{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:39:07Z","timestamp":1777412347192,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[1996,2,1]],"date-time":"1996-02-01T00:00:00Z","timestamp":823132800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aust N Z J Psychiatry"],"published-print":{"date-parts":[[1996,2]]},"abstract":"<jats:p>Objective: The aim of this paper is to provide an overview of the work of a consultation-liaison (C-L) psychiatry service to an obstetric inpatient unit in a university affiliated teaching hospital, with the aid of a comprehensive clinical database.<\/jats:p>\n                  <jats:p>Method: The MICRO-CARES clinical database system was used for prospective recording of data on all obstetric inpatients referred to the C-L psychiatry service and the hospital clinical database was used to compare referred inpatients with all obstetric inpatients.<\/jats:p>\n                  <jats:p>Results: Ninety patients were referred in 3 years, a referral rate of 1.2% of obstetric admissions. There was no bias in referral on age, but there were significantly more unmarried patients in the referred group (p&lt;0.001). Referred patients had a significantly prolonged length of stay: a mean of 9 days for referred patients, with 6 days for all obstetric patients (p&lt;0.001). The most frequent reasons for referral were: coping problems, depression, anxiety\/fear and past history of major psychiatric illness. The most common DSM-III-R psychiatric diagnoses were: Personality Disorders (19%), Mood Disorders (17%), Schizophrenic Disorders (15%) and Adjustment Disorders (13%). At least one confirmed diagnosis was made in 77% of patients, but 42% of diagnoses remained differential. There were significantly more patients with diseases of the nervous system, endocrine and circulatory disorders in the referred group (p&lt;0.001). Recommendations of psychosocial interventions predominated over psychopharmacological interventions, and concordance with these was 97% and 98%, respectively. Issues in the relationship of obstetrics and psychiatric C-L services are discussed and future directions indicated.<\/jats:p>\n                  <jats:p>Conclusions: The referral rate was low compared with other specialty units. This is probably due to factors inherent in obstetric practice. A wide spectrum of psychiatric disorders was referred, including a higher than expected number of women with postpartum psychotic disorders, the majority of whom were managed successfully in the obstetric ward. There is a need for increased liaison with obstetric and community services and for collaborative research, with a particular emphasis on the prevention of psychiatric morbidity associated with pregnancy.<\/jats:p>","DOI":"10.3109\/00048679609076073","type":"journal-article","created":{"date-parts":[[2007,11,21]],"date-time":"2007-11-21T20:55:16Z","timestamp":1195678516000},"page":"63-73","source":"Crossref","is-referenced-by-count":25,"title":["Consultation-Liaison Psychiatry in an Obstetric Service"],"prefix":"10.1177","volume":"30","author":[{"given":"Astrid","family":"Dunsis","sequence":"first","affiliation":[{"name":"Consultant Psychiatrist, Consultation-Liaison Psychiatry Research Unit, Monash University, Department of Psychological Medicine, Monash Medical Centre, 246 Clayton Road, Clayton, Victoria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graeme C.","family":"Smith","sequence":"additional","affiliation":[{"name":"Consultant Psychiatrist, Consultation-Liaison Psychiatry Research Unit, Monash University, Department of Psychological Medicine, Monash Medical Centre, 246 Clayton Road, Clayton, Victoria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1996,2,1]]},"reference":[{"key":"bibr1-00048679609076073","doi-asserted-by":"publisher","DOI":"10.1177\/070674378803300410"},{"key":"bibr2-00048679609076073","doi-asserted-by":"publisher","DOI":"10.3109\/00048679309075804"},{"key":"bibr3-00048679609076073","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.154.4.510"},{"key":"bibr4-00048679609076073","doi-asserted-by":"publisher","DOI":"10.1016\/0163-8343(93)90105-W"},{"key":"bibr5-00048679609076073","doi-asserted-by":"publisher","DOI":"10.1016\/0163-8343(93)90039-Q"},{"key":"bibr6-00048679609076073","volume-title":"SPSS\/PC+ 4.0 base manual for the IBM PC\/XT\/AT and PS\/2","author":"Norusis 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