Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka, India.
Indian J Psychiatry. 2012 Jan;54(1):59-63. doi: 10.4103/0019-5545.94649.
The aims of this study were (a) to describe the sociodemographic and clinical profile of women with unplanned pregnancies and consequent exposure to psychotropic drugs, (b) to describe the nature and timing of psychotropic exposure during pregnancy among these women, and (c) to examine the outcome of decisions related to pregnancy following consultation at a perinatal psychiatric service.
WOMEN ATTENDING THE PERINATAL PSYCHIATRY SERVICES REFERRED FOR ACCIDENTAL EXPOSURE TO PSYCHOTROPICS WERE ASSESSED BY STRUCTURED INTERVIEWS FOR THE FOLLOWING DETAILS: sociodemographic details, clinical details, psychotropic drug use, advice given in the clinic, and outcome related to this advice.
Fifty-three women were referred for counseling related to unplanned pregnancies and consequential psychotropic exposure. Forty-two women (79%) sought consultation in the first trimester. More than a third of the women, 19 (36%), were taking more than one psychotropic medication during the first consultation. Only 11 (20%) women had received any form of prepregnancy counseling prior to becoming pregnant. Of the 37 women who came for follow-up in the clinic, 35 (94%) of them continued the pregnancy.
Unplanned pregnancies in women with mental illness are common and result in exposure to multiple psychotropic medications during the first trimester. Majority of women did not report of having prepregnancy counseling and which needs to be an integral part of treatment and education.
本研究旨在：(a)描述意外怀孕且随后接触精神药物的女性的社会人口学和临床特征；(b)描述这些女性在怀孕期间接触精神药物的性质和时间；以及(c)检查在围产期精神病学服务处咨询后与怀孕相关的决定的结果。
通过结构访谈评估因意外接触精神药物而被转介至围产期精神病学服务处的女性，评估内容包括以下详细信息：社会人口统计学细节、临床细节、精神药物使用情况、诊所提供的建议以及与该建议相关的结果。
共有 53 名女性因意外怀孕和随后接触精神药物而寻求咨询。42 名女性（79%）在孕早期寻求咨询。超过三分之一的女性（19 名，36%）在首次就诊时同时服用不止一种精神药物。只有 11 名（20%）女性在怀孕前接受过任何形式的孕前咨询。在前来诊所进行随访的 37 名女性中，35 名（94%）继续怀孕。
精神疾病女性的意外怀孕很常见，并且在孕早期会接触多种精神药物。大多数女性并未报告接受过孕前咨询，这需要成为治疗和教育的一个组成部分。
