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Our objective was to compare perinatal outcomes between women with an ADHD diagnosis and those without.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A retrospective population-based cohort study utilizing the Healthcare Cost and Utilization Project, Nationwide Inpatient Sample (HCUP-NIS) United States database. The study included all women who either delivered or experienced maternal death from 2004 to 2014. Perinatal outcomes were compared between women with an ICD-9 diagnosis of ADHD and those without.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Overall, 9,096,788 women met the inclusion criteria. Amongst them, 10,031 women had a diagnosis of ADHD. Women with ADHD, compared to those without, were more likely to be younger than 25\u00a0years of age; white; to smoke tobacco during pregnancy; to use illicit drugs; and to suffer from chronic hypertension, thyroid disorders, and obesity (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001 for all). Women in the ADHD group, compared to those without, had a higher rate of hypertensive disorders of pregnancy (HDP) (aOR 1.36, 95% CI 1.28\u20131.45, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), cesarean delivery (aOR 1.19, 95% CI 1.13\u20131.25, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), chorioamnionitis (aOR 1.34, 95% CI 1.17\u20131.52, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), and maternal infection (aOR 1.33, 95% CI 1.19\u20131.5, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Regarding neonatal outcomes, patients with ADHD, compared to those without, had a higher rate of small-for-gestational-age neonate (SGA) (aOR 1.3, 95% CI 1.17\u20131.43, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), and congenital anomalies (aOR 2.77, 95% CI 2.36\u20133.26, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Women with a diagnosis of ADHD had a higher incidence of a myriad of maternal and neonatal complications, including cesarean delivery, HDP, and SGA neonates.\n<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12884-024-06561-5","type":"journal-article","created":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T10:02:12Z","timestamp":1715767332000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["The association between attention deficit hyperactivity disorder and pregnancy, delivery and neonatal outcomes\u2014an evaluation of a population database"],"prefix":"10.1186","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2890-2781","authenticated-orcid":false,"given":"Uri","family":"Amikam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Badeghiesh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haitham","family":"Baghlaf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Brown","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael H.","family":"Dahan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,5,15]]},"reference":[{"issue":"2","key":"6561_CR1","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1016\/S2215-0366(17)30167-0","volume":"5","author":"K Sayal","year":"2018","unstructured":"Sayal K, Prasad V, Daley D, Ford T, Coghill D. 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