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- Title
Prenatal electrocardiogram testing and postpartum depression: A population-based cohort study.
- Authors
Zipursky, Jonathan S; Thiruchelvam, Deva; Redelmeier, Donald A
- Abstract
Background: Cardiovascular symptoms in pregnancy may be a clue to psychological distress. We examined whether electrocardiogram testing in pregnant women is associated with an increased risk of subsequent postpartum depression. Methods: We conducted a population-based cohort study of pregnant women who delivered in Ontario, Canada comparing women who received a prenatal ECG to women who did not. Results: In total, 3,238,218 women gave birth during the 25-year study period of whom 157,352 (5%) received an electrocardiogram during prenatal care. Receiving an electrocardiogram test was associated with a one-third relative increase in the odds of postpartum depression (odds ratio 1.34; 95% confidence interval 1.29–1.39, p < 0.001). Conclusion: The association between prenatal electrocardiogram testing and postpartum depression suggests a possible link of organic disease with mental illness, and emphasizes that cardiovascular symptoms may be a clinical clue to the presence of an underlying mood disorder.
- Subjects
CANADA; POSTPARTUM depression; CONFIDENCE intervals; CARDIOVASCULAR diseases; PREGNANT women; COMPARATIVE studies; ELECTROCARDIOGRAPHY; PREGNANCY complications; ODDS ratio; CARDIOVASCULAR disease diagnosis
- Publication
Obstetric Medicine (1753-495X), 2022, Vol 15, Issue 1, p31
- ISSN
1753-495X
- Publication type
Article
- DOI
10.1177/1753495X211012502