Postpartum psychosis and management: a case study

Mohamied, Fatimah

doi:10.12968/bjom.2019.27.2.77

Cited by 5 publications

(7 citation statements)

References 34 publications

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“…Research on postpartum women has identified a wide range of clinical conditions that may impact on their well-being following childbirth: from the more common baby blues, that is a physiological and transitory condition (Rezaie-Keikhaie et al, 2020), to more severe conditions, such as anxiety and mood disorders, puerperal psychosis, and post-traumatic stress disorder (Paulson and Bazemore, 2010;Meltzer-Brody et al, 2017;Mohamied, 2019;Pellowski et al, 2019). Specifically, the prevalence of anxiety spectrum disorders has been found to be around 10% (15% for anxiety symptoms) (Dennis et al, 2017), whilst depressive symptoms have been reported in 10-22% of mothers, depending on the different cut-off scores used in the studies (Zaers et al, 2008;Pampaka et al, 2018;Sunnqvist et al, 2018).…”

Section: Psychological Well-being Of Postpartum Womenmentioning

confidence: 99%

“…The birth of a child represents a critical experience in a woman's life, entailing several changes both at the individual (physical and psychological) and interpersonal level (Lawrence et al, 2008;Guzzo and Hayford, 2020). This experience may negatively impact on individual well-being, leading to several forms of distress and/or diseases including anxiety, mood and post-traumatic stress disorders (Paulson and Bazemore, 2010;Meltzer-Brody et al, 2017;Mohamied, 2019;Pellowski et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Motherhood in the Time of Coronavirus: The Impact of the Pandemic Emergency on Expectant and Postpartum Women’s Psychological Well-Being

2020

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The birth of a child is a critical and potentially stressful experience for women, entailing several changes both at the individual and interpersonal level. This event can lead to different forms of distress, ranging in intensity and duration. Many studies highlighted medical, psychological, and social variables as risk factors potentially influencing the onset or aggravation of perinatal maternal conditions. The current pandemic emergency and the restrictive measures adopted by local governments to prevent the spread of the coronavirus infection may negatively affect mothers-to-be and new mothers potentially increasing the likelihood of anxiety, depressive or post-traumatic symptoms to develop. Moreover, the forced quarantine combined with the limited access to professional or family support may increase feelings of fatigue and isolation. The present study aims to investigate women's psychological well-being during pregnancy and in the first months after childbirth, integrating the evaluation of some traditionally studied variables with the specificities of the current situation. 575 Italian women have been administered an online self-report questionnaire assessing the presence of anxiety disorders, depressive and post-traumatic symptoms as well as the expectations toward childbirth (for mothersto-be) or the subjective experience of childbirth (for postpartum women). Findings revealed a higher percentage of women than that reported in the literature scored above the clinical cutoff both during pregnancy and postpartum on a series of measures of psychological well-being, thus demonstrating that this period was perceived as particularly challenging and stressful and had significant impact on the women's wellbeing. Moreover, some socio-demographic, medical, and pandemic-related variables, especially the lack of presence and support from one's partner during labor and delivery as well as in the first days postpartum was found to predict women's mental health. These findings suggest the need for developing specific interventions targeted at women who cannot benefit from the support of their partners or family.

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Section: Psychological Well-being Of Postpartum Womenmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Motherhood in the Time of Coronavirus: The Impact of the Pandemic Emergency on Expectant and Postpartum Women’s Psychological Well-Being

2020

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“…The birth of a child significantly impacts a women's psychological well-being and may lead to several forms of diseases, ranging from baby blues to more severe conditions such as anxiety disorders, depression, puerperal psychosis, and post-traumatic stress disorders [1][2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Predictors of Postpartum Depression among Italian Women: A Longitudinal Study

Molgora

Saita

Carones

et al. 2022

IJERPH

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Introduction: Postpartum depression is commonly experienced by mothers worldwide and is associated with anxiety disorders, parenting stress, and other forms of distress, which may lead to a complex illness condition. Several studies have investigated the risk factors for this disorder, including biological and socio-demographic variables, medical and obstetric factors, and psychological and relational dimensions. The present study aimed to describe the psychological status of mothers up to 12 months postpartum, and to investigate the predictors of depressive symptoms at 12 months postpartum, considering obstetric factors along with psychological and relational variables. Methods: A sample of 137 women completed a questionnaire composed of a sheet on anamnestic and obstetric information and the following scales: Wijma Delivery Experience Questionnaire; State-Trait Anxiety Inventory; Edinburgh Postnatal Depression Scale; Parenting Stress Index (Short Form); Dyadic Adjustment Scale; and Multidimensional Scale of Perceived Social Support. Data were collected at four assessment times: 2–3 days, 3 months, 6 months, and 12 months postpartum. Results: Findings showed that the highest percentage of women with clinically significant symptoms of anxiety (state and trait) and depression was found at 12 months postpartum, which indicated that this was the most critical time. The quality of childbirth experience and trait anxiety at three months postpartum emerged as significant predictors of postpartum depression at 12 months. Conclusion: Our findings highlight the importance of providing stable programs (such as educational programs) to mothers in the first year postpartum. Furthermore, because the quality of the childbirth experience is one of the most important predictors of PPD at 12 months postpartum, effort should be made by healthcare professionals to guarantee a positive experience to all women to reduce possible negative long-term consequences of this experience.

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“…Inpatient care, ideally within a Mother and Baby Unit (MBU; Gillham and Wittkowski 2015) and pharmacological intervention, is almost always required (NICE 2018;Jones and Smith 2009). Family members are reported to be integral during this process and should be involved in care and treatment planning (Engqvist and Nilsson 2014;Mohamied 2019).…”

Section: Introductionmentioning

confidence: 99%

Recovery from postpartum psychosis: a systematic review and metasynthesis of women’s and families’ experiences

Forde

Peters

Wittkowski

2020

Arch Womens Ment Health

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Postpartum psychosis is a serious disorder that can result in adverse consequences for the mother and baby. It is important that we understand the experiences of women, to develop effective interventions during this critical period. The aim of this systematic review was to conduct a metasynthesis of qualitative research exploring women’s experiences of postpartum psychosis and factors involved in recovery from the perspective of women and family members. A comprehensive literature search of five databases was conducted and the findings were appraised and synthesised, following a thematic synthesis approach. Fifteen studies, capturing the views of 103 women and 42 family members, met the inclusion criteria. Four main themes incorporating 13 subthemes were identified following synthesis: (1) Experiencing the unspeakable, (2) Loss and disruption, (3) Realigning old self and new self and the integrative theme of (4) Social context. The findings offer new insight into the unique experience of postpartum psychosis and demonstrate that recovery does not follow a linear path. To improve clinical outcomes, a more integrative and individualised approach is needed which incorporates long-term psychological and psychosocial support, and considers the needs of the family. Further areas for staff training, service development and future research are highlighted.

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Postpartum psychosis and management: a case study

Cited by 5 publications

References 34 publications

Motherhood in the Time of Coronavirus: The Impact of the Pandemic Emergency on Expectant and Postpartum Women’s Psychological Well-Being

Motherhood in the Time of Coronavirus: The Impact of the Pandemic Emergency on Expectant and Postpartum Women’s Psychological Well-Being

Predictors of Postpartum Depression among Italian Women: A Longitudinal Study

Recovery from postpartum psychosis: a systematic review and metasynthesis of women’s and families’ experiences

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