[The obstetric prognosis and neonatal outcome of pregnant women with psychiatric disorders].
Obstetric prognosis and neonatal outcome of pregnant women with psychiatric disorders were retrospectively investigated. 1. Out of 1.472 deliveries at Saga Medical School from April 1983 to July 1988, there were fourteen cases (0.95%) involving psychiatric disorders-six of epilepsy, one of anxiety neurosis and seven of schizophrenias. 2. Total blood loss was relatively great in four epileptic patients. However, the general prognosis for each was good and the neonatal outcome was uneventful. 3. As for schizophrenic patients, six out of seven cases grew worse during the pregnancy and four in the postpartum period. Three cases underwent cesarean section due to their mental illness. 4. We made inquiries about the postpartum life of schizophrenic mothers and children, and received five answers (70.1%). It was found that schizophrenic mothers could not bring up the baby by themselves; they needed the help of their husbands and their own mothers. It is concluded that consistent management by both psychiatrist and obstetrician from the antepartum period to postpartum life are required for psychotic mothers and their children to obtain a favorable prognosis, and a follow-up system is desirable for the physical as well as the mental growth of the infants.
Shinmoto
M
M
Department of Obstetrics and Gynecology, Saga Medical School.
Kawarabayashi
T
T
Sugimori
H
H
Matsushima
M
M
Onaka
Y
Y
Yamada
K
K
D000328:Adult; D001008:Anxiety Disorders / Q000150:complications; D004827:Epilepsy / Q000150:complications; D005260:Female; D006801:Humans; D007224:Infant Care; D007231:Infant, Newborn; D008297:Male; D001523:Mental Disorders / Q000150:complications* / Q000523:psychology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000523:psychology; D011256:Pregnancy Outcome; D011379:Prognosis; D011644:Puerperal Disorders; D012189:Retrospective Studies; D012559:Schizophrenia / Q000150:complications