School of Medicine and Health Sciences Poster Presentations

Title

Reproductive Health Counseling of Female Psychiatric Patients

Document Type

Poster

Abstract Category

Psychiatry/Mental Health

Keywords

psychiatry, women's health, reproductive health, quality improvement, patient counseling

Publication Date

Spring 5-1-2019

Abstract

Reproductive counseling for women hospitalized in inpatient psychiatric settings is a complex topic with recommendations and guidelines contingent upon fertility status, psychiatric diagnosis and any concomitant physical diagnosis, goals for childbearing, and possible risks of medication use to a pregnancy. Using data from female patients of reproductive age hospitalized in the GW Hospital Psychiatry department between 2016 and 2018, we conducted a comprehensive chart review of reproductive health counseling for psychiatric patients. We analyzed data from more than 500 unique cases on information elicited from women in the psychiatric inpatient setting including last menstrual period, history of childbearing, contraception use and plans for future pregnancy, as well as counseling provided on reproductive considerations in the setting of mental health diagnoses and psychotropic medication use. We further stratified findings by patient age, DC ward residency, race and ethnicity, and examined the interaction of these variables with reproductive health counseling. We present a comprehensive, qualitative report on two recent years in patient counseling, and provide evidence-based suggestions for quality improvement in patient care and future research.

Open Access

1

Comments

Presented at Research Days 2019.

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Reproductive Health Counseling of Female Psychiatric Patients

Reproductive counseling for women hospitalized in inpatient psychiatric settings is a complex topic with recommendations and guidelines contingent upon fertility status, psychiatric diagnosis and any concomitant physical diagnosis, goals for childbearing, and possible risks of medication use to a pregnancy. Using data from female patients of reproductive age hospitalized in the GW Hospital Psychiatry department between 2016 and 2018, we conducted a comprehensive chart review of reproductive health counseling for psychiatric patients. We analyzed data from more than 500 unique cases on information elicited from women in the psychiatric inpatient setting including last menstrual period, history of childbearing, contraception use and plans for future pregnancy, as well as counseling provided on reproductive considerations in the setting of mental health diagnoses and psychotropic medication use. We further stratified findings by patient age, DC ward residency, race and ethnicity, and examined the interaction of these variables with reproductive health counseling. We present a comprehensive, qualitative report on two recent years in patient counseling, and provide evidence-based suggestions for quality improvement in patient care and future research.