4.2 the University of New Mexico Journeys Clinic: An Integrated Care Approach to Addressing Maternal Mental Health Needs

Fabbro, Anilla Del

doi:10.1016/j.jaac.2016.07.457

Cited by 1 publication

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“…A systematic review examining multi-modal group parenting programs found no significant improvement in maternal stress, anxiety or depression ( Waldrop et al, 2021 ). At UNM, the organization home to the present study, several institution-based initiatives have been implemented, including a volunteer-doula birth companion program as well as a specialized, multidisciplinary perinatal psychiatric clinic ( Del Fabbro, 2016 ; Kivlighan et al, 2022 ). The ACOG recommends pharmacotherapy as the first-line method of treatment for depression, anxiety and PTSD in pregnant and postpartum patients.…”

Section: Discussionmentioning

confidence: 99%

Potentially modifiable risk and protective factors affecting mental and emotional wellness in pregnancy

Wohrer,

Ngo,

DiDomenico

et al. 2024

Front. Hum. Neurosci.

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IntroductionImpaired mental and emotional wellness often co-occurs with prenatal substance use, and both affect infant socio-emotional, cognitive, language, motor, and adaptive behavioral outcomes. Guided by the modified biopsychosocial framework, this study examined the role of common substance exposures during pregnancy (i.e., alcohol and cannabis), socio-cultural factors (social support during pregnancy, adverse childhood experiences), and reproductive health factors on maternal mental health (MMH).MethodsData were obtained from a prospective cohort study–Ethanol, Neurodevelopment, Infant, and Child Health (ENRICH-2), and included 202 pregnant persons. Alcohol and cannabis exposures were assessed through repeated prospective interviews and a comprehensive battery of drug and ethanol biomarkers. MMH outcomes were evaluated during the third trimester through the Perceived Stress Scale, Edinburgh Depression Scale, Generalized Anxiety Disorders-7, and Post-traumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of Mental Disorders. Univariate and multivariable linear regression models evaluated significant predictors of MMH.ResultsResults of multivariable analysis indicate that both maternal adverse childhood experiences and alcohol exposure, even at low-to-moderate levels, during pregnancy were associated with poorer scores for most MMH measures, while higher level of social support and Spanish as the primary language at home (as a proxy of enculturation) had protective effects (all p’s < 0.05).ConclusionThese findings highlight the importance of assessing substance use, including periconceptional alcohol exposure, and mental health in pregnant persons as closely related risk factors which cannot be addressed in isolation. Our findings also emphasize a strong protective effect of socio-cultural factors on maternal mental and emotional wellbeing—a strong precursor to maternal-infant bonding and infant neurodevelopment.

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Section: Discussionmentioning

confidence: 99%