Women with mental illness seeking conception counselling at a specialist perinatal psychiatry service in India

被引：3

作者：

Nanjundaswamy, Madhuri H. ^{[1
]}

Manche, Shayanth ^{[2
]}

Ganjekar, Sundarnag ^{[1
]}

Thippeswamy, Harish ^{[1
]}

Desai, Geetha ^{[1
]}

Chandra, Prabha S. ^{[1
]}

机构：

[1] Natl Inst Mental Hlth & Neuro Sci NIMHANS, Dept Psychiat, Bengaluru 560029, India

[2] NorthWestern Mental Hlth, Coburg, Vic, Australia

来源：

ASIAN JOURNAL OF PSYCHIATRY | 2022年 / 78卷

关键词：

Conception; Preconception counselling; Unplanned exposure; Psychotropics; Perinatal; Unplanned pregnancy; UNINTENDED PREGNANCY; PRECONCEPTION CARE; HEALTH; CONTRACEPTION; CHILD;

D O I：

10.1016/j.ajp.2022.103313

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Aims: To study the clinical and sociodemographic profile of women with mental illness seeking conception counselling at perinatal psychiatry service. To compare women seeking preconception counselling (PCC) to that of those who sought help after unplanned pregnancy with exposure (UPE) to psychotropics.Material and methods: Data was extracted from the clinical records of women between the year 2014-2017 who attended perinatal outpatient services. The details collected included sociodemographic details, illness details, contraception, infertility treatment and detailed treatment history.Results: Of the 766 women who consulted perinatal psychiatry services (2014-17), 179 (23.37%) had consulted for conception counselling. Out of that 104 (58.1%) sought PCC, and 75 (41.9%) had UPE to psychotropics. PCC was sought by women with higher education, those having a severe mental illness, and a longer duration of illness. Women with medical comorbidities and receiving infertility treatment also sought PCC. Also, women who had earlier undergone PCC been more likely to seek PCC for further pregnancies. Conclusions: Women with mental illness should be counselled regarding planned pregnancies, contraception, and the impact of psychotropics on pregnancy and foetus. Also, liaison with other specialities like obstetricians, sonologist and paediatricians is essential.

引用

页数：4

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