{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T15:44:25Z","timestamp":1787586265940,"version":"build-2736575974"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,3,17]],"date-time":"2014-03-17T00:00:00Z","timestamp":1395014400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare psychiatric in\u2010 and outpatient care during the 5\u00a0years before first delivery in primiparae delivered by caesarean section on maternal request with all other primiparae women who had given birth during the same time period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective, population\u2010based register study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Sweden.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample<\/jats:title><jats:p>Women giving birth for the first time between 2002 and 2004 (<jats:italic>n<\/jats:italic>\u00a0=\u00a064\u00a0834).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Women giving birth by caesarean section on maternal request (<jats:italic>n<\/jats:italic>\u00a0=\u00a01009) were compared with all other women giving birth (<jats:italic>n<\/jats:italic>\u00a0=\u00a063\u00a0825). The exposure of interest was any psychiatric diagnosis according to the International Statistical Classification of Diseases and Related Health Problems (ninth revision, <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\u20139, 290\u2013319; tenth revision, <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\u201310, F00\u2013F99) in The Swedish national patient register during the 5\u00a0years before first delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Psychiatric diagnoses and delivery data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The burden of psychiatric illnesses was significantly higher in women giving birth by caesarean section on maternal request (10 versus 3.5%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). The most common diagnoses were \u2018Neurotic disorders, stress\u2010related disorders and somatoform disorders\u2019 (5.9%, <jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content> 3.1, 95% CI 1.1\u20132.9), and \u2018Mood disorders\u2019 (3.4%, <jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content> 2.4, 95% CI 1.7\u20133.6). The adjusted odds ratio for caesarean section on maternal request was 2.5 (95% CI 2.0\u20133.2) for any psychiatric disorder. Women giving birth by caesarean section on maternal request were older, used tobacco more often, had a lower educational level, higher body mass index, were more often married, unemployed, and their parents were more often born outside of Scandinavia (<jats:italic>P\u00a0<\/jats:italic>&lt;\u00a00.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Women giving birth by caesarean section on maternal request more often have a severe psychiatric disease burden. This finding points to the need for psychological support for these women as well as the need to screen and treat psychiatric illness in pregnant women.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.12714","type":"journal-article","created":{"date-parts":[[2014,3,17]],"date-time":"2014-03-17T07:05:54Z","timestamp":1395039954000},"page":"351-358","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["Psychiatric illness in women requesting caesarean section"],"prefix":"10.1111","volume":"122","author":[{"given":"G","family":"Sydsj\u00f6","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology Department of Clinical and Experimental Medicine Faculty of Health Sciences Link\u00f6ping University Link\u00f6ping Sweden"},{"name":"Department of Gynaecology and Obstetrics in Link\u00f6ping County Council of \u00d6sterg\u00f6tland Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"M\u00f6ller","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology Department of Clinical and Experimental Medicine Faculty of Health Sciences Link\u00f6ping University Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Lilliecreutz","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology Department of Clinical and Experimental Medicine Faculty of Health Sciences Link\u00f6ping University Link\u00f6ping Sweden"},{"name":"Department of Gynaecology and Obstetrics in Link\u00f6ping County Council of \u00d6sterg\u00f6tland Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Bladh","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology Department of Clinical and Experimental Medicine Faculty of Health Sciences Link\u00f6ping University Link\u00f6ping Sweden"},{"name":"Department of Gynaecology and Obstetrics in Link\u00f6ping County Council of \u00d6sterg\u00f6tland Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Andolf","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynaecology Department of Clinical Sciences Karolinska Institutet Danderyd Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Josefsson","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology Department of Clinical and Experimental Medicine Faculty of Health Sciences Link\u00f6ping University Link\u00f6ping Sweden"},{"name":"Department of Gynaecology and Obstetrics in Link\u00f6ping County Council of \u00d6sterg\u00f6tland Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,3,17]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"National Board of Health and Welfare Centre for Epidemiology.Kejsarsnitt i Sverige 1990\u20132001.2005[www.socialstyrelsen.se\/publikationer2005\/2005-112-3]. Accessed 21 July 2013."