Association Between Mental Illness and Risk of Severe Maternal Morbidity in Pregnant Veterans.

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Title: Association Between Mental Illness and Risk of Severe Maternal Morbidity in Pregnant Veterans.
Authors: Panelli DM; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, the Computational Brain Research and Intervention (C-BRAIN) Lab, Department of Psychiatry and Behavioral Sciences, the Department of Psychiatry and Behavioral Sciences, the Division of Primary Care and Population Health, the Division of Neonatology, Department of Pediatrics, and the Department of Health Policy, Stanford University School of Medicine, Stanford, the VA Health Economics Resource Center (HERC), U.S. Department of Veterans Affairs, the National Center for PTSD, Dissemination and Training Division, and the VA HSR Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, and the University of California, Berkeley, Berkeley, California.; Corresponding author: Danielle M. Panelli, MD, MS, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Palo Alto, CA; dpanelli@stanford.edu ., Esmaeili A; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, the Computational Brain Research and Intervention (C-BRAIN) Lab, Department of Psychiatry and Behavioral Sciences, the Department of Psychiatry and Behavioral Sciences, the Division of Primary Care and Population Health, the Division of Neonatology, Department of Pediatrics, and the Department of Health Policy, Stanford University School of Medicine, Stanford, the VA Health Economics Resource Center (HERC), U.S. Department of Veterans Affairs, the National Center for PTSD, Dissemination and Training Division, and the VA HSR Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, and the University of California, Berkeley, Berkeley, California.; Corresponding author: Danielle M. Panelli, MD, MS, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Palo Alto, CA; dpanelli@stanford.edu ., Joyce VR; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, the Computational Brain Research and Intervention (C-BRAIN) Lab, Department of Psychiatry and Behavioral Sciences, the Department of Psychiatry and Behavioral Sciences, the Division of Primary Care and Population Health, the Division of Neonatology, Department of Pediatrics, and the Department of Health Policy, Stanford University School of Medicine, Stanford, the VA Health Economics Resource Center (HERC), U.S. Department of Veterans Affairs, the National Center for PTSD, Dissemination and Training Division, and the VA HSR Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, and the University of California, Berkeley, Berkeley, California.; Corresponding author: Danielle M. Panelli, MD, MS, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Palo Alto, CA; dpanelli@stanford.edu ., Chan CS; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, the Computational Brain Research and Intervention (C-BRAIN) Lab, Department of Psychiatry and Behavioral Sciences, the Department of Psychiatry and Behavioral Sciences, the Division of Primary Care and Population Health, the Division of Neonatology, Department of Pediatrics, and the Department of Health Policy, Stanford University School of Medicine, Stanford, the VA Health Economics Resource Center (HERC), U.S. Department of Veterans Affairs, the National Center for PTSD, Dissemination and Training Division, and the VA HSR Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, and the University of California, Berkeley, Berkeley, California.; Corresponding author: Danielle M. Panelli, MD, MS, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Palo Alto, CA; dpanelli@stanford.edu ., Gujral K; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, the Computational Brain Research and Intervention (C-BRAIN) Lab, Department of Psychiatry and Behavioral Sciences, the Department of Psychiatry and Behavioral Sciences, the Division of Primary Care and Population Health, the Division of Neonatology, Department of Pediatrics, and the Department of Health Policy, Stanford University School of Medicine, Stanford, the VA Health Economics Resource Center (HERC), U.S. Department of Veterans Affairs, the National Center for PTSD, Dissemination and Training Division, and the VA HSR Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, and the University of California, Berkeley, Berkeley, California.; Corresponding author: Danielle M. Panelli, MD, MS, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Palo Alto, CA; dpanelli@stanford.edu ., Schmitt SK; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, the Computational Brain Research and Intervention (C-BRAIN) Lab, Department of Psychiatry and Behavioral Sciences, the Department of Psychiatry and Behavioral Sciences, the Division of Primary Care and Population Health, the Division of Neonatology, Department of Pediatrics, and the Department of Health Policy, Stanford University School of Medicine, Stanford, the VA Health Economics Resource Center (HERC), U.S. Department of Veterans Affairs, the National Center for PTSD, Dissemination and Training Division, and the VA HSR Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, and the University of California, Berkeley, Berkeley, California.; Corresponding author: Danielle M. Panelli, MD, MS, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Palo Alto, CA; dpanelli@stanford.edu ., Murphy NF; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, the Computational Brain Research and Intervention (C-BRAIN) Lab, Department of Psychiatry and Behavioral Sciences, the Department of Psychiatry and Behavioral Sciences, the Division of Primary Care and Population Health, the Division of Neonatology, Department of Pediatrics, and the Department of Health Policy, Stanford University School of Medicine, Stanford, the VA Health Economics Resource Center (HERC), U.S. Department of Veterans Affairs, the National Center for