Japanese Journal of General Hospital Psychiatry
Online ISSN : 2186-4810
Print ISSN : 0915-5872
ISSN-L : 0915-5872
Original Article
Pregnant Women who have Mental Disorders and their Child Caring Environment in the National Center for Global Health and Medicine: Consultation liaison psychiatry in the Department of Psychiatry
Ayako KanieMasataka YoshikawaKyohei OtaniYukako SekiKoubun ImaiJun Kakogawa
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JOURNAL FREE ACCESS

2011 Volume 23 Issue 2 Pages 167-171

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Abstract
We aim to identify the characteristics and problems of antenatal patients with psychiatric disorders and attempt to identify psychiatric support needed in departments of psychiatry and obstetrics and gynecologist (OBGY). Thirty two antenatal patients with psychiatric disorders out of 1688 women gave birth in the hospital. Information including, maternal age, the time of initial contact with the OBGY, psychiatric diagnosis, presence of breast feeding, the presence of one’s child during hospitalization and pediatric diagnosis and the child rearing environment were obtained from the participants. As a result, 32 (1.9%) antenatal patients possessed symptoms of psychiatric disorders. The average maternal age was 30.1±5.5 years old. The initial contact with the OBGY was 23.3±9.2 weeks into their pregnancy. The breakdown of the psychiatric disorder was F1 (1 woman), F2 (6), F3 (10), F4 (1) and F6 (4) according to the ICD-10. Fifteen children required hospitalization. Nine children were bottlefed mostly in order to keep mothers medication. After discharge, 2 children were placed into child living support facilities, and 8 children and mothers went to maternal and child living support facilities. Many mothers of children placed in facilities were young, unmarried, and delayed contact with the OBGY. Our conclusion is that 1.9% of the antenatal patients who possessed psychiatric disorders in our hospital were possibly under diagnosed compared to those of previous reports. The children placed in these facilities were likely to have limited support.
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© 2011 Japanese Society of General Hospital Psychiatry
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