit mental health condition including mood anxiety disorders substance use schizophrenia psychotic disorder suicidality selfharm event arising least 43 days first birth hospitalization cox regression models generated hazard ratios 95 cis adjusted baseline maternal comorbidities maternal age delivery income quintile type residence hospital type delivery year 2 026 594 individuals first hospital delivery 1 579 392 individuals mean sd age 300 54 years complete ed hospital records included analyses among 35 825 individuals 23 smm compared individuals without smm smm older mean sd age 299 54 years vs 307 60 years likely deliver teaching tertiary care hospital 408 vs 511 preexisting conditions eg 2 conditions 12 vs 53 gestational diabetes 82 vs 117 stillbirth 05 vs 16 preterm birth 77 vs 250 cesarean delivery 310 vs 543 median iqr duration 26 1364 years 1287 961 per 10 000 individuals smm mental health hospitalization ed visit compared 41 779 732 per 10 000 individuals without smm adjusted hazard ratio 126 95 ci 119134 cohort study postpartum individuals without smm pregnancy delivery increased risk mental health hospitalizations ed visits 13 years delivery complicated smm enhanced surveillance provision postpartum mental health resources may especially important smm