{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T14:15:47Z","timestamp":1789827347043,"version":"4.0.1"},"reference-count":71,"publisher":"BMJ","issue":"5","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"unspecified","delay-in-days":28,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["IH supported by MRC fellowship"],"award-info":[{"award-number":["IH supported by MRC fellowship"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100024811","name":"Nuffield Department of Population Health, University of Oxford","doi-asserted-by":"publisher","award":["GF funded by Senior Clinical Research Fellowship"],"award-info":[{"award-number":["GF funded by Senior Clinical Research Fellowship"]}],"id":[{"id":"10.13039\/501100024811","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100024811","name":"Nuffield Department of Population Health, University of Oxford","doi-asserted-by":"publisher","award":["JG funded by NDPH Scholarship"],"award-info":[{"award-number":["JG funded by NDPH Scholarship"]}],"id":[{"id":"10.13039\/501100024811","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,4,30]]},"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To synthesise evidence on the association between any diagnosed or self-reported mental health problems prior to pregnancy (pre-existing mental health problems) and birth outcomes including preterm birth (PTB), low birth weight (LBW), small for gestational age (SGA), neonatal unit (NNU) admission and mode of birth (instrumental birth, planned or unplanned caesarean section).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Systematic searches were conducted in MEDLINE, CINAHL, Embase and PsycINFO in December 2024 for studies examining the association between any pre-existing mental health problems and PTB, LBW, SGA, NNU admission and mode of birth. Only articles published in English were included with no restriction on year of publication. Two reviewers independently screened studies and extracted data. Study quality was assessed using the Newcastle-Ottawa Scale and Joanna Briggs Institute checklists. Random-effects meta-analyses were conducted to pool crude and adjusted ORs (aORs) and risk ratios (aRR) with 95% CIs. ORs and RRs were analysed separately. Between-study heterogeneity was quantified using the I\n                      <jats:sup>2<\/jats:sup>\n                      statistic.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 15\u2009467 records screened, 33 studies met the inclusion criteria. Women with any pre-existing mental health problems had higher odds and risks of adverse birth outcomes, including PTB (aOR 1.41, 95%\u2009CI 1.27 to 1.56) (aRR 1.36, 95%\u2009CI 1.21 to 1.51), LBW (aOR 1.28, 95%\u2009CI 1.22 to 1.33) (aRR 1.32, 95%\u2009CI 1.04 to 1.68), SGA (aOR 1.27, 95%\u2009CI 1.07 to 1.51) (aRR 1.34, 95%\u2009CI 1.19 to 1.51) and NNU admission (aOR 1.44, 95%\u2009CI 1.19 to 1.74). Adjusted estimates were based on multivariable models that commonly controlled for maternal age, parity and socio-demographic factors. No consistent associations were observed between pre-existing mental health problems and mode of birth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Pre-existing mental health problems were associated with increased risks and odds of several adverse birth outcomes. These findings highlight the importance of early identification and targeted support for women with mental health problems before pregnancy to strengthen preconception and maternity care planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PROSPERO registration number<\/jats:title>\n                    <jats:p>CRD42023485834.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-106566","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T16:05:10Z","timestamp":1780070710000},"page":"e106566","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Birth outcomes for women with pre-existing mental health problems: a systematic review and meta-analysis"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4018-8963","authenticated-orcid":false,"given":"Jenny","family":"Gong","sequence":"first","affiliation":[{"name":"National Perinatal Epidemiology Unit, University of Oxford Nuffield Department of Population Health, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Henderson","sequence":"additional","affiliation":[{"name":"National Perinatal Epidemiology Unit, University of Oxford Nuffield Department of Population Health, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosie","family":"Lynch","sequence":"additional","affiliation":[{"name":"Gove District Hospital, Nhulunbuy, Northern Territory, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoe","family":"Daskalopoulou","sequence":"additional","affiliation":[{"name":"National Perinatal Epidemiology Unit, University of Oxford Nuffield Department of Population Health, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1142-6440","authenticated-orcid":false,"given":"Nia","family":"Roberts","sequence":"additional","affiliation":[{"name":"Bodleian