Fletcher Teresa M, Markley Laura A, Nelson Dana, Crane Stephen S, Fitzgibbon James J
Department of Adolescent Medicine, Akron Children's Hospital Medical Center of Akron, Akron, Ohio.
Department of Psychiatry, Akron Children's Hospital Medical Center of Akron, Akron, Ohio.
J Pediatr Adolesc Gynecol. 2015 Dec;28(6):477-80. doi: 10.1016/j.jpag.2015.01.005. Epub 2015 Jan 22.
To assess patient outcomes and describe demographic data of pregnant adolescents admitted to an inpatient child and adolescent psychiatric unit, as well as to determine if it is safe to continue to admit pregnant adolescents to such a unit.
DESIGN, SETTING, AND PARTICIPANTS: A descriptive retrospective chart review conducted at a free-standing pediatric hospital in northeast Ohio of all pregnant adolescents aged 13 to 17 years admitted to the inpatient child and adolescent psychiatric unit from July 2005 to April 2013.
Data collection included details on demographic, pregnancy status, and psychiatric diagnoses.
Eighteen pregnant adolescents were admitted to the psychiatric unit during the time frame. Sixteen of those were in the first trimester of pregnancy. Pregnancy was found to be a contributing factor to the adolescent's suicidal ideation and admission in 11 of the cases. Admission to an inpatient psychiatric facility did not lead to adverse effects in pregnancy.
Pregnant adolescents did not have negative pregnancy outcomes related to admission to an inpatient psychiatric unit. Results of this study suggest that it is safe to continue to admit uncomplicated pregnant adolescents in their first trimester to an inpatient child and adolescent psychiatric unit for an acute stay.
评估入住儿童及青少年住院精神科病房的怀孕青少年的患者预后，并描述其人口统计学数据，同时确定继续收治怀孕青少年至该病房是否安全。
设计、地点和参与者：在俄亥俄州东北部一家独立的儿科医院进行了一项描述性回顾性病历审查，研究对象为2005年7月至2013年4月期间入住儿童及青少年住院精神科病房的所有13至17岁怀孕青少年。
数据收集包括人口统计学、妊娠状态和精神科诊断的详细信息。
在此期间，有18名怀孕青少年入住精神科病房。其中16人处于妊娠早期。在11例病例中，妊娠被发现是青少年自杀意念及入院的一个促成因素。入住住院精神科设施并未导致妊娠出现不良影响。
怀孕青少年入住住院精神科病房并未出现与妊娠相关的不良结局。本研究结果表明，对于处于妊娠早期且无并发症的怀孕青少年，继续收治至儿童及青少年住院精神科病房进行短期急性住院治疗是安全的。
