Understanding Maternal Mental Health -An Unexplored Area (original) (raw)
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Promotion of Perinatal Mental Health
NUTA Journal
The aim of this paper is to discuss different aspects of perinatal mental health like; risk factor, impact, issues and to suggest the guidelines for promotion of perinatal mental health. Perinatal mental health is an emerging concept, generally refers to the period 22 completed weeks (i.e. 154 days) of gestation and ending seven completed days after birth. During the pregnancy women may suffer from different mental health problems such as anxiety and depression. Lack of nutritious food, proper healthy housing, and adequate time for rest, quality health services and positive support by the intimacy partner are major responsible factors for getting mental disorder during perinatal period. Problem with in-laws and domestic violence are also responsible for this. Individual, family, community and national agencies should aware the problem and difficulties of the perinatal period and ways to eliminating the associated problems by their action and efforts. Without waiting the sign and sym...
Perinatal risk assessment of women for psychological problems
IP innovative publication pvt. ltd, 2019
Introduction: Pregnancy is the most beautiful and memorable time in a woman’s life. During pregnancy and even after the birth of a child, women are at an increased risk of experiencing psychological problems. Aim: Screening of antenatal women for risk of psychological illness and following them postnatal period for risk of Post Partum Depression. Materials and Methods: The study has cohort design.150 Antenatal women were screened during their antenatal visit between 24 weeks up till 36weeks of pregnancy by semi structured questionnaire to screen high risk women. These women were followed during Post Natal period between 4-8thday and then 4-8 weeks of postnatal period by Edinburgh Post Natal Depression Scale (EDPS) for assessment of Postnatal Depression. Result: 31% ANC women were screened as high risk 20% had high EDPS scores at 4-8 days and 8.6% at 4-8weeks. By logistic regression antenatal risk factors were statistically analyzed .1) Higher education level there is lesser risk 2) residence from rural area had 3.9 times higher risk. 3) who had supportive mother had 1.3 times lesser risk 4) supportive partner reduced risk by 4.4 times. 5) supportive family reduced risk by1.7 times 6) Previous history of depression of more than 2wks had 5.4 times higher risk 7) history of mental health problem in past had 1.5 times higher risk 8) Antenatal women having psychological illness has 4.29 times higher risk of delivering a neonate with birth weight <2.5kg. Conclusion: Focus also on ante partum psychological risks. It is suggested to integrate mental health to maternal health care services and train health care givers for screening.
Assessment of perinatal mental health problems
2017
Mental health problems in pregnancy and the postnatal period can have long-term negative effects on women and their children. A key barrier to helping women in this period is the low level of identification of mental health problems. Depression has commonly been screened for using the Whooley Questions or Edinburgh Postnatal Depression Scale (EPDS) but women may experience a broad range of symptoms of distress not captured by these measures. The research reported in this dissertation was designed to address several aims. The first strand aimed to explore women’s experiences of postnatal mental health problems and how they conceptualise their symptoms. The focus of the first qualitative study was the lived experience of 17 women who had experienced psychological distress in the first postnatal year, and used interpretative phenomenological analysis. The second qualitative study used thematic analysis with the same sample to explore different symptoms of distress and women’s experienc...
Integrating perinatal mental health into primary health: the role of community midwife
2016
Perinatal mental health disorders are undoubtedly connected to maternal and fetal morbidity. Accordingly, there is a great need of proper approach, support and health care provision of vulnerable women during this central period of their lives. Motherhood concerns community health professionals of various specialties, who require special training and studies regarding perinatal mental disorders and consequences for woman and the newborn. A sufficient supporting network aiming to vulnerable women's care and treatment throughout pregnancy and postpartum period can be created only with the state's contribution. The creation of sufficiently organized integrated primary care services, which are made especially for vulnerable women's support and are staffed with interdisciplinary teams, is more than necessary.
