Table of Contents
ISRN Obstetrics and Gynecology
Volume 2011, Article ID 456012, 10 pages
http://dx.doi.org/10.5402/2011/456012
Research Article

Postdischarge Impact of C-L Psychiatry Treatment in Obstetrical Inpatients

1Perinatal Mental Health Unit, Department of Psychiatry, Room 928, Mount Sinai Hospital, 600 University Avenue, Toronto, ON, Canada M5G 1X5
2Perinatal Mental Health Unit, Department of Psychiatry, Room 915, Mount Sinai Hospital, 600 University Avenue, Toronto, ON, Canada M5G 1X5

Received 14 April 2011; Accepted 9 May 2011

Academic Editors: K. Chan and M. Kühnert

Copyright © 2011 Eileen Patricia Sloan and Sharon Kirsh. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. Twenty-eight women, referred to C-L Psychiatry during their obstetrical inpatient stay were interviewed six months post-discharge to determine how they experienced the consultation process, whether they recollected and adhered to treatment recommendations, and whether they developed or had a recurrence of mental health problems post-discharge. Method. Semi-structured telephone interviews were conducted by a psychologist who had not been involved with patient care. Results. There was strong congruence between reason for referral as stated in psychiatric consult notes and participants' recollections and strong congruence and compliance regarding treatment recommendations. Sixty-four percent of women had concerns regarding mood post-discharge, of whom 66% sought professional help within six months. Participants' recommendations for improving the effectiveness of the C-L service to obstetrical inpatients pertained mainly to sensitivity to patients' feelings, consistency of message and personnel, and post-discharge follow-up. Conclusions. Obstetrical patients had good recollection of their experience of C-L psychiatry, and post-discharge compliance with treatment recommendations was high. A post-discharge telephone call might further enhance treatment compliance and encourage women who are struggling with mood difficulties to seek help. Contact between C-L psychiatry and patients' primary care physician may also enhance care post-discharge.