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3 results

  • Postpartum psychosis treatment: review of mother-baby units

  • M.L. Costa, A. Elduayen Vila
  • Journal:
    European Psychiatry / Volume 65 / Issue S1 / June 2022
    Published online by Cambridge University Press:
    01 September 2022, p. S859
    • Article
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  • Introduction

    Postpartum Psychosis is an underdiagnosticated psychiatric condition that may be suffered by mothers within a year since delivery. It is a severe syndrome in which symptoms such as delusions, hallucinations and disorganized thinking may appear. The traditional approach of admitting the mothers separated from their children has shown harmful consequences. This has led to the creation of Mother-Baby Units (MBU), psychiatric admission units dedicated to full-time housing mothers and their babies.

    Objectives

    To evaluate the evidence available regarding the potential benefits of MBU not only for the mothers, the babies, but for the mother-baby bond. To analyse postpartum psychosis risk factors and prognosis.

    Methods

    A thorough review of scientific literature and databases regarding postpartum psychosis and MBU has been carried out. Additionally, international mental health care guidelines for perinatal mental disorders were analysed.

    Results

    A wide range of related aspects were studied for the present work, including characteristics of the patients, differences in the self- assessment scales of depression, anxiety, postpartum attachment of the mother to the baby at admission and at discharge and the work and social adaptation. Other studies analysed the percentage of mother-baby separation at discharge, as well as the most frequent delusions, and the potential effect of childhood trauma on these patients.

    Conclusions

    The available evidence suggest that MBU may be helpful for the improvement of the mental health in women suffering perinatal mental disorders and for the building of a secure attachment style in the baby. The results of the interventions included in MBU programs also show promotion of a positive mother-baby relationship.

    Disclosure

    No significant relationships.

  • CHAPTER 7 - Antenatal care for women with pre-existing medical, obstetric or mental health conditions

  • Edited by Tahir Mahmood, Philip Owen, Sabaratnam Arulkumaran, Charnjit Dhillon
  • Book:
    Models of Care in Maternity Services
    Published online:
    05 July 2014
    Print publication:
    01 November 2010, pp 66-73

  • Summary

    Women with pre-existing medical and obstetric problems are at increased risk of complications in pregnancy. Such high-risk pregnancies result in increased maternal, fetal and neonatal morbidity and mortality. In 2008, the National Institute for Health and Clinical Excellence (NICE) issued guidelines for routine antenatal care of healthy pregnant women. Common medical conditions that confer a higher risk to the pregnancy but are often unrecognised at referral are obesity and mental health disorders. Integrated care pathways can be used as tools to incorporate local and national guidelines into everyday practice, manage clinical risk and meet the requirements of clinical governance. Training programmes for midwives, obstetricians, GPs and psychiatrists should include perinatal psychiatric disorders. The needs of the local population must be taken into account when planning a service in terms of providing the correct care, particularly in areas where there are large numbers of women from migrant and ethnic minority populations.

  • 8 - Anxiety and mood disorders in pregnancy and the postpartum period

    • By Anne Buist, Austin Health, Repatriation Campus, Department of Psychiatry, West Heidelberg, Vic., Australia, Lori E. Ross, Women's Mental Health & Addiction Research Section, Centre for Addiction & Mental Health, Toronto, Ont., Canada, Meir Steiner, Department of Psychiatry Behavioural Neurosciences and Obstetrics & Gynecology, McMasters University, St Joseph's Healthcare, Hamilton, Ont., Canada
  • Edited by David Castle, University of Melbourne, Jayashri Kulkarni, Monash University, Victoria, Kathryn M. Abel
  • Foreword by Jill Goldstein
  • Book:
    Mood and Anxiety Disorders in Women
    Published online:
    13 August 2009
    Print publication:
    23 February 2006, pp 136-162

  • Summary

    This chapter outlines the ways of identifying women at risk and/or women who already show signs and symptoms of depression/anxiety associated with childbearing; and suggest treatment options and preventive measures. Depression during pregnancy is common, with reports suggesting that approximately 10-20" of pregnant women meet criteria for a major or minor depressive disorder. Postpartum psychosis may have any of the features of acute schizophreniform disorder, but most frequently resembles an episode of bipolar disorder, with an early manic phase and later depressive swing. Prevention is considered to be the first line of treatment for postpartum depression. A majority of women have significant psychological issues associated with their transition to motherhood. Interpersonal psychotherapy (IPT) has also shown promise in the treatment of depression, both during pregnancy and in the postnatal period. A number of studies have looked at hormonal treatment and prevention of perinatal psychiatric disorders.