%0 Journal Article
%T The Role of Consulting Psychiatrists for Obstetric and Gynecologic Inpatients
%A Huang-Li Lin
%A Hung-Hsueh Chou
%A Chia-Yih Liu
%A Shi-Chieh Hsu
%J Chang Gung Medical Journal
%D 2011
%I 
%X Background: The purpose of this study was to investigate the consultation psychiatry serviceto 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 ofobstetric and gynecological patients referred for psychiatric consultationfrom Dec. 2003 to Nov. 2009 was performed.Results: One hundred and eleven patients were referred during the 6-year period, apsychiatric referral rate of 0.11% among 99,098 obstetric and gynecologicadmissions. Obstetric and gynecologic consultations comprised 0.64% of allpsychiatric consultations. The most common reasons for referral weredepression (52.25%), past psychiatric history (31.53%), insomnia (29.73%)and confusion (24.32%). The most common DSM-IV psychiatric diagnoseswere depressive disorder (37.84%), schizophrenia and other psychoses(20.72%), delirium (17.12%) and adjustment disorder (10.81%). The mostfrequent physical diagnoses of referred patients were neoplasms (72.97%),infectious diseases (42.34%) and complications of pregnancy and puerperium(17.12%). Recommendations included pharmacological intervention(89.19%) and psychological management (72.07%).Conclusion: The psychiatric referral rate of obstetric and gynecological inpatients wasrelatively low compared with that of other departments. More collaborationand liaison between gynecologists and consultation psychiatrists may providebetter care for obstetric and gynecological inpatients.
%K consultation psychiatry
%K Obstetrics and Gynecology Department
%U http://memo.cgu.edu.tw/cgmj/3401/340106.pdf