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Psychiatric disorders in obstetrics
L I Hatherley1, J E Breheny, F S Robinson
1Mercy Maternity Hospital, Melbourne, Vic.
The incidence of serious psychiatric illness in 27,376 patients during pregnancy and the puerperium was one in 138 (0.7%). The puerperal-onset group comprised 64 of the 198 cases (32%) and, of these, 22% required admission to a psychiatric institution. Moreover, this group of patients had a recurrence rate of 45% in subsequent pregnancies. Clinical, ethnic and socioeconomic factors were analysed and compared with the same factors in a control group to seek significant associations that might indicate impending psychiatric disorders in obstetric patients.
The incidence of serious psychiatric illness in 27,376 patients during pregnancy and the puerperium was one in 138 (0.7%). The puerperal-onset group comprised 64 of the 198 cases (32%) and, of these, 22% required admission to a psychiatric institution. Moreover, this group of patients had a recurrence rate of 45% in subsequent pregnancies. Clinical, ethnic and socioeconomic factors were analysed and compared with the same factors in a control group to seek significant associations that might indicate impending psychiatric disorders in obstetric patients.