The relationship between hyperemesis gravidarum and maternal psychiatric well-being during and after pregnancy: controlled study

Abstract

Objective: Psychiatric symptoms of varying degrees that accompany hyperemesis gravidarum (HG) may continue throughout the pregnancy or after, and these psychological problems may cause morbidity. In this study, we aimed to evaluate the relationship between the HG and psychiatric symptoms in the first trimester and postpartum depression.

Methods: Two hundred and seven pregnant who were diagnosed as HG and 177 healthy pregnant women included in this prospective study. All cases were assessed with SCL-90-R in first trimester and with ED in postpartum period. Factors related to postpartum psychiatric symptoms were investigated with bivariate logistic regression analysis.

Results: SCL-90-R and ED scores were statistically significant at HG group (p < 0.05). In cases who diagnosed as postpartum depression, the rates of HG and SCL-90-R results were higher (p< 0.05). In the bivariate analysis, the high rates of HG and high SCL-90-R scores were determined to be related to postpartum depression (p < 0.05).

Conclusions: The results show that mental health is negatively affected by HG at pregnancy, and in this case, psychiatric symptoms may continue even after discontinuation HG.

Keywords:

• First trimester
• hyperemesis gravidarum
• morbidity
• postpartum depression
• pregnant women

Acknowledgements

This study was not supported by any company or institution. Language has been edited by nature English speaker Caroline J. Walker.

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this article.