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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

EV0982

The REAGIRR project: identifying, assessing, and supporting high-risk pregnancies in rural areas

REAGIRR PROJECT: IDENTIFICATION, EVALUATION, AND SUPPORT OF HIGH-RISK PREGNANCIES IN RURAL AREAS

A multidisciplinary stepped-care pathway was found to be feasible for pregnant women living in rural areas; 42% of women required specialist psychiatric assessment, and 32% received a psychiatric diagnosis.

The study aimed to assess the feasibility and clinical utility of a multidisciplinary stepped-care pathway for identifying and managing psychiatric vulnerability in pregnant women living in geographically isolated rural areas; secondary objectives were to estimate the prevalence of psychiatric disorders, examine psychiatric outcomes during pregnancy and postpartum, and explore women's perceptions of the care pathway. REAGIRR was conducted as an ancillary study of the Opti'Soins project, which targets pregnant women living in rural areas more than 30 minutes away from specialist obstetric and psychiatric care; the care pathway comprises early antenatal screening by midwives, psychiatric assessment using the MINI 7.0.2, multidisciplinary case review, risk stratification (low/moderate/high), remote or in-person psychiatric consultation, and individualized case management through the fourth postpartum month. In the participant flow, 47 women were enrolled in Opti'Soins, 45 were offered participation in REAGIRR, 36 agreed to participate, and 31 were included in the REAGIRR cohort. In the risk profile (n = 31), 58% of women were classified as low risk, 26% as moderate risk, and 16% as high risk; 42% were classified as moderate or high risk and required specialist psychiatric assessment (n = 13). A history of major depression was identified in 36% of women (n = 10/28), 32% received a psychiatric diagnosis (n = 10/31), there were no psychiatric hospitalizations during follow-up, and access to care improved for 80%. The diagnoses identified were borderline personality disorder in 13% (n = 4), depression in 13% (n = 4), anxiety/stress in 16% (n = 5), and intellectual disability in 3% (n = 1), with borderline personality disorder emerging as an overlooked perinatal concern. In conclusion, perinatal psychiatric care appears feasible in rural settings, and coordinated care may reduce regional inequalities in access to psychiatric services.

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