TAILIEUCHUNG - The Role of Consulting Psychiatrists for Obstetric and Gynecologic Inpatients

Information on long-term health consequences of unsafe abortion is scarce. The WHO estimates that about 20–30% of unsafe abortions result in reproductive tract infections and that about 20–40% of these result in upper-genital-tract infection and infertility. An estimated 2% of women of reproductive age are infertile as a result of unsafe abortion, and 5% have chronic infections. 6 Unsafe abortion could also increase the long-term risk of ectopic pregnancy, premature delivery, and spontaneous abortion in subsequent pregnancies. Little is known about women who have complications but who do not seek medical care. Clinicians estimate that the proportion of such women was. | Original Article 57 The Role of Consulting Psychiatrists for Obstetric and Gynecologic Inpatients Huang-Li Lin1 MD Hung-Hsueh Chou2 MD Chia-Yih Liu1 3 4 MD Shi-Chieh Hsu1 MD Mei-Chun Hsiao1 3 MD Yeong-Yuh Juang1 MD Background The purpose of this study was to investigate the consultation psychiatry service to the Obstetrics and Gynecology Department in a general hospital focusing on referral patterns and consultation recommendations. Method A retrospective review of the medical charts and consultation records of obstetric and gynecological patients referred for psychiatric consultation from Dec. 2003 to Nov. 2009 was performed. Results One hundred and eleven patients were referred during the 6-year period a psychiatric referral rate of among 99 098 obstetric and gynecologic admissions. Obstetric and gynecologic consultations comprised of all psychiatric consultations. The most common reasons for referral were depression past psychiatric history insomnia and confusion . The most common DSM-IV psychiatric diagnoses were depressive disorder schizophrenia and other psychoses delirium and adjustment disorder . The most frequent physical diagnoses of referred patients were neoplasms infectious diseases and complications of pregnancy and puerperi-um . Recommendations included pharmacological intervention and psychological management . Conclusion The psychiatric referral rate of obstetric and gynecological inpatients was relatively low compared with that of other departments. More collaboration and liaison between gynecologists and consultation psychiatrists may provide better care for obstetric and gynecological inpatients. Chang Gung Med J 2011 34 57-64 Key words consultation psychiatry Obstetrics and Gynecology Department Patients admitted to a general hospital with comor-bid psychiatric illness may not only suffer from functional impairment but also a poor quality of life. .

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