Inpatient mother-and-child postpartum psychiatric care: Factors associated with improvement in maternal mental health

Glangeaud-Freudenthal, Nine M.-C.; Sutter, A.-L.; Thieulin, Anne‐Claire; Dagens-Lafont, Véronique; Zimmermann, Marie-Agathe; Debourg, Alain; Massari, Blanche; Cazas, Odile; Cammas, Rafaële; Rainelli, Christine; Poinso, François; Maron, Michel; Nezelof, Sylvie; Ancel, Pierre‐Yves; Khoshnood, Babak

doi:10.1016/j.eurpsy.2010.03.006

Cited by 56 publications

(34 citation statements)

References 37 publications

(75 reference statements)

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“…Mothers in this study were more highly educated, relative to studies from other MBUs (Glangeaud‐Freudenthal et al., ; Salmon et al., ). Nearly all patients had some high‐school qualifications, and 53% had reached a tertiary level.…”

Section: Discussioncontrasting

confidence: 47%

Mothers and Their Infants Co‐admitted to a Newly Developed Mother–baby Unit: Characteristics and Outcomes

Wright¹,

Stevens

Wouldes

2018

Infant Mental Health Journal

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Research on Mother-Baby Units (MBUs) has mainly focused on maternal psychiatric outcomes, not the well-being of infants. This study investigated infant development and mental health along with maternal characteristics and the mother-infant relationship in 45 dyads (60% New Zealand European, 20% Māori, 11% Pacific) admitted to a new MBU. Maternal psychopathology was measured with the Health of the Nations Outcome Scale (HoNOS,

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Section: Discussioncontrasting

confidence: 47%

Mothers and Their Infants Co‐admitted to a Newly Developed Mother–baby Unit: Characteristics and Outcomes

Wright¹,

Stevens

Wouldes

2018

Infant Mental Health Journal

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“…A previous evaluation of the Parent Infant Program at Austin Hospital found that the average LOS was, on average, 23 days (Nair et al 2009). Although comparable with other Australian-based services (Buist et al 2004), it is significantly shorter than international MBUs particularly in UK (Elkin et al 2009) and France (Glangeaud-Freudenthal et al 2011) where the average LOS ranges from 8 to 11 weeks, respectively. This difference in LOS is an important one to consider, particularly in relation to the number of intervention sessions required to observe changes in mother-infant interaction/behavior.…”

Section: Discussionmentioning

confidence: 88%

Use of video feedback intervention in an inpatient perinatal psychiatric setting to improve maternal parenting

Bilszta

Buist

Wang

et al. 2012

Arch Womens Ment Health

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This study utilizes video feedback to improve maternal parenting behavior in clinically depressed mothers admitted to a perinatal inpatient psychiatric unit. Depressed mothers (n = 74) were randomized to "video" (n = 25), "verbal" (n = 26), or "standard care" (n = 23). "Video" mothers were taped playing with their infant; interaction was reviewed with a mental health specialist. "Verbal" mothers only discussed interaction with their infant. "Standard care" mothers received only routine inpatient care. Mothers were assessed for mental health status, perceptions of baby behavior, and parenting competence. There was significant improvement in mental health status of all participants, regardless of intervention. Neither intervention had an advantage, compared to standard care, in improving parenting confidence or perceptions of infant behavior. Video mothers were more likely to report no change in their parenting confidence the more feedback sessions completed. The number of intervention sessions for each participant was limited by the duration of their inpatient admission. Most participants were on simultaneous pharmacotherapy and psychotherapy, as well as receiving intensive mothercraft assistance; this may have influenced intervention effectiveness. Results suggest that this type of intervention may be beneficial, but in the current format does not add sufficiently to standard care to be detected by the measures used.

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“…In terms of the same datasets, Salmon and colleagues draw on the same UK Marcé database information Salmon et al 2004), and Howard and colleagues draw on a similar dataset to Salmon and colleagues but from slightly different Marcé entries (Howard et al 2003;Howard et al 2004). In France, Glangeaud-Freudenthal and colleagues draw on different samples but there was however some overlap of data from 13 French MBUs from the Marcé database, which was justified by the aims of the studies (Glangeaud-Freudenthal et al 2013;Glangeaud-Freudenthal et al 2011;Sutter-Dallay et al 2015). The data published in 2013 was added to the data from France published in 2011 (2001-2007; n=814), and the data from Belgium for the same period (2001-2007; n=1018) to allow more diversity in child status to study separation status at discharge from MBUs.…”

Section: Resultsmentioning

confidence: 99%

“…Similarly, Glangeaud-Freudenthal et al(2011) in their analysis of 869 women in 13 mother-baby units in France found that two thirds (69%) of the women were symptom-free or considerably improved by the time they were discharged, with this being higher for those with issues appearing (or reappearing) in the postpartum period compared to those with chronic mental illness. Whilst most of the studies in this theme of outcomes use quantitative methods to measure outcomes, they also acknowledge the need for more holistic approaches to the mother-infant relationship within the family and their broader social and economic milieu.…”

Section: [Insert Table 3 About Here]mentioning

confidence: 99%

A systematic review of research on psychiatric mother-baby units

Connellan

Bartholomaeus

Due

et al. 2017

Arch Womens Ment Health

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Purpose: Psychiatric Mother-Baby Units (MBUs) are currently viewed as best practice, particularly in the United Kingdom, Australia, and France, for improving outcomes for mothers and babies when the former are experiencing severe forms of mental illness. A growing number of publications have examined MBUs, but to date there has not been a comprehensive review of these studies. As such, the systematic review reported in this paper sought to address this gap. Methods: A systematic search was conducted for peer-reviewed research and grey literature published in English between 2000 and 2015. A final sample of 44 publications were identified that reported on empirical findings with regard to MBUs. Three quarters of the studies focused on individual MBUs and most studies were quantitative. Results: A thematic analysis of the studies identified three major themes: (1) admissions data, (2) outcomes for mothers, and (3) programs and interventions. The analysis also identified four secondary themes: (i) follow up after discharge; (ii) separation of mothers and babies after discharge; (iii) client satisfaction with MBUs; and (iv) partners of women admitted to MBUs. Conclusions: The findings of the review highlight gaps in knowledge about MBUs and provide suggestions for future research.

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Inpatient mother-and-child postpartum psychiatric care: Factors associated with improvement in maternal mental health

Abstract: Most women improved significantly while under care in MBUs. Our results emphasize the importance of the type of disease but also its chronicity and the social integration when providing postpartum psychiatric care.

Cited by 56 publications

References 37 publications

Mothers and Their Infants Co‐admitted to a Newly Developed Mother–baby Unit: Characteristics and Outcomes

Mothers and Their Infants Co‐admitted to a Newly Developed Mother–baby Unit: Characteristics and Outcomes

Use of video feedback intervention in an inpatient perinatal psychiatric setting to improve maternal parenting

A systematic review of research on psychiatric mother-baby units

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