A lead for integration of perinatal mental health in maternal and child health services
International Journal Of Community Medicine And Public Health
Life altering moments like pregnancy, birth, and early parenthood can be stressful for women and their partners. As a result, women may undergo a period of poor mental health or witness a worsening of previous mental health or witness a worsening of previous mental health condition. Almost 1 in 5 women will experience a mental health condition during pregnancy or in the year after birth. Among women with perinatal mental health condition, 20% will experience suicidal thoughts or undertake acts of self-harm. Ignoring mental health not only risks women’s overall health and wellbeing, but also impacts infant’s physical and emotional development. This article is based on a comprehensive literature search conducted on 22 February 2023, in the Medline and Cochrane databases, utilizing the medical topic headings (MeSH) and a combination of all available related terms, according to the database. To prevent missing any possible research, a manual search for publications was conducted through...
Perinatal psychological support, counseling and education
MHGC Proceedings
Introduction. Perinatal mental health has become a significant public health concern. Recent studies and Mental Health surveys in many countries indicate growing demand for psychological support during pregnancy and postpartum period. Up to one in five women and one in ten men are affected by mental health problems during pregnancy and the first year after birth (the perinatal period). Women usually feel more vulnerable and anxious, and some may develop depression. Without appropriate diagnostic, assessment and support, the negative impact of mental health problems during the perinatal period can have long-term effects and influence not only women, but their partners and children too. The emotional and mental wellbeing of a pregnant woman are main factors determening the healthy pregnancy and well-being of a child after birth. Mental health issues can impact on a mother's ability to bond with her baby and to respond to the baby's emotions and needs. Perinatal counseling can be applied as early intervention for new and expectant mothers and their families. It's also important to provide parental education. Psychological and pedagogical studies conclude that young families have difficulties with the childcare and majority of parents know little about how children grow and develop. Supporting the mother (and father as well as other family members) and the developing infant through perinatal period is recognized to be a key time for intervention in order to mitigate the negative outcomes. Purpose. To establish a scientific basis for perinatal psychological support as an important part of perinatal care, to analyze existing perinatal practices, and to describe content and features of perinatal psychological support. Approach A theoretical review of perinatal support was done. "To support" means to accompany somebody at certain life stage or in certain life situations. The important goal of psychological perinatal support is promotion of health and well-being of a woman and a child. Theoretical and practical issues of perinatal psychology were developed by D. Chamberlain, N. Fodor S. Grof, E. Paul, T. Vernie, S. Ward. Development of perinatal psychology practices in Ukraine was strongly impacted by psychology of parenthood and reproductive psychology (G. Filippova), perinatal psychotherapy (I. Dobryakov), transpersonal directions of perinatal psychology (G.Brekhman), resource psychotherapy (N. Kovalenko), practice of preparation for parenthood (M. Lantsburh, I. Bratus') and others. The analysis of perinatal practices was done on the basis of the data collected. The program of perinatal psychological support was approbated. Appropriate diagnostic and assessment can help family physician, gynecologists, and psychologists or psychotherapists to determine and to take into consideration psycho-emotional state of pregnant in order to provide the woman with timely, qualified psychological support. The described below diagnostic tools can be applied for assessing psycho
Prevalence and psychosocial correlates of perinatal
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This article identifies variables at the micro/individual, mezzo/ partner/spouse and family, and macro/health care–system levels that inhibit mothers at risk for perinatal mood disorders from accessing health and mental health care services. Specific recommendations are made for conducting thorough biopsychosocial assessments that address the mothers’ micro-, mezzo-, and macro-level contexts. Finally, the authors provide suggestions for how to intervene at the various levels to remove access barriers for mothers living with perinatal mood disorders as well as their families.
Perinatal Mental Health; The Role and the Effect of the Partner: A Systematic Review
Healthcare, 2021
Pregnancy is a transitional period involving the most complex experiences in a woman’s life, during which the woman’s psychological status can be affected by a wide range of psychosocial variables. However, positive interpersonal relationships appear to constitute a supportive network that significantly influences perinatal mental health. Therefore, the presence of a supportive partner works psycho-protectively against the difficulties and pressures created by the transition to maternity. The aim of this study was to review systematically the influence of the partner on the woman’s psychology during the perinatal period. Fourteen research articles from PubMed/Medline, Google Scholar and PsycINFO were included in the review from a total of 1846 articles. Most studies have shown a correlation between the support from the partner and prenatal depression and anxiety. Support from the spouse during childbirth is related to the extent to which women feel safe during labor as well as the s...