Health Care Libraries, Knowledge Centre ORC Research Building, University of Oxford, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0537-2490","authenticated-orcid":false,"given":"Gracia","family":"Fellmeth","sequence":"additional","affiliation":[{"name":"National Perinatal Epidemiology Unit, University of Oxford Nuffield Department of Population Health, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4186-4169","authenticated-orcid":false,"given":"Sian","family":"Harrison","sequence":"additional","affiliation":[{"name":"National Perinatal Epidemiology Unit, University of Oxford Nuffield Department of Population Health, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria A","family":"Quigley","sequence":"additional","affiliation":[{"name":"National Perinatal Epidemiology Unit, University of Oxford Nuffield Department of Population Health, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Alderdice","sequence":"additional","affiliation":[{"name":"National Perinatal Epidemiology Unit, University of Oxford Nuffield Department of Population Health, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,5,29]]},"reference":[{"key":"2026052909050726000_16.5.e106566.1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20769"},{"key":"2026052909050726000_16.5.e106566.2","doi-asserted-by":"crossref","DOI":"10.1186\/s12889-020-8293-9","article-title":"Global burden of antenatal depression and its association with adverse birth outcomes: an umbrella review","volume":"20","author":"Dadi","year":"2020","journal-title":"BMC Public Health"},{"key":"2026052909050726000_16.5.e106566.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2020.105243"},{"key":"2026052909050726000_16.5.e106566.4","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2010.111"},{"key":"2026052909050726000_16.5.e106566.5","doi-asserted-by":"crossref","DOI":"10.4088\/JCP.17r12011","article-title":"Maternal Anxiety During Pregnancy and the Association With Adverse Perinatal Outcomes: Systematic Review and Meta-Analysis","volume":"79","author":"Grigoriadis","year":"2018","journal-title":"J Clin Psychiatry"},{"key":"2026052909050726000_16.5.e106566.6","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1111\/acps.13367","article-title":"Neonatal outcome and adaption after in utero exposure to antidepressants: A systematic review and meta-analysis","volume":"145","author":"Kautzky","year":"2022","journal-title":"Acta Psychiatr Scand"},{"key":"2026052909050726000_16.5.e106566.7","doi-asserted-by":"crossref","DOI":"10.3389\/fped.2025.1565897","article-title":"Long-term health outcomes of preterm birth: a narrative review","volume":"13","author":"Gette","year":"2025","journal-title":"Front Pediatr"},{"key":"2026052909050726000_16.5.e106566.8","doi-asserted-by":"publisher","DOI":"10.1038\/pr.2013.204"},{"key":"2026052909050726000_16.5.e106566.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2003.08.001"},{"key":"2026052909050726000_16.5.e106566.10","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1002018","article-title":"All-Cause Mortality of Low Birthweight Infants in Infancy, Childhood, and Adolescence: Population Study of England and Wales","volume":"13","author":"Watkins","year":"2016","journal-title":"PLoS Med"},{"key":"2026052909050726000_16.5.e106566.11","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2458-13-S3-S2","article-title":"The associations of parity and maternal age with small-for-gestational-age, preterm, and neonatal and infant mortality: a meta-analysis","volume":"13 Suppl 3","author":"Kozuki","year":"2013","journal-title":"BMC Public Health"},{"key":"2026052909050726000_16.5.e106566.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.semperi.2021.151390"},{"key":"2026052909050726000_16.5.e106566.13","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.bpobgyn.2013.09.002","article-title":"Perinatal mental illness: Definition, description and aetiology","volume":"28","author":"O\u2019Hara","year":"2014","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"2026052909050726000_16.5.e106566.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2007.02.002"},{"key":"2026052909050726000_16.5.e106566.15","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2019-036280","article-title":"Role of maternal mental health disorders on stillbirth and infant mortality risk: a protocol for a systematic review and meta-analysis","volume":"10","author":"Adane","year":"2020","journal-title":"BMJ Open"},{"key":"2026052909050726000_16.5.e106566.16","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1007\/s00404-020-05685-1","article-title":"Maternal mental health and reproductive outcomes: a scoping review of the current literature","volume":"302","author":"Montagnoli","year":"2020","journal-title":"Arch Gynecol