Reproductive health in women with serious mental ıllnesses


ÖZCAN N. , Boyacioglu N. E. , DİNÇ H. , Enginkaya S., Bilgin H.

Horatıo, European Psychıatrıc Nursıng Congress, İstanbul, Turkey, 30 October - 02 November 2013, pp.86

  • Publication Type: Conference Paper / Summary Text
  • City: İstanbul
  • Country: Turkey
  • Page Numbers: pp.86

Abstract

BACKGROUND: Women with mental illness are disadvantaged group both in terms of their gender
and because of their mental disorders and they experience serious problems related to reproductive
health.
AIM: The study was designed to determine the problems of women with psychotic illnesses as related
to sexual life, marriage, family planning and contraception, maternal characteristics, pregnancy and
postpartum issues.
MATERIAL-METHOD: The study was conducted with 292 female patients being treated at acute
inpatient ward of psychiatric hospital in Istanbul. The data was compiled by “Questionnaire on
Determining Problems in Reproductive Health.” Results are compared with the results of healthy
women.
RESULTS: The findings of the study indicate that the distinctive features of the patients diagnosed
with schizophrenia in particular were more negative in the area of marriage and that all of the
participants displayed negative characteristics regarding issues of sexuality. Patients diagnosed with
bipolar disorder were especially under the risk for sexuality and reproductive health. The majority
of those who had previous sexual experience had tried to use contraceptives but had been unable
to continue using them; they showed a preference for the method of withdrawal as a method
of contraception. Half of the group experienced unwanted pregnancies and had a two-fold rate
of abortion, received less antenatal care, and were more likely to have smoke during pregnancy.
CONCLUSIONS: It was discovered that female patients with psychiatric disorders had more negative
attributes with regard to marriage, sexuality, family planning, maternal characteristics and pregnancy,
compared to a corresponding healthy population.
Keywords: reproductive health, serious mental health, Family planning,maternal characteristics,
sexual health