Mothers With MS Have Higher Incidence of Mental Illness

Administrative health data from Canada showed that MS Mothers (MS) had a greater risk of mental illness in the period of childbirth compared to comparative mothers.

Ruth Ann Marie, a doctorate in medicine, holds a doctorate degree, from the University of Daluzi in Halifax, and participating authors, stated that mental illness – the most common, depression and anxiety – affected 8.4% of mothers with multiple prenatal nervous sclerosis and 14.2% During the first year after birth.

The rate of mental illness was higher among women with multiple sclerosis during the prenatal period (infection rate [IR] The researchers wrote in the study: 1.26, 95% CI 1.11-1.44) and the postpartum period (IR 1.3 for the first year, 95% CI 1.20-1.47) compared to comparative mothers. neurology.

Mary and her colleagues said that the first year after birth was a higher risk period than the previous months of birth (IR 1.27, 95 % CI 1.08-1.50).

Mothers with multiple sclerosis were more likely to develop all specific mental illnesses except for suicide attempts. It should be noted that drug use increased in women with multiple sclerosis, from 0.54% during pregnancy to 6% after birth.

Compared to mothers who suffer from other chronic diseases – epilepsy, inflammatory disease (IBD) or diabetes – mothers with multiple sclerosis were more likely to develop depression, anxiety and mind.

Mary and her colleagues noticed that these results have many effects. They wrote: “The depression of non -treating mothers is associated with drug use, increased risk of depressive attacks in the future, and suicide.”

They added that the mother’s mental illness also has important effects on the child’s physical and mental health. They pointed out that “depression mothers are breastfeeding for shorter periods, and their children receive less preventive care and undergo more visits to the emergency department.” “Infants and older children may suffer from behavioral disorders, delay in growth and social withdrawal.”

Examination and referrals to treat mental health of gynecology and obstetric service providers cannot be left because mothers with multiple nervous sclerosis may not get enough care in the period surrounding childbirth, as Lindsay Ross, PhD in Medicine, from Cleveland Clinic in Ohio.

“In studying a population database in France, only 42% of women with multiple sclerosis got adequate visits in the period surrounding childbirth and ultrasound, but more than half of women with multiple numerical sclerosis reviewed a neurologist during pregnancy and 43% witnessed Neurologist in a period of 6 months after birth. The accompanying editorial.

“In this way, doctors who are groaning women with multiple sclerosis should take into account the implementation of the health-health examinations of mental illness in the period surrounding childbirth and drug use, such as the Edinburgh scale for depression after childbirth and a drug and pregnancy risk scale (SURP-SURP-Surp- P), or includes a regular discussion and suggested Russian mental health and drug use as part of family planning, pregnancy and postpartum visits.

Ross added that doctors who are granted women with multiple sclerosis should be aware of local resources to treat mental illness in the period surrounding childbirth, or they must communicate with the obstetric/obstetrician or the primary care provider of the patient if there is a need for mental health care.

Mary and her colleagues evaluated the records of 894,852 women pregnant women in Ontario who were born with a dates dates between 2002 and 2017. The sample included 1745 women with multiple nerve sclerosis, 5954 epilepsy, 4,924 infected with inflammation of the bowel, 13002 with diabetes, and 869227 compared.

The average age of the mother at pregnancy was 28.6 years. Women were followed during pregnancy for 3 years after birth.

Proliferation estimates showed that mental illness affects 42% of mothers with multiple nervous sclerosis during pregnancy, and 50.3% of mothers with multiple nervous sclerosis in the first year after birth.

The researchers admitted that the analysis may reduce the burden of mental illness because administrative records only record these conditions for patients who seek care. Administrative data also lacked information about the characteristics of mental illness, including its intensity, treatment and health behaviors.

Mary and the participating authors indicated that the analysis did not examine the risk of mental illness other than the disease group. They wrote: “Future work should explore the effect of multiple sclerosis activity and its intensity on mental illness in the period surrounding childbirth and whether the severity of mental health disorders varies among mothers who suffer from various conditions.”