Obstetric anesthesia

Antepartum mental health disorders and hypertensive disorders of pregnancy: a retrospective cohort study using the premier healthcare administrative database (2016–2020)

Int J Obstet AnesthPublished Retrospective cohort study

Authors' conclusion

Antepartum mood and anxiety disorders were associated with increased odds of hypertensive disorders, with anxiety conferring the highest odds.

Study context

Population
Obstetric patients ≥18 years who delivered from 1/10/15 to 12/31/20, US Premier Healthcare Administrative Database
Participants
861,177 patients
Exposure
Antepartum mental health disorders vs none
Outcome
Hypertensive disorders (gestational hypertension, preeclampsia with and without severe features) diagnosed during birth hospitalization
Methodological detailsnationwide administrative database, multivariable logistic regression
  • Nationwide administrative database
  • Multivariable logistic regression

Main finding

As reported in the abstract

Hypertensive disorders
Each group vs no antepartum mental health disordersAdjusted odds ratio (95% CI)
Depressive disordersE-value 1.21
1.06(1.03–1.09)
AnxietyE-value 1.67
1.22(1.19–1.25)
Depressive and anxiety disordersE-value 1.59
1.19(1.16–1.23)
Bipolar disordersE-value 1.24
1.09(1.04–1.15)

Observational data: associations, not effects.

Original publication

Antepartum mental health disorders and hypertensive disorders of pregnancy: a retrospective cohort study using the premier healthcare administrative database (2016–2020). Int J Obstet Anesth. Published 5 May 2026. doi:10.1016/j.ijoa.2026.105194

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