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Characterization of the population of pregnant women attending a mental health service

dc.contributor.authorFerreira, Tiago
dc.contributor.authorDehanov, Sara
dc.contributor.authorOliveira, Catarina
dc.contributor.authorCastro, Sara
dc.contributor.authorRibeiro, Raquel
dc.contributor.authorMaia, Teresa
dc.date.accessioned2021-11-18T10:20:09Z
dc.date.available2021-11-18T10:20:09Z
dc.date.issued2020-09
dc.description.abstractIntroduction: Psychopathological symptoms are common during pregnancy and their detection and referral to specialized care is often suboptimal. The aim of this study was to perform a descriptive analysis of sociodemographic, mental health, and obstetric features of a population of pregnant women followed at Psychiatry consultation. Methodology: This was a cross-sectional, descriptive study of women followed both at Gynecology/Obstetrics and Psychiatry consultations of Hospital Prof. Doutor Fernando Fonseca between 2014 and 2016. A total of 76 women were included, for whom pre-defined features associated in the literature with risk of developing psychopathological symptoms during pregnancy were collected. Results and Discussion: Risk factors identified in the development of depressive symptoms included absence of an affective relationship during pregnancy (n=11; 14.5%), being first-generation immigrant (n=17; 22.4%), and substance use before (n=18; 23.7%) or during (n=10; 13.1%) pregnancy. Sample was divided into women with previous Psychiatry follow-up who became pregnant (n=44; 57.9%) and women referred to Psychiatry consultation during pregnancy (n=32; 42.1%). In the second group, 18.8% (n=6) of referrals were from primary health care, being relevant to understand whether this represents an under-referral. Prescription of 21 risk category D drugs was identified, alerting to the need of caution in pharmacological prescription and of considering non-pharmacological options (e.g., cognitive-behavioral therapy) for management of these cases. Conclusions: Risk factors identified in this study represent an opportunity to optimize clinical practice and improve these patients’ follow-up.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationFerreira T, Dehanov S, Oliveira C, Castro S, Ribeiro R, Maia T, Nascer e Crescer - Birth and Growth Medical Journal 2020;29(3): 135-141. doi:10.25753/BirthGrowthMJ.v29.i3.17113pt_PT
dc.identifier.doi10.25753/BirthGrowthMJ.v29.i3.17113pt_PT
dc.identifier.issn2183-9417
dc.identifier.urihttp://hdl.handle.net/10400.16/2572
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCentro Hospitalar Universitário do Portopt_PT
dc.relation.publisherversionhttps://revistas.rcaap.pt/nascercrescer/article/view/17113pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectmental healthpt_PT
dc.subjectperinatal carept_PT
dc.subjectpregnancypt_PT
dc.subjectpsychopathologypt_PT
dc.titleCharacterization of the population of pregnant women attending a mental health servicept_PT
dc.title.alternativeCaracterização da população de mulheres grávidas seguidas num serviço de saúde mentalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlacePorto, Portugalpt_PT
oaire.citation.endPage141pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage135pt_PT
oaire.citation.titleNascer e Crescer - Birth and Growth Medical Journalpt_PT
oaire.citation.volume29pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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