{
    "abstract": "To investigate the associations between primary postpartum haemorrhage (PPH), postnatal mental health and longer-term mental illness in a high-income setting.\nA population-based retrospective cohort study of 18,798 women giving birth between 2008 and 2016 in Grampian, Scotland, was conducted, using linked data from the Aberdeen Maternity and Neonatal Databank and Scottish administrative healthcare datasets. 'Longer-term mental illness' was assessed using a composite outcome comprising mental-health related hospitalisation, prescription or death, from the end of the first postnatal year to 10 years after birth. We used extended Cox regression models to investigate the association between primary PPH in any first or subsequent births (the exposure) and subsequent mental illness, adjusted for sociodemographic, past medical history and pregnancy and birth-related factors, stratified by the presence of mental illness in the first postnatal year.\nWe found no association between PPH and longer-term mental illness beyond the first postnatal year, regardless of severity of PPH or mode of birth [adjusted hazard ratio (aHR) 0.97, 95% confidence interval (CI) 0.81-1.16, \nThis study provides no evidence of an association between PPH and longer-term mental illness, after taking into account the presence of mental illness in the first postnatal year.",
    "authors": [
        {
            "affiliation": "National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.\nDepartment of Women and Children's Health, Faculty of Life Sciences and Medicine, King's College London, London, UK.",
            "firstname": "Su Mon",
            "initials": "SM",
            "lastname": "Latt"
        },
        {
            "affiliation": "National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.\nFaculty of Epidemiology and Population Health, Department of Medical Statistics, London School of Hygiene and Tropical Medicine, London, UK.",
            "firstname": "Charles",
            "initials": "C",
            "lastname": "Opondo"
        },
        {
            "affiliation": "National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.",
            "firstname": "Fiona",
            "initials": "F",
            "lastname": "Alderdice"
        },
        {
            "affiliation": "National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.",
            "firstname": "Jennifer J",
            "initials": "JJ",
            "lastname": "Kurinczuk"
        },
        {
            "affiliation": "National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.",
            "firstname": "Rachel",
            "initials": "R",
            "lastname": "Rowe"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": "10.1080/02646838.2025.2490763",
    "journal": "Journal of reproductive and infant psychology",
    "keywords": [
        "Postpartum haemorrhage",
        "mental health",
        "morbidity",
        "obstetric complications",
        "perinatal mental illness",
        "pregnancy"
    ],
    "methods": null,
    "publication_date": "2025-04-24",
    "pubmed_id": "40268668",
    "results": "We found no association between PPH and longer-term mental illness beyond the first postnatal year, regardless of severity of PPH or mode of birth [adjusted hazard ratio (aHR) 0.97, 95% confidence interval (CI) 0.81-1.16, ",
    "title": "Associations between postpartum haemorrhage, postnatal mental health and longer term mental illness: a record-linked cohort study.",
    "xml": "<Element 'PubmedArticle' at 0x7885062c55d0>"
}