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The British Journal of Psychiatry (2000) 176: 523-526
© 2000 The Royal College of Psychiatrists

Obstetric complications and affective psychoses

Two case-control studies based on structured obstetric records{dagger}

M. BAIN, MFPHM, E. JUSZCZAK, MSc and K. McINNENY, BA

Information and Statistics Division, National Health Service in Scotland, Edinburgh

R. E. KENDELL, FRSE

Edinburgh University Department of Psychiatry, Royal Edinburgh Hospital, Edinburgh

Correspondence: Dr R. E. Kendell, 3 West Castle Road, Edinburgh EH10 5AT

Declaration of interest Funding from the Scottish Office Department of Health.

{dagger} See pp. 516-522 and pp. 527-530, this issue.

Background Unlike schizophrenia, little interest has been taken in the incidence of obstetric complications in affective psychoses.

Aims To find out whether obstetric complications are more common in affective psychoses than matched controls.

Method Two hundred and seventeen probands with an in-patient diagnosis of affective psychosis who had been born in Scotland in 1971-74, and a further 84 born in 1975-78, were closely matched with controls and the incidence of obstetric complications in the two compared using obstetric data recorded in a set format shortly after birth.

Results Abnormal presentation of the foetus was the only complication significantly more common in the affective probands in the 1971-74 birth cohort and artificial rupture of the membranes was the only event more common in the probands in the 1975-78 cohort. Both are probably chance findings.

Conclusion It is unlikely that the incidence of obstetric complications is raised in people with affective psychoses of early onset.


Related articles in BJP:

Obstetric complications and schizophrenia: Two case-control studies based on structured obstetric records
R. E. KENDELL, K. McINNENY, E. JUSZCZAK, and M. BAIN
BJP 2000 176: 516-522. [Abstract] [Full Text]  

Invited commentaries on: Obstetric complications and schizophrenia/affective psychoses
T.J. Crow
BJP 2000 176: 527-529. [Full Text]  



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