},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340802001711"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2005.10.016"},{"key":"e_1_2_5_5_1","first-page":"45.e1","article-title":"Why do some pregnant women prefer cesarean? The influence of parity, delivery experiences, and fear","volume":"205","author":"Fuglenes D","year":"2011","journal-title":"Obstet Gynecol"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2002.01393.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2010.05.005"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1403494809105027"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340902998436"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.00950.x"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340701217913"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01564.x"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.02002.x"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2010.02793.x"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2006.07.007"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340600839833"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2003.336"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2011.02967.x"},{"key":"e_1_2_5_19_1","unstructured":"National Board of Health and Welfare Centre for Epidemiology.The Swedish medical birth register; a summary of content and quality.2003[www.socialstyrelsen.se\/Lists\/Artikelkatalog\/Attachments\/10655\/2003-112-3_20031123.pdf]. Accessed 24 September 2012."},{"key":"e_1_2_5_20_1","unstructured":"National Board of Health and Welfare Centre for Epidemiology.Kvalitet och inneh\u00e5ll i patientregistret.2009[www.socialstyrelsen.se\/publikationer2009\/2009-125-15]. Accessed 18 October 2012."},{"key":"e_1_2_5_21_1","volume-title":"A New Total Population Register System. More Possibilities and Better Quality. (Serial no. 2002:2)","author":"Statistics Sweden","year":"2002"},{"key":"e_1_2_5_22_1","unstructured":"National Board of Health and Welfare Centre for Epidemiology.Causes of death 2011.2012[www.socialstyrelsen.se\/Lists\/Artikelkatalog\/Attachments\/19001\/2013-2-30.pdf]. Accessed 23 July 2013."},{"key":"e_1_2_5_23_1","unstructured":"Statistics Sweden.Educational attainment of the population 2004.2005[www.scb.se\/statistik\/UF\/UF0506\/2005A01\/UF0506_2005A01_SM_UF37SM0501.pdf]. Accessed 22 July 2013."},{"key":"e_1_2_5_24_1","unstructured":"Statistics Sweden.Multi\u2010generation register 2010. A description of contents and quality.2011[www.scb.se\/statistik\/_publikationer\/BE9999_2011A01_BR_BE96BR1102.pdf]. Accessed 22 July 2013."},{"key":"e_1_2_5_25_1","unstructured":"National Board of Health and Welfare Centre for Epidemiology.The Swedish version of 10th revision of WHO's international classification of diseases.2010[www.socialstyrelsen.se\/publikationer2010\/2010-11-13]. Accessed 27 September 2012."},{"key":"e_1_2_5_26_1","unstructured":"National Board of Health and Welfare Centre for Epidemiology.In\u2010patient diseases in Sweden 1987\u20132006.2007[www.socialstyrelsen.se\/Lists\/Artikelkatalog\/Attachments\/9326\/2007-42-17_20074218.pdf]. Accessed 24 September 2012."},{"key":"e_1_2_5_27_1","unstructured":"National Board of Health and Welfare Centre for Epidemiology.Translator ICD9 to ICD 10. [www.socialstyrelsen.se\/klassificeringochkoder\/Documents\/9TO10.pdf]. Accessed 21 October 2012."},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euroneuro.2011.07.018"},{"key":"e_1_2_5_29_1","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1515\/jpm-2012-0049","article-title":"To \u2018C\u2019 or not to \u2018C\u2019? Caesarean delivery upon maternal request: a review of facts, figures and guidelines","volume":"41","author":"D'Souza R","year":"2013","journal-title":"J Perinat Med"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1471-0528.12714","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.12714","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1471-0528.12714","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.12714","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T17:57:15Z","timestamp":1696355835000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.12714"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,3,17]]},"references-count":28,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,2]]}},"alternative-id":["10.1111\/1471-0528.12714"],"URL":"https:\/\/doi.org\/10.1111\/1471-0528.12714","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,3,17]]},"assertion":[{"value":"2013-12-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-03-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}