Analysis of consultations requested to psychiatrics in obstetrics and gynecology

Abstract

Objectives: Psychiatric problem is not rare in obstetric and gynecologic patients. Request consultation to psychiatric specialist is important to manage these problems. This study aims to assess the psychiatric disorder among obstetrics and gynecologic patients by analyzing psychiatric consultation requested from obstetricians and gynecologists. Methods: We conducted retrospective study of analyzing requested consultations to psychiatric specialist from obstetricians and gynecologists. The consultation requested from October 2004 to June 2010. The evaluation includes underlying diseases, reasons for requested, psychiatric diagnosis, treatment and patient follow up. Results: Total 674 consultations of 267 patients were evaluated. From obstetricians, 58 patients requested. The reason for request was peri-partum evaluation and medication modification about underlying psychiatric problem with 39.7%, followed by depressive mood (25.9%), Anxiety (12.1%). In gynecology, 209 patients requested. The reason for request consultation was peri-operative evaluation and medication modification about underlying psychiatric problem (23.9%), followed by depressive mood (18.7%), insomnia (14.8%), delirium (11.5%), anxiety (10.0%). Newly, 90 patients diagnosed as psychiatric disease(47 major depression disorder, 7 adjustment disorder, 7 insomnia, 6 bipolar disorder, 5 somatoform disorder, and other includes panic disorder, borderline personality disorder, schizophrenia, sleep apnea, obsessive disorder, mood disorder). Among these patients, 78 patients taken antidepressants or antipsychotics and 44 patients received follow up. Conclusion: Many obstetricians and gynecologists request psychiatric consultations in managing psychiatric problems. The treatment should not be transient and need more attention to patient follow up.