Chronic mental illness and perinatal outcome.
A retrospective review of pregnant women admitted to a state psychiatric facility and to an acute university psychiatric unit compares various characteristics of the two populations. No major significant differences were noted in demographic, psychiatric, or obstetric characteristics. It was hypothesized that the patients from the state facility would have a better perinatal outcome secondary to an opportunity for closer prenatal follow-up. No differences were noted in perinatal outcomes between the two facilities. Significantly poorer perinatal outcomes were noted in the combined group of psychiatric patients when compared were noted in the combined group of psychiatric patients when compared with the state of Oregon's birth-outcome statistics. The importance of prenatal care in this high-risk population is discussed, and specific recommendations are offered.
Miller
W H
WH
Department of Psychiatry, University of Kentucky School of Medicine, Lexington.
Bloom
J D
JD
Resnick
M P
MP
D000328:Adult; D002908:Chronic Disease; D005260:Female; D006760:Hospitalization; D006801:Humans; D007231:Infant, Newborn; D007236:Infant, Small for Gestational Age; D008134:Long-Term Care; D001523:Mental Disorders / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology; D007744:Obstetric Labor Complications / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology; D009922:Oregon; D010348:Patient Care Team; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology; D011256:Pregnancy Outcome / Q000523:psychology*; D011295:Prenatal Care; D011619:Psychotropic Drugs / Q000009:adverse effects / Q000627:therapeutic use; D012307:Risk Factors
D011619:Psychotropic Drugs