Obstet"},{"key":"2026052909050726000_16.5.e106566.17","doi-asserted-by":"crossref","first-page":"1349","DOI":"10.1016\/S0140-6736(18)31930-5","article-title":"Short-term and long-term effects of caesarean section on the health of women and children","volume":"392","author":"Sandall","year":"2018","journal-title":"The Lancet"},{"key":"2026052909050726000_16.5.e106566.18","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.jpsychires.2019.03.016","article-title":"The dynamic course of peripartum depression across pregnancy and childbirth","volume":"113","author":"Dekel","year":"2019","journal-title":"J Psychiatr Res"},{"key":"2026052909050726000_16.5.e106566.19","unstructured":"Joanna Briggs Institute . Critical Appraisal Checklist for Analytical Cross Sectional Studies. Adelaide: Joanna Briggs Institute, 2017. Available: https:\/\/jbi.global\/critical-appraisal-tools"},{"key":"2026052909050726000_16.5.e106566.20","unstructured":"Wells GA , Shea B , O\u2019Connell D , et al . The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Ottawa: Ottawa Hospital Research Institute, 2013. Available: http:\/\/www.ohri.ca\/programs\/clinical_epidemiology\/oxford.asp"},{"key":"2026052909050726000_16.5.e106566.21","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7414.557"},{"key":"2026052909050726000_16.5.e106566.22","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7109.629"},{"key":"2026052909050726000_16.5.e106566.23","unstructured":"NICE . Common mental health problems: identification and pathways to care | Guidance, 2011. Available: https:\/\/www.nice.org.uk\/Guidance\/cg123"},{"key":"2026052909050726000_16.5.e106566.24","unstructured":"NICE . Severe mental illness | Information for the public | Antenatal and postnatal mental health: clinical management and service guidance | Guidance, 2014. Available: https:\/\/www.nice.org.uk\/guidance\/cg192\/ifp\/chapter\/severe-mental-illness"},{"key":"2026052909050726000_16.5.e106566.25","doi-asserted-by":"crossref","unstructured":"Page MJ , McKenzie JE , Bossuyt PM , et al . The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;n71. doi:10.1136\/bmj.n71","DOI":"10.1136\/bmj.n71"},{"key":"2026052909050726000_16.5.e106566.26","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1016\/j.aprim.2018.06.009","article-title":"Association between affective disorders presenting before and during pregnancy and pre-term birth, considering socio-demographic factors, obstetric factors, health conditions, and use of medication","volume":"51","author":"Aliaga","year":"2019","journal-title":"Aten Primaria"},{"key":"2026052909050726000_16.5.e106566.27","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1002\/eat.23251","article-title":"Pregnancy outcomes in women with anorexia nervosa","volume":"53","author":"Ante","year":"2020","journal-title":"Intl J Eating Disorders"},{"key":"2026052909050726000_16.5.e106566.28","doi-asserted-by":"crossref","first-page":"2769","DOI":"10.1007\/s00431-024-05525-3","article-title":"Maternal antenatal mental health and its associations with perinatal outcomes and the use of healthcare services in children from the NINFEA birth cohort study","volume":"183","author":"Bua","year":"2024","journal-title":"Eur J Pediatr"},{"key":"2026052909050726000_16.5.e106566.29","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1002\/eat.20578","article-title":"Birth outcomes in women with eating disorders in the Norwegian Mother and Child cohort study (MoBa)","volume":"42","author":"Bulik","year":"2009","journal-title":"Intl J Eating Disorders"},{"key":"2026052909050726000_16.5.e106566.30","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1111\/1471-0528.18028","article-title":"Adverse Neonatal Outcomes Among Children Born to Mothers Eating Disorders: A Register-Based Cohort Study","volume":"132","author":"Chatwin","year":"2025","journal-title":"BJOG"},{"key":"2026052909050726000_16.5.e106566.31","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0627-8"},{"key":"2026052909050726000_16.5.e106566.32","doi-asserted-by":"crossref","first-page":"309","DOI":"10.3389\/fped.2019.00309","article-title":"Neonatal Outcomes in Maternal Depression in Relation to Intrauterine Drug Exposure","volume":"7","author":"Corti","year":"2019","journal-title":"Front Pediatr"},{"key":"2026052909050726000_16.5.e106566.33","article-title":"Association between maternal mental health-related hospitalisation in the 5 years prior to or during pregnancy and adverse birth outcomes: a population-based retrospective cohort data linkage study in the Northern Territory of Australia","volume":"46","author":"Dadi","year":"2024","journal-title":"Lancet Reg Health West Pac"},{"key":"2026052909050726000_16.5.e106566.34","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291712000414"},{"key":"2026052909050726000_16.5.e106566.35","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2009.05.004"},{"key":"2026052909050726000_16.5.e106566.36","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.159.1.58"},{"key":"2026052909050726000_16.5.e106566.37","doi-asserted-by":"publisher","DOI":"10.1007\/s00213-013-3029-5"},{"key":"2026052909050726000_16.5.e106566.38","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1176\/appi.ps.201700097","article-title":"Relationship