Unplanned pregnancy risk ‘high’ with schizophrenia and bipolar disorder

Australian research underlines the need for special reproductive care for women with severe mental illness

Women with schizophrenia are at particularly high risk of unplanned pregnancy, an Australian study suggests.

Led by GP Dr Jacqueline Frayne, from the department of general practice at the University of WA, the researchers found that, among a small cohort of women with severe mental illness, 42% conceived unintentionally, including 56% of those with schizophrenia.

Researchers surveyed 38 women with primary diagnoses of schizophrenia, schizoaffective disorder and bipolar disorder who were recruited from an antenatal clinic over a year.

“Despite these rates of unintended pregnancy and a heightened psychiatric risk profile, almost one half of women were discharged from hospital postnatally with no planned contraception even though postnatal contraception is routinely discussed [at the hospital],” they wrote.