Table 2:
Included Cases and Their Characteristics
| Obstetrical Decision | First Author (Year) | Primary Psychiatric Diagnoses | Gestational Age | Evaluation Setting | Specialty of Capacity Evaluator | Did Patient Have Capacity? | Decision Maker | Country |
|---|---|---|---|---|---|---|---|---|
|
| ||||||||
| IVF * | ||||||||
| Doghor (2017) | OCD† | NA‡ | Outpatient – Psychiatry | Psychiatry | Yes | Patient | United States | |
|
| ||||||||
|
Contraception
Reversible | ||||||||
| Acera Pozzi (2014) | MDD§; OCD | NA | Inpatient – Psychiatry | Multidisciplinary team | Yes | Patient | United States | |
| Irreversible | O’Hara (1989) | Intellectual disability | NA | Inpatient – Psychiatry | Not specified | No | Unspecified relatives | United States |
|
| ||||||||
| Termination | ||||||||
| Altinoz (2018) | Bipolar I disorder, most recent episode manic; Borderline intellectual functioning | 19 weeks | Outpatient - Psychiatry | Psychiatry | Yes | Patient | Turkey | |
| Altinoz (2018) | MDD with psychotic features | 9 weeks | Outpatient – OB/GYN | Psychiatry | No | Spouse | Turkey | |
| Brody (2016) | MDD | 23 weeks | Inpatient – Psychiatry | Psychiatry (2) | Initially no, capacity restored | Patient | United States | |
| Cohen (1993) | Benzodiazepine intoxication; unspecified mania | 20 weeks | Inpatient – Psychiatry | Psychiatry | Yes | Patient | United States | |
| Coverdale (2004) | Schizophrenia | 10 weeks | Inpatient – Psychiatry | Not specified | No | Unspecified surrogate | United States | |
| de Nesnera (2000) | Schizophrenia | 17 weeks | Inpatient – Psychiatry | Psychiatry | Yes | United States | ||
| Desai (2009) | Schizophrenia | 2nd trimester | Outpatient – Psychiatry | Psychiatry | Initially no, capacity restored | Patient | India | |
| Dudzinski (2004, 2006) | Schizophrenia; Substance use disorder (multiple) | 14 weeks | Outpatient – OB/GYN | Psychiatry | No | Father | United States | |
| Mahowald (1985) | Schizophrenia | 12 weeks | Inpatient – Psychiatry | Psychiatry | No | Mother | United States | |
| O’Hara (1989) | Intellectual disability | 24 weeks | Inpatient – Psychiatry | Multidisciplinary team | No | Unspecified relatives | England | |
|
| ||||||||
| Unspecified Reproductive Decision-making | ||||||||
| Nau (2011) | Schizophrenia | Throughout pregnancy | Inpatient – Psychiatry | Psychiatry | No | Legal system | United States | |
| Slayton (1981) | Unspecified schizophrenia spectrum disorder | 38 weeks | Inpatient – Psychiatry | Psychiatry | No | Not specified | United States | |
|
| ||||||||
|
Delivery
Method | ||||||||
| Acera Pozzi (2014) | MDD; OCD | 27–35 weeks | Inpatient – OB/GYN | Psychiatry | Initially no, capacity restored | Patient | United States | |
| Chaudhry (2016) | Bipolar I disorder, most recent episode manic | 36 weeks | Inpatient – Psychiatry | Multidisciplinary Team | No | Sister (father of baby declined) | United States | |
| Chaudhry (2016) | Bipolar I disorder, most recent episode manic | 38 weeks | Inpatient – Psychiatry | Multidisciplinary Team | Yes | Patient | United States | |
| Chaudhry (2016) | Bipolar I disorder, most recent episode depressed | 39 weeks | Inpatient – Psychiatry | Multidisciplinary Team | Yes | Patient | United States | |
| O’Hara (1989) | Intellectual disability; Trichotillomania | 38 weeks | Inpatient – Psychiatry | Not specified | No | Unspecified relatives | England | |
| Spada (2019) | Anorexia nervosa, restricting type | 32 weeks | Inpatient – OB/GYN | Psychiatry | Initially no, capacity restored | Patient | United States | |
| Teng (2016) | Borderline personality disorder | 31 weeks | Inpatient – OB/GYN | Psychiatry | Yes | Patient | Singapore | |
| Timing | ||||||||
| Acera Pozzi (2014) | MDD; OCD | 27–35 weeks | Inpatient – OB/GYN | Psychiatry | Initially no, capacity restored | Patient | United States | |
| Spada (2019) | Anxiety; Posttraumatic stress disorder | 38 weeks | Inpatient – OB/GYN | Psychiatry | Yes | Patient | United States | |
| Spada (2019) | Anorexia nervosa, restricting type | 32 weeks | Inpatient – OB/GYN | Psychiatry | Initially no, capacity restored | Patient | United States | |
| Spada (2019) | Schizophrenia | 37–41 weeks | Inpatient – OB/GYN | Psychiatry | No | No identifiable surrogate | United States | |
| Teng (2016) | Borderline personality disorder | 31 weeks | Inpatient – OB/GYN | Psychiatry | Yes | Patient | Singapore | |
IVF = in vitro fertilization
OCD = obsessive compulsive disorder
NA = not applicable (patient not pregnant)
MDD = major depressive disorder