Between Pregnancy Complications and Psychiatric Disorders: A Population-Based Study With a Matched Control Group","volume":"69","author":"Kang-Yi","year":"2018","journal-title":"PS"},{"key":"2026052909050726000_16.5.e106566.39","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000148265.90984.c3"},{"key":"2026052909050726000_16.5.e106566.40","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1016\/S2215-0366(23)00200-6","article-title":"Obstetric and neonatal outcomes in pregnant women with and without a history of specialist mental health care: a national population-based cohort study using linked routinely collected data in England","volume":"10","author":"Langham","year":"2023","journal-title":"Lancet Psychiatry"},{"key":"2026052909050726000_16.5.e106566.41","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1097\/NNR.0000000000000117","article-title":"Duration of Maternal Stress and Depression: Predictors of Newborn Admission to Neonatal Intensive Care Unit and Postpartum Depression","volume":"64","author":"Latendresse","year":"2015","journal-title":"Nurs Res"},{"key":"2026052909050726000_16.5.e106566.42","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1001\/jamapsychiatry.2019.3664","article-title":"Association of Maternal Eating Disorders With Pregnancy and Neonatal Outcomes","volume":"77","author":"Mantel","year":"2020","journal-title":"JAMA Psychiatry"},{"key":"2026052909050726000_16.5.e106566.43","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1016\/j.ajog.2014.10.020","article-title":"Perinatal outcomes among women with bipolar disorder: a population-based cohort study","volume":"212","author":"Mei-Dan","year":"2015","journal-title":"Am J Obstet Gynecol"},{"key":"2026052909050726000_16.5.e106566.44","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.1111\/1471-0528.13825","article-title":"Size at birth and preterm birth in women with lifetime eating disorders: a prospective population-based study","volume":"123","author":"Micali","year":"2016","journal-title":"BJOG"},{"key":"2026052909050726000_16.5.e106566.45","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1192\/bjp.2024.164","article-title":"Maternal mental disorders and neonatal outcomes: Danish population-based cohort study","volume":"226","author":"Momen","year":"2025","journal-title":"Br J Psychiatry"},{"key":"2026052909050726000_16.5.e106566.46","doi-asserted-by":"crossref","DOI":"10.1186\/s12884-019-2572-4","article-title":"Prevalence of self-reported mental disorders in pregnancy and associations with adverse neonatal outcomes: a population-based cross-sectional study","volume":"19","author":"Mongan","year":"2019","journal-title":"BMC Pregnancy Childbirth"},{"key":"2026052909050726000_16.5.e106566.47","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2009.09.009"},{"key":"2026052909050726000_16.5.e106566.48","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2014-004883","article-title":"Risk factors for and perinatal outcomes of major depression during pregnancy: a population-based analysis during 2002-2010 in Finland","volume":"4","author":"R\u00e4is\u00e4nen","year":"2014","journal-title":"BMJ Open"},{"key":"2026052909050726000_16.5.e106566.49","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000542"},{"key":"2026052909050726000_16.5.e106566.50","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(03)00900-1"},{"key":"2026052909050726000_16.5.e106566.51","doi-asserted-by":"crossref","first-page":"100564","DOI":"10.1016\/j.eclinm.2020.100564","article-title":"Parental mental health before and during pregnancy and offspring birth outcomes: A 20-year preconception cohort of maternal and paternal exposure","volume":"27","author":"Spry","year":"2020","journal-title":"eClinicalMedicine"},{"key":"2026052909050726000_16.5.e106566.52","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1007\/s00127-019-01814-7","article-title":"Maternal schizophrenia and adverse birth outcomes: what mediates the risk?","volume":"55","author":"Vigod","year":"2020","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"key":"2026052909050726000_16.5.e106566.53","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12567"},{"key":"2026052909050726000_16.5.e106566.54","doi-asserted-by":"crossref","first-page":"1332","DOI":"10.1001\/jamainternmed.2021.4571","article-title":"Association Between Prenatal Exposure to Antipsychotics and Attention-Deficit\/Hyperactivity Disorder, Autism Spectrum Disorder, Preterm Birth, and Small for Gestational Age","volume":"181","author":"Wang","year":"2021","journal-title":"JAMA Intern Med"},{"key":"2026052909050726000_16.5.e106566.55","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1037\/abn0000241","article-title":"Maternal