PTSD, Dissemination and Training Division, and the VA HSR Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, and the University of California, Berkeley, Berkeley, California.; Corresponding author: Danielle M. Panelli, MD, MS, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Palo Alto, CA; dpanelli@stanford.edu ., Kimerling R; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, the Computational Brain Research and Intervention (C-BRAIN) Lab, Department of Psychiatry and Behavioral Sciences, the Department of Psychiatry and Behavioral Sciences, the Division of Primary Care and Population Health, the Division of Neonatology, Department of Pediatrics, and the Department of Health Policy, Stanford University School of Medicine, Stanford, the VA Health Economics Resource Center (HERC), U.S. Department of Veterans Affairs, the National Center for PTSD, Dissemination and Training Division, and the VA HSR Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, and the University of California, Berkeley, Berkeley, California.; Corresponding author: Danielle M. Panelli, MD, MS, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Palo Alto, CA; dpanelli@stanford.edu ., Lockett M; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, the Computational Brain Research and Intervention (C-BRAIN) Lab, Department of Psychiatry and Behavioral Sciences, the Department of Psychiatry and Behavioral Sciences, the Division of Primary Care and Population Health, the Division of Neonatology, Department of Pediatrics, and the Department of Health Policy, Stanford University School of Medicine, Stanford, the VA Health Economics Resource Center (HERC), U.S. Department of Veterans Affairs, the National Center for PTSD, Dissemination and Training Division, and the VA HSR Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, and the University of California, Berkeley, Berkeley, California.; Corresponding author: Danielle M. Panelli, MD, MS, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Palo Alto, CA; dpanelli@stanford.edu ., Leonard SA; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, the Computational Brain Research and Intervention (C-BRAIN) Lab, Department of Psychiatry and Behavioral Sciences, the Department of Psychiatry and Behavioral Sciences, the Division of Primary Care and Population Health, the Division of Neonatology, Department of Pediatrics, and the Department of Health Policy, Stanford University School of Medicine, Stanford, the VA Health Economics Resource Center (HERC), U.S. Department of Veterans Affairs, the National Center for PTSD, Dissemination and Training Division, and the VA HSR Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, and the University of California, Berkeley, Berkeley, California.; Corresponding author: Danielle M. Panelli, MD, MS, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Palo Alto, CA; dpanelli@stanford.edu ., Main EK; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, the Computational Brain Research and Intervention (C-BRAIN) Lab, Department of Psychiatry and Behavioral Sciences, the Department of Psychiatry and Behavioral Sciences, the Division of Primary Care and Population Health, the Division of Neonatology, Department of Pediatrics, and the Department of Health Policy, Stanford University School of Medicine, Stanford, the VA Health Economics Resource Center (HERC), U.S. Department of Veterans Affairs, the National Center for PTSD, Dissemination and Training Division, and the VA HSR Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, and the University of California, Berkeley, Berkeley, California.; Corresponding author: Danielle M. Panelli, MD, MS, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Palo Alto, CA; dpanelli@stanford.edu ., Shaw JG; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, the Computational Brain Research and Intervention (C-BRAIN) Lab, Department of Psychiatry and Behavioral Sciences, the Department of Psychiatry and Behavioral Sciences, the Division of Primary Care and Population Health, the Division of Neonatology, Department of Pediatrics, and the Department of Health Policy, Stanford University School of Medicine, Stanford, the VA Health Economics Resource Center (HERC), U.S. Department of Veterans Affairs, the National Center for PTSD, Dissemination and Training Division, and the VA HSR Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, and the University of California, Berkeley, Berkeley, California.; Corresponding author: Danielle M. Panelli, MD, MS, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Palo Alto, CA; dpanelli@stanford.edu ., Phibbs CS; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, the Computational Brain Research and Intervention (C-BRAIN) Lab, Department of Psychiatry and Behavioral Sciences, the Department of Psychiatry and Behavioral Sciences, the Division of Primary Care and Population Health, the Division of Neonatology, Department of Pediatrics, and the Department of Health Policy, Stanford University School of Medicine, Stanford, the VA Health Economics Resource Center (HERC), U.S. Department of Veterans Affairs, the National Center for PTSD, Dissemination and Training Division, and the VA HSR Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, and the University of California, Berkeley, Berkeley, California.; Corresponding author: Danielle M. Panelli, MD, MS, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Palo Alto, CA; dpanelli@stanford.edu .
Source: Obstetrics and gynecology [Obstet Gynecol] 2026 Apr 01; Vol. 147 (4), pp. 528-539. Date of Electronic Publication: 2025 Oct 30.
Publication Type: Journal Article
Journal Info: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 0401101 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-233X (Electronic) Linking ISSN: 00297844 NLM ISO Abbreviation: Obstet Gynecol Subsets: MEDLINE
Database: MEDLINE Ultimate
Description
ISSN:1873-233X
DOI:10.1097/AOG.0000000000006107