Consultation-liaison psychiatry in an obstetric service.
The aim of this paper is to provide an overview of the work of a consultation-liaison (C-L) psychiatry service to an obstetric inpatient unit in a university affiliated teaching hospital, with the aid of a comprehensive clinical database.
The MICRO-CARES clinical database system was used for prospective recording of data on all obstetric inpatients referred to the C-L psychiatry service and the hospital clinical database was used to compare referred inpatients with all obstetric inpatients.
Ninety patients were referred in 3 years, a referral rate of 1.2% of obstetric admissions.
There was no bias in referral on age, but there were significantly more unmarried patients in the referred group (p<0.001).
Referred patients had a significantly prolonged length of stay : a mean of 9 days for referred patients, with 6 days for all obstetric patients (p<0.001).
The most frequent reasons for referral were : coping problems, depression, anxiety/fear and past history of major psychiatric illness.
The most common DSM-III-R psychiatric diagnoses were :
Personality Disorders (19%),
Mood Disorders (17%),
Schizophrenic Disorders (15%) and Adjustment Disorders (13%). At least one confirmed diagnosis was made in 77% of patients, but 42% of diagnoses remained differential.
There were significantly more patients with diseases of the nervous system, endocrine and circulatory disorders in the referred group (p<0.001). (...)
Mots-clés Pascal : Service hospitalier, Obstétrique, Psychiatrie liaison, Centre hospitalier universitaire, Australie, Océanie, Homme, Filière soin
Mots-clés Pascal anglais : Hospital ward, Obstetrics, Liaison psychiatry, Teaching hospital, Australia, Oceania, Human
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0323472
Code Inist : 002B18H05B. Création : 10/04/1997.