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Psychiatric consultations in obstetric inpatients
1Department of Psychiatry, Veterans General Hospital-Taipei, Taiwan, ROC.
The Journal of Obstetrics and Gynaecology Research
|December 1, 1996
Summary
Psychiatric consultations in obstetric wards are infrequent, but mental health issues may be underdiagnosed. Collaboration between obstetric and psychiatric teams can improve care for pregnant patients.
Area of Science:
- Psychiatry
- Obstetrics
- Consultation-Liaison Psychiatry
Background:
- Mental health conditions are common in pregnant individuals.
- Psychiatric consultations in obstetric settings are crucial for comprehensive patient care.
Purpose of the Study:
- To investigate psychiatric consultations in an obstetric ward.
- To identify reasons for referral, psychiatric diagnoses, and treatment recommendations.
Main Methods:
- Retrospective chart review of obstetric inpatients over 3 years.
- Inclusion of all psychiatric consultations for obstetric admissions.
- Data collection on demographics, referral reasons, diagnoses, and recommendations.
Main Results:
- A low consultation rate (0.3%) was observed among obstetric admissions.
- Anxiety was the most frequent referral reason.
- Depression/dysthymia and schizophrenia were common diagnoses; organic mental disorders were rare.
Conclusions:
- Low consultation rates do not reflect low mental disorder prevalence in obstetric patients.
- Obstetric patients may present with a different pattern of mental disorders.
- Enhanced collaboration between obstetric and psychiatric teams is recommended for improved maternal mental healthcare.