Psychiatric consultations in obstetric inpatients
Abstract
OBJECTIVE: The purpose of this study was to investigate the psychiatric consultation condition in the obstetric ward with particular attention paid to the reasons for referral, psychiatric diagnoses and recommendations. METHODS: This study was conducted in a medical center with 73 obstetric beds. All psychiatric consultations of obstetric inpatients during a 3-year period were included in this study. Data were derived from clinical charts and consultation records that included demographic data, reasons for referral, psychiatric diagnoses and treatment recommendations. RESULTS: Within the 3-year period, 28 patients were referred for psychiatric consultation, or 0.3% of the 9,972 obstetric admissions. The obstetric group represented 0.7% of all the psychiatric consultations. The most common reason for the referral was anxiety. Many obstetric problems, medical histories and psychiatric histories were found in these 28 patients. The most common diagnoses were depression or dysthymia, and schizophrenia. The diagnosis of organic mental disorders was rarely found. The vast majority of the psychiatric consultants were likely to recommend medication and psychological intervention. CONCLUSION: Even though there is a low psychiatric consultation rate among the obstetric inpatients, it does not mean that the prevalence rate of mental disorders is low in the obstetric patients. Psychiatric problems may be neglected or happen after patients are discharged. Organic mental disorders were rarely found in the obstetric patients which suggested a different pattern of mental disorders in the obstetric patients compared to other patients. The stress during child delivery needs further study for it may exacerbate or predispose a mental disorder. It is suggested that collaboration between obstetric staff and the consultation-liaison psychiatrists may provide better care for pregnant women patients.
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Reported referral rates for psychiatric consultations in inpatient obstetric samples are only 0.1-0.3%.
“Yet, reported referral rates for psychiatric consultations in inpatient obstetric samples amounted to only 0.1–0.3% (33, 34).”
From Acceptance, experiences, and needs of hospitalized pregnant women toward an electronic mindfulness-based intervention: A pilot mixed-methods study (2022) · cites this paper as [33]
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- Authors
- Tsai, S., Lee, Y., Yang, C., & Sim, C.
- Affiliations
- Taipei Veterans General Hospital (TW)
- Corresponding author
- Tsai, Shih‐Jen
- ORCID
- Tsai, Shih‐Jen
- Venue
- Journal of obstetrics and gynaecology research
- Publisher
- Wiley
- Published
- 1996-12
- Volume
- 22
- Issue
- 6
- Pages
- 603-607
- ISSN
- 1341-8076 (ISSN-L)
- 1447-0756
- OpenAlex
- W2123250204
- Cited by
- 18
- References
- 10
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 1 · 2014: 1 · 2012: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of obstetrics and gynaecology research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- psychiatric consultation, obstetric inpatients, psychosomatic medicine, referral reasons, anxiety, depression, dysthymia, schizophrenia, organic mental disorders, treatment guidelines
- MeSH terms
- Affective Symptoms, Mental Disorders, Female, Hospitalization, Humans, Inpatients, Pregnancy, Pregnancy Complications, Psychiatric Department, Hospital, Referral and Consultation, Retrospective Studies, Taiwan, Incidence
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