Pregnancy intention in relation to maternal and neonatal outcomes in women with vs without psychiatric diagnoses 81 Conclusions Current/past psychiatric diagnoses are associated with a higher odd of UPs. In our sample, maternal and neonatal outcomes were comparable for women with and without UPs and these results were similar for women with and without current/past psychiatric diagnoses, except for GA at delivery. Although our study is limited by several factors, we found that women with current/past psychiatric diagnoses, irrespective of pregnancy planning status, do not have more adverse maternal or pregnancy outcomes. Increased efforts are needed to ensure that psychoeducation and conversations about pregnancy planning and UPs are available for women with current/past psychiatric diagnoses. Significant Outcomes • Current/past psychiatric diagnoses are associated with a higher odd of UPs and demand attention for pregnancy planning in psychiatric healthcare. • Clinical maternal and neonatal outcomes after UPs were comparable between women with and without current/past psychiatric diagnoses, except from a higher gestational age at delivery in women with current/past psychiatric diagnoses (mean difference 1.83 days, p = 0.006). Limitations • Pregnancy intention is notoriously difficult to assess and should be assessed prospectively with a validated instrument. Our retrospective study design did not allow prospective assessments, since we used reports by health care providers registered in health records. • We included women with any current/past psychiatric diagnosis, but did not adjust for severity of symptoms, timing, or current presence of the diagnosis. • As our study presents data from a birth cohort, women with abortions could not be included. The actual UP rates might thus be underestimated in the current study.
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