Psychiatric Disorders in Pregnant Women Admitted to the High-Risk Obstetric Service in a Colombian University Clinic Between 2013 and 2017

Gustavo A. Constaín, María Victoria Ocampo Saldarriaga, José Gabriel Franco Vásquez, Luisa Fernanda Naranjo, Cristóbal Restrepo Conde, Daniel Estrada Muñoz, Laura Chaverra López, Jerónimo Buriticá González

Research output: Contribution to journalArticle in an indexed scientific journalpeer-review

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Objective: To determine the psychiatric diagnoses and treatments of patients admitted to the high-risk obstetric service who underwent a consultation with a liaison psychiatrist. Methods: A descriptive observational study that included pregnant women from the high-risk obstetric service of a highly specialised clinic in Medellín, who had a liaison psychiatry consultation between 2013 and 2017. The main variables of interest were psychiatric and obstetric diagnoses and treatments, in addition to biopsychosocial risk factors. Results: A total of 361 medical records were screened, with 248 patients meeting the inclusion criteria. The main prevailing psychiatric diagnosis was major depressive disorder (29%), followed by adaptive disorder (21.8%) and anxiety disorders (12.5%). The pharmacologic treatments most used by the psychiatry service were SSRI antidepressants (24.2%), trazodone (6.8%) and benzodiazepines (5.2%). The most common primary obstetric diagnosis was spontaneous delivery (46.4%), and the predominant secondary obstetric diagnoses were hypertensive disorder associated with pregnancy (10.4%), gestational diabetes (9.2%) and recurrent abortions (6.4%). Overall, 71.8% of the patients had a high biopsychosocial risk. Conclusions: The studied population's primary psychiatric disorders were major depressive disorder, adjustment disorder and anxiety disorders, which implies the importance of timely recognition of the symptoms of these perinatal mental pathologies, together with obstetric and social risks, in the prenatal consultation. Psychiatric intervention should be encouraged considering the negative implications of high biopsychosocial risk in both mothers and children.

Translated title of the contributionTrastornos Psiquiátricos en Gestantes Hospitalizadas en el Servicio de Alto Riesgo Obstétrico de la Clínica Universitaria Bolivariana de Medellín (Colombia) Durante los Años 2013 a 2017
Original languageEnglish
Pages (from-to)17-25
Number of pages9
JournalRevista Colombiana de Psiquiatria
Issue number1
StatePublished - 1 Jan 2024

Bibliographical note

Publisher Copyright:
© 2022 Asociación Colombiana de Psiquiatría


  • Liaison psychiatry
  • Mental disorders
  • Obstetrics
  • Perinatal care
  • Risk factors

Types Minciencias

  • Artículos de investigación con calidad Q3


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