Use of primary health care prior to a postpartum psychiatric episode

Figures & data

Figure 1. Mean number of ordinary consultations and consultation rate ratios from two years before until one year after childbirth in women with psychiatric episodes 0–3 months postpartum compared with women with no psychiatric episode (n = 939 and n = 2 662, respectively).

Figure 2. Mean number of ordinary consultations and consultation rate ratios from two years before until one year after childbirth in women with psychiatric episodes 3–12 months postpartum compared with women with no psychiatric episodes (n = 1 436 and n = 3 968 respectively).

Table I. Mean number of contacts with GPs from two years before childbirth until one year after childbirth in mothers with a psychiatric episode 0–3 months postpartum vs. the comparison group.¹

	Mothers with psychiatric episodes 0 to 3 months postpartum (n = 939)	Women in comparison group (n = 2 662)	Difference in contacts
24 months before childbirth to time of conception	6.19 [95% CI 5.88; 6.50]	4.71 [95% CI 4.56; 4.86]	1.48 [95% CI 1.14; 1.82]
During pregnancy	6.89 [95% CI 6.60; 7.18]	5.37 [95% CI 5.22; 5.52]	1.52 [95% CI 1.22; 1.82]
0–3 months postpartum	3.37 [95% CI 3.22; 3.52]	1.93 [95% CI 1.87; 2.00]	1.44 [95% CI 1.28; 1.59]
3–12 months postpartum	4.90 [95% CI 4.65; 5.15]	3.15 [95% CI 3.04; 3.27]	1.75 [95% CI 1.48; 2.02]

Note: ¹Contacts: All provided face-to-face surgery consultations in general practice at any time including out-of-hours contacts.

Table II. Mean number of contacts with GPs from two years before childbirth until one year after childbirth in mothers with a psychiatric episode 3–12 months postpartum vs. the comparison group.¹

	Mothers with psychiatric episodes 3 to 12 months postpartum (n = 1 436)	Women in comparison group (n = 3 968)	Difference in contacts between cases and controls
24 months before childbirth to time of conception	6.89 [95% CI 6.60; 7.18]	5.01 [95% CI 4.87, 5.15]	1.88 [95% CI 1.57; 2.19]
During pregnancy	7.10 [95% CI 6.87; 7.33]	5.63 [95% CI 5.50; 5.76]	1.47 [95% CI 1.23; 1.72]
0–3 months postpartum	2.68 [95% CI 2.57, 2.80]	1.92 [95% CI 1.86; 1.98]	0.76 [95% CI 0.64; 0.89]
3–12 months postpartum	6.35 [95% CI 6.09; 6.60]	3.39 [95% CI 3.30; 3.49]	2.95 [95% CI 2.68; 3.22]

Note: ¹Contacts: All provided face-to-face surgery consultations in general practice at any time including out-of-hours contacts.

Figure 3. Compliance with antenatal care during pregnancy in women who have a psychiatric episode from 0–3 months, or 3–12 months postpartum, vs. the comparison group. Y-axis = percentages of mothers attending antenatal care visits. Observations based on unmatched data.