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Abstract To estimate the need for family planning services in the psychiatric hospital, attitudinal, informational, and behavioral data relevant to fertility were collected in interviews with 60 consecutive female inpatient admissions, aged 13 to 28, to two state hospitals. More than two thirds of the sample were sexually active, half had used some birth control method, but only 11 had used birth control on the occasion of last coitus. Seventeen had been pregnant for a total of 26 pregnancies; 15 pregnancies resulted in a live birth, seven were kept by the mothers. Despite the youth of the sample, these histories already suggest high frequencies of contraceptively unprotected coitus, unwanted pregnancy, and unwanted birth. Outcomes tended either to fetal wastage or rejection of the child who then becomes a ward of society. References 1. Abernethy V, Grunebaum H: Toward a family planning program in psychiatric hospitals . Am J Public Health 62:1638-1645, 1972.Crossref 2. Erlenmeyer-Kimling L, Rainer JD, Kallman EJ: Current reproductive trends in schizophrenia , in Hock PH, Zubin J (eds): Psychopathology of Schizophrenia . New York, Grune & Stratton Inc, 1966, pp 252-276. 3. Shearer JL, et al: Unexpected effects of an "open door" policy on birth rates of women in state hospitals . Am J Orthopsychiatry 138:413-417, 1968.Crossref 4. Grunebaum H, et al: The family planning attitudes, practices and motivations of mental patients . Am J Psychiatry 128:740-743, 1971. 5. Bumpass L, Westoff C: The "perfect contraceptive" population . Science 169:1177-1182, 1970.Crossref 6. Abernethy V, Grunebaum H: Family planning in two psychiatric hospitals: A preliminary report . Family Planning perspectives 5:94-99, 1973.Crossref 7. Vital Statistics of the United States, 1968: Natality. US Dept Health, Education and Welfare, Government Printing Office 1970, vol 1. 8. Abernethy V: The abortion constellation: Early history and present relationships . Arch Gen Psychiatry 29:346-350, 1973.Crossref
Archives of General Psychiatry – American Medical Association
Published: Feb 1, 1974
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