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Chronic mental illness and perinatal outcome
W H Miller1, J D Bloom, M P Resnick
1Department of Psychiatry, University of Kentucky School of Medicine, Lexington.
General Hospital Psychiatry
|May 11, 1992
Summary
Pregnant psychiatric patients in state facilities and university units showed similar outcomes. However, both groups had poorer perinatal outcomes compared to state statistics, highlighting the need for prenatal care.
Area of Science:
- Perinatal Health
- Psychiatric Care
- Maternal Health
Background:
- Pregnant women in psychiatric facilities represent a high-risk population.
- Understanding demographic, psychiatric, and obstetric characteristics is crucial for targeted interventions.
- Comparing outcomes between different psychiatric care settings can inform best practices.
Purpose of the Study:
- To compare demographic, psychiatric, and obstetric characteristics of pregnant women in state psychiatric facilities versus acute university psychiatric units.
- To evaluate perinatal outcomes in these two distinct psychiatric care settings.
- To assess the overall perinatal outcomes of psychiatric patients against state birth statistics.
Main Methods:
- Retrospective review of pregnant women admitted to a state psychiatric facility and a university psychiatric unit.
- Comparison of demographic, psychiatric, and obstetric data between the two groups.
- Analysis of perinatal outcomes and comparison with state birth-outcome statistics.
Main Results:
- No significant differences were found in demographic, psychiatric, or obstetric characteristics between the two patient populations.
- Perinatal outcomes did not differ significantly between the state facility and the university unit.
- Combined psychiatric patient groups exhibited significantly poorer perinatal outcomes than the general state population.
Conclusions:
- The study did not find differences in perinatal outcomes based on the type of psychiatric facility.
- Pregnant women with psychiatric conditions face higher risks for adverse perinatal outcomes.
- Enhanced prenatal care is essential for this high-risk population to improve birth outcomes.