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Solo obstetric liaison service

  • Sue Smith (a1)
Abstract
Aims and method

To set up a liaison psychiatry service for an obstetric department and review how much of the work involved in such a service can be undertaken by a senior registrar in two special interest sessions.

Results

It was clear there was a demand for a service for women with psychiatric problems associated with childbirth. Referrals from colleagues in general psychiatry meant that the available time was soon used up. This did therefore not allow time to develop efficient systems for referral and management or to then see the extra referrals this would have produced. The limited and temporary service was well received by other professionals and by patients. The number of referrals received fell far short of the expected morbidity.

Clinical implications

In an area with this number of births and its consequent level of psychiatric morbidity, it would not seem possible, within two special interest sessions, to develop a more formalised or comprehensive system.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Dunsis, A. & Smith, G. C. (1996) Consultation-liaison psychiatry in an obstetric service. Australia and New Zealand Journal of Psychiatry, 30, 6373.
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Kumar, R. & Robson, K. M. (1984) A prospective study of emotional disorders in childbearing women. British Journal of Psychiatry, 144, 3547.
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Oates, M. R. (1994) Postnatal mental illness: ‘Organisation and function of a psychiatric service’. In Aspects of Perinatal Psychiatry: Use and Misuse of the EPDS. London: Gaskell.
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Warner, R., Appleby, L., Whitton, A., et al (1996) Demographic and obstetric risk factors for postnatal psychiatric morbidity. British Journal of Psychiatry, 168, 607611.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Solo obstetric liaison service

  • Sue Smith (a1)
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