Management of Antenatal Agitation in a Tertiary Care Center in Central India: A Secondary Analysis
2024

Managing Agitation in Pregnant Women

Sample size: 177 publication Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Jain Priyash, Mudgal Varchasvi, Mathur Rahul, Sandhu Simran, Pal Virendra

Primary Institution: Mahatma Gandhi Memorial Medical College, Indore, IND

Hypothesis

This study aims to assess the pattern of psychotropic drug use in the management of acute agitation in antenatal patients.

Conclusion

The study found that promethazine followed by haloperidol was the most common treatment for antenatal agitation, with minimal use of physical restraint.

Supporting Evidence

  • Promethazine was the most frequently used treatment for agitation in pregnant women.
  • Intramuscular haloperidol was the second most common treatment.
  • Benzodiazepines like lorazepam were used sparingly.
  • Verbal de-escalation was effective in some cases.
  • None of the patients had to be physically restrained.

Takeaway

Doctors found that giving certain medications helped calm pregnant women who were very upset, and they mostly used a medicine called promethazine.

Methodology

This was a retrospective record-based study assessing psychiatric referrals for managing acute agitation in antenatal patients over one year.

Potential Biases

The reliance on existing records may introduce biases due to incomplete or inconsistent data.

Limitations

The study relied on previously recorded data, had a small sample size, and was conducted at a single institution, limiting generalizability.

Participant Demographics

The mean age of participants was 27.8 years, with a majority being married and belonging to the Hindu religion.

Statistical Information

P-Value

<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.7759/cureus.73968

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