Psychiatric disorders in pregnant women admitted to the high-risk obstetric service in a Colombian university clinic between 2013 and 2017

• Published in: Revista colombiana de psiquiatría (Internet. English ed.) 2024-01, Vol.53 (1), p.17-25
• Main Authors: Constaín, Gustavo A., Ocampo Saldarriaga, María Victoria, Franco Vásquez, José Gabriel Franco, Naranjo, Luisa Fernanda, Restrepo Conde, Cristóbal, Estrada Muñoz, Daniel, Chaverra López, Laura, Buriticá González, Jerónimo Buriticá
• Format: Article
• Language: English
• Subjects: Adjustment Disorders - diagnosis; Adjustment Disorders - epidemiology; Adolescent; Adult; Anxiety Disorders - epidemiology; Atención perinatal; Colombia - epidemiology; Depressive Disorder, Major - diagnosis; Depressive Disorder, Major - epidemiology; Factores de riesgo; Female; Humans; Liaison psychiatry; Mental disorders; Mental Disorders - epidemiology; Obstetricia; Obstetrics; Perinatal care; Pregnancy; Pregnancy Complications - epidemiology; Pregnancy Complications - psychology; Pregnancy, High-Risk; Psiquiatría de enlace; Referral and Consultation - statistics & numerical data; Risk Factors; Trastornos mentales; Young Adult
• ISSN: 2530-3120; 2530-3120
• DOI: 10.1016/j.rcpeng.2024.04.002

To determine the psychiatric diagnoses and treatments of patients admitted to the high-risk obstetric service who underwent a consultation with a liaison psychiatrist. A descriptive observational study that included pregnant women from the high-risk obstetric service of a highly specialised clinic in Medellín, who had a liaison psychiatry consultation between 2013 and 2017. The main variables of interest were psychiatric and obstetric diagnoses and treatments, in addition to biopsychosocial risk factors. A total of 361 medical records were screened, with 248 patients meeting the inclusion criteria. The main prevailing psychiatric diagnosis was major depressive disorder (29%), followed by adaptive disorder (21.8%) and anxiety disorders (12.5%). The pharmacologic treatments most used by the psychiatry service were SSRI antidepressants (24.2%), trazodone (6.8%) and benzodiazepines (5.2%). The most common primary obstetric diagnosis was spontaneous delivery (46.4%), and the predominant secondary obstetric diagnoses were hypertensive disorder associated with pregnancy (10.4%), gestational diabetes (9.2%) and recurrent abortions (6.4%). Overall, 71.8% of the patients had a high biopsychosocial risk. The studied population's primary psychiatric disorders were major depressive disorder, adjustment disorder and anxiety disorders, which implies the importance of timely recognition of the symptoms of these perinatal mental pathologies, together with obstetric and social risks, in the prenatal consultation. Psychiatric intervention should be encouraged considering the negative implications of high biopsychosocial risk in both mothers and children. Determinar los diagnósticos psiquiátricos y describir características clínicas, el riesgo biopsicosocial y los tratamientos de las pacientes hospitalizadas en el servicio de alto riesgo obstétrico para las que se realizó una interconsulta con psiquiatría. Estudio observacional descriptivo en el que se incluyó a las pacientes del servicio de alto riesgo obstétrico de una institución de alta complejidad de Medellín para las que se interconsultó por psiquiatría de enlace entre 2013 y 2017. Las principales variables de interés fueron los diagnósticos y tratamientos tanto psiquiátricos como ginecoobstétricos, además de los factores de riesgo obstétricos y psicosociales. Se cribaron en total 361 historias clínicas, y 248 pacientes cumplían los criterios de inclusión. El diagnóstico psiquiátrico principal más prevalente fue trastor