Ümit Sertan ÇÖPOĞLU, Bahadır DEMİR, Mahmut BULUT, Gökay ALPAK, Ahmet ÜNAL, Haluk SAVAŞ, FERİDUN BÜLBÜL

Sociodemographic characteristics and clinical follow-up results of pregnant patients hospitalized for psychiatric disorders

Amaç: Gebelikte önemli psikososyal değişimler yaşanmaktadır. Gebelik döneminde, var olan psikiyatrik belirtiler alevlenebilmekte vpeya psikiyatrik belirtiler ilk kez ortaya çıkabilmektedir. Bu çalışmada, kliniğimizde yatarak tedavi edilen gebe hastaların klinik, sosyodemografik verileri, izlem sonuçları, psikiyatrik hastalıkların gebelik süreci ve bebekler üzerindeki olası etkileri incelenmiştir.Yöntem: Gebelik ve eşzamanlı psikiyatrik hastalığı nedeniyle yatarak tedavi gören 68 hastanın klinik ve sosyodemografik verileri retrospektif olarak incelendi. Bulgular: Gebelikte psikiyatrik açıdan en çok hastalanmanın 2. trimesterde olduğu saptandı. Hastaların %23.5'si (n=16) mevcut gebeliği esnasında ilk kez psikiyatrik tanı alırken, %76.5'inin (n=52) gebelik öncesinde de psikiyatrik hastalık tanısı vardı. Bilgisine ulaşılan 47 hastanın hiçbirinde erken doğum saptanmadı. Doğum bilgisine ulaşılan 52 bebekten 50'sinde doğum sonrasında herhangi bir hastalık saptanmadı. Hastalık bulunan 2 bebekten birinde doğumsal kalça çıkığı, diğerinde de geçici kalp sorunu saptandı.Sonuç: Gebelikte psikiyatrik tedavi görüyor olmak erken doğum riski ile ilişkilendirilmemiştir. Gebelikte meydana gelen psikiyatrik hastalıklar en çok 2. trimesterde gözlenmiştir. Bu nedenle gebe hasta takiplerinde 2. trimesterde dikkatli olunmalıdır. Daha önce psikiyatrik tedavi gören gebeler, psikiyatrik hastalık açısından gebelik döneminde dikkatli bir şekilde takip edilmelidir

Psikiyatrik hastalığı nedeniyle yatarak tedavi gören gebe hastaların klinik ve sosyodemografik özellikleri ve izlem sonuçları

Objective: Important psychosocial changes occur in pregnancy. During pregnancy exacerbation of existing psychiatric symptoms may be seen or psychiatric symptomsmay be experienced for the first time. In this study, clinical and sociodemographic data of pregnant patients, who were hospitalized in our clinic, their follow-up results and potential effects of psychiatric disorders on newborns and course of pregnancy were investigated.Method: Clinical and sociodemographic data of 68 pregnant women, who were treated as in-patient for psychiatric disorders were analyzed retrospectively.Results: Most of the psychiatric disorders were found to occur at 2nd trimester. While 23.5% of the patients (n=16) had a diagnosis of psychiatric disorder for the first time during their pregnancy, 76.5% of them (n=52) had already a psychiatric disorder prior to pregnancy. Preterm birth was not observed in any of the 47 patients, who had available information. Based on birth information gathered from 52 infants; there were no disease detected in 50 of them whereas congenital hip dislocation in one of them and temporary heart problem were detected in another. Conclusion: Preterm birth was not associated with psychiatric treatment during pregnancy. Most of the psychiatric disorders were seen at 2nd trimester. Therefore follow-ups of pregnant patients should be held more carefully at 2nd trimester. And those who had a previous psychiatric treatment history should be monitored in terms of psychiatric disorders carefully during pregnancy

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