241528 Surveillance of Pregnancy with Suicidal Intent: A Need for Interdisciplinary Tracking

Wednesday, November 2, 2011: 9:15 AM

Teresa Dodd-Butera, RN, PhD, DABAT , College of Natural Sciences, CSU San Bernardino, San Bernardino, CA
Molly Broderick, RN, MSN, CSPI , San Diego Division, California Poison Control System, San Diego, CA
Surveillance of maternal-fetal exposures due to suicidal intent is a significant public health need. The purpose of this study was to retrospectively review pregnancy-related cases from the California Poison Control System (CPCS) from the years 2006 and 2007, as part of an ongoing study of maternal-fetal exposures. This was an IRB- approved retrospective review of pregnancy-related cases (n=1900). Exposure groups were divided into <19 years and >20 years, in those cases where age was reported. Of the 931 cases from 2007, 242 hospitalized cases of poisoning during pregnancy were reported. Increased rates of hospitalization were reported in the <19 year age group (52.2%), compared to (27%) in the >20 year age group. Seventy percent in the <19 year old group were reported as suicidal intent, compared to 44% in the >20 year old group. Substances of exposure included: anti-seizure medications, benzodiazepines, insulin, drugs of abuse,and over-the-counter analgesics. Exposures included intravaginal, oral, dermal,and ocular routes. Hospitalized cases were followed to stabilization, however, no maternal or perinatal tracking was continued to outcome by the CPCS due to limitations on scope and resources. An interdisciplinary approach to surveillance and follow-up of maternal-fetal exposures needs to be addressed in the public health community; in order to ascertain the full measure of intentional exposures and morbidity that occurs during the perinatal period.

Learning Areas:
Public health or related research

Learning Objectives:
1. Describe risks associated with intentional maternal-fetal exposures. 2. Identify substances and routes of intentional exposures found in pregnancy-related records. 3. Discuss interdisciplinary strategies to improve surveillance and tracking of intentional exposures during pregnancy.

Keywords: Maternal and Child Health, Mental Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a registered nurse, and a board certified toxicologist, with an MS in Public Health and a PhD in Toxicology.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.