eating disorders and perinatal outcomes: A three-generation study in the Norwegian Mother and Child Cohort Study","volume":"126","author":"Watson","year":"2017","journal-title":"J Abnorm Psychol"},{"key":"2026052909050726000_16.5.e106566.56","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-011-0916-4"},{"key":"2026052909050726000_16.5.e106566.57","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.ejogrb.2020.11.062","article-title":"The impact of major depressive disorder and antidepressant medication before and during pregnancy on obstetric and neonatal outcomes: A nationwide population-based study","volume":"257","author":"Wolgast","year":"2021","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2026052909050726000_16.5.e106566.58","doi-asserted-by":"crossref","first-page":"863","DOI":"10.3109\/14767058.2015.1023708","article-title":"Is antenatal depression associated with adverse obstetric and perinatal outcomes?","volume":"29","author":"Yedid Sion","year":"2016","journal-title":"J Matern Fetal Neonatal Med"},{"key":"2026052909050726000_16.5.e106566.59","doi-asserted-by":"crossref","first-page":"189","DOI":"10.3109\/0167482X.2011.626940","article-title":"Prior psychiatric inpatient care and risk of cesarean sections: a registry study","volume":"32","author":"Wangel","year":"2011","journal-title":"J Psychosom Obstet Gynecol"},{"key":"2026052909050726000_16.5.e106566.60","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12714"},{"key":"2026052909050726000_16.5.e106566.61","doi-asserted-by":"crossref","first-page":"019","DOI":"10.1055\/s-0029-1225529","article-title":"Pregnancy Outcome of Patients with Schizophrenia","volume":"27","author":"Hizkiyahu","year":"2010","journal-title":"Amer J Perinatol"},{"key":"2026052909050726000_16.5.e106566.62","article-title":"Untreated Depression During Pregnancy and Its Effect on Pregnancy Outcomes: A Systematic Review","volume":"13","author":"Jahan","year":"2017","journal-title":"Cureus"},{"key":"2026052909050726000_16.5.e106566.63","doi-asserted-by":"crossref","first-page":"1800","DOI":"10.1016\/S0140-6736(14)61277-0","article-title":"Effects of perinatal mental disorders on the fetus and child","volume":"384","author":"Stein","year":"2014","journal-title":"The Lancet"},{"key":"2026052909050726000_16.5.e106566.64","doi-asserted-by":"crossref","first-page":"75","DOI":"10.24018\/ejmed.2022.4.3.1346","article-title":"High Maternal Cortisol Serum Levels as A Risk Factor for Preterm Labor","volume":"4","author":"Agung Suwardewa","year":"2022","journal-title":"EJMED"},{"key":"2026052909050726000_16.5.e106566.65","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.e7085","article-title":"Risks of adverse pregnancy and birth outcomes in women treated or not treated with mood stabilisers for bipolar disorder: population based cohort study","volume":"345","author":"Bod\u00e9n","year":"2012","journal-title":"BMJ"},{"key":"2026052909050726000_16.5.e106566.66","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.eurpsy.2017.11.011","article-title":"Psychiatric disorders and compliance with prenatal care: A 10-year retrospective cohort compared to controls","volume":"49","author":"Ben-Sheetrit","year":"2018","journal-title":"Eur psychiatr"},{"key":"2026052909050726000_16.5.e106566.67","first-page":"1212","article-title":"Perinatal Maternal Mental Health","volume":"3","author":"Lewis","year":"2015","journal-title":"Fetal Programming and Child Development Healthcare"},{"key":"2026052909050726000_16.5.e106566.68","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1007\/s10995-022-03400-x","article-title":"Mothers and Their Children: An Exploration of the Relationship Between Maternal Mental Health and Child Well-Being","volume":"26","author":"Coles","year":"2022","journal-title":"Matern Child Health J"},{"key":"2026052909050726000_16.5.e106566.69","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-7358(98)00100-7"},{"key":"2026052909050726000_16.5.e106566.70","doi-asserted-by":"publisher","DOI":"10.1002\/IMHJ.21812"},{"key":"2026052909050726000_16.5.e106566.71","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1016\/S0140-6736(14)62248-0","article-title":"Prediction of perinatal depression from adolescence and before conception (VIHCS): 20-year prospective cohort study","volume":"386","author":"Patton","year":"2015","journal-title":"The Lancet"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2025-106566","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T16:05:17Z","timestamp":1780070717000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2025-106566"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":71,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,5,29]]},"published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1136\/bmjopen-2025-106566"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2025-106566","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]}}}