[Pregnant and mentally incompetent].
Two women, aged 31 and 36 years, under treatment for schizophrenia and psychotic episodes, respectively, became pregnant and decided to discontinue their medication. Thereupon the psychiatric disorder recurred and they refused--i.e. they were unable--to consent to a proposed treatment or investigation regarding their pregnancies. The necessary consent had to be obtained from a legal guardian. This was the husband in the first, urgent case. In the second case approval from the judge was obtained for the patient to be admitted against her will to protect her life and that of the foetus. In the Netherlands obstetric intervention to protect the life of the mother or her unborn child is legally regulated by the Wet Bijzondere Opnemingen in Psychiatrische Ziekenhuizen (Act on Compulsory Admissions to Psychiatric Hospitals) and the Wet op de Geneeskundige Behandelingsovereenkomst (Act on Agreement Concerning Medical Treatment).
Kollen
M
M
Afd. Verloskunde en Gynaecologie, Ziekenhuis Rijnstate, Arnhem. marionkollen@hetnet.nl
Heida
A
A
Huisman
A
A
Müller
M E T M
ME
D000328:Adult; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence*; D005260:Female; D006801:Humans; D016743:Mental Competency / Q000331:legislation & jurisprudence*; D009426:Netherlands; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011618:Psychotic Disorders / Q000150:complications / Q000628:therapy*; D012559:Schizophrenia / Q000150:complications / Q000628:therapy*; D016312:Treatment Refusal / Q000331:legislation & jurisprudence