Poster Session 4
Justin S. Brandt, MD (he/him/his)
Associate Professor, Division Director, Fellowship Program Director
NYU Langone Health
New York, New York, United States
Rebecca J. Baer, MS
Research Analyst
University of California San Francisco School of Medicine
San Francisco, California, United States
Scott P. Oltman, MS
Epidemiologist
University of California San Francisco School of Medicine
San Francisco, California, United States
Diana S. Abbas, MD
Ob/Gyn Resident
NYU Grossman School of Medicine
New York, New York, United States
Marra Ackerman, MD
NYU Langone Health
New York, New York, United States
Allison Deutch, MD
NYU Langone Health
New York, New York, United States
Dana R. Gossett, MD, MSCI
Professor and Chair, Department of Obstetrics and Gynecology
NYU Langone Health
New York, New York, United States
Laura L. Jelliffe-Pawlowski, PhD
Epidemiology and Biostatistics Professor
NYU Langone Health
New York, New York, United States
To understand the impact of pregnancy on depression and other psychiatric illnesses for transgender and gender diverse people, we evaluated the risk of hospitalization for psychiatric diagnoses among non-mother birthing people in the year before and after delivery hospitalizations.
Study Design:
We performed a cross-sectional study of singleton live births in California (2019-2021). Birth certificates were linked to hospital discharge records for birthing people for the year before and after delivery hospitalizations. Birthing parent identity was based on birth certificates, in which birthing people self-identify as mother, father, or parent. The primary outcome was hospital admission with psychiatric diagnoses, as determined by ICD-10 codes. Risk of hospitalization with psychiatric diagnoses was calculated for non-mother versus mother birthing people in the year before or after delivery hospitalization using Poisson regression models.
Results:
There were 1,298,307 singleton live births in California from 2019-2021, including 1,065,714 hospital records linked with birthing person identities. 898 (0.08%) people had non-mother birthing identities (n=515 fathers, n=383 parents), of whom 143 (15.9%) had psychiatric diagnoses compared to 127,545 (12.0%) birthing mothers. In the year prior to delivery hospitalization, 41 (4.6%) non-mother birthing people were hospitalized with psychiatric diagnoses compared to 30 (3.3%) non-mother birthing people in the year postpartum. Compared to mother birthing people, non-mother birthing people were at increased risk for these hospitalizations in the year before (RR 1.22, 95% CI 0.90, 1.66) and after (RR 1.52, 95% CI 1.06, 2.17) delivery hospitalizations. Characterization of medical engagement is described in the Table.
Conclusion:
In this study, non-mother birthing people were at increased risk for hospitalization with psychiatric diagnoses in the year after delivery hospitalizations, but the absolute number of postpartum hospitalizations with psychiatric diagnoses was lower. Further study is needed to understand the impact of pregnancy on this risk.
