Psychosomatics 27: 31-33, 1986
Copyright
© 1986 Academy of Psychosomatic Medicine
Management of psychotic pregnant patients in a medical-psychiatric unit
SYEDA MUQTADIR M.D.1,
MARTIN W. HAMANN A.C.S.W.2, , and
GEORGE MOLNAR M.D.3
1 Clinical assistant professor of psychiatry at the State University of New York at Buffalo
2 Psychiatric social worker at the Erie County Medical Center
3 Associate professor of psychiatry, also at the State University
All psychotic pregnant patients requiring psychiatric treatment in a general hospital were admitted to a medical-psychiatric unit (MPU). During a three-year period, ten patients (11 pregnancies) received care that included psychotherapy and antipsychotic medication as well as psychosocial and educational interventions. The protection of mother and fetus, clinical stabilization, and coordination of psychiatric, obstetric, and perinatal care were achieved successfully in all cases. However, attempts to educate the patients in family planning and birth control were largely unsuccessful. The clinical observations suggest that an MPU can adapt readily to providing comprehensive care to such patients.
