Profile of consumers and their partners of a perinatal and infant mental health (PIMH) service in Australia

Coates, Dominiek; Saleeba, Christine; Howe, Deborah

doi:10.1111/hsc.12489

Cited by 8 publications

(4 citation statements)

References 54 publications

(80 reference statements)

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“…Identified prevalence rates of trauma in this group are much higher than rates in the general community, where for example, studies have found lifetime prevalence of interpersonal trauma or childhood trauma between 11.8% (25) and 27.7% (11) in pregnant women in general antenatal settings. Women experiencing perinatal mental illness and receiving community-based care have been found to have rates of childhood trauma closer to the current study, between 34% (26) and 60% (27). This finding suggests a possible relationship between trauma prevalence and severity of perinatal mental illness, and a need for greater understanding of this relationship.…”

Section: Discussionsupporting

confidence: 66%

Trauma in the lives of parents experiencing severe perinatal mental illness

Isobel

2024

Front. Psychiatry

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BackgroundThe perinatal period is a time of ‘high risk’ for new and recurrent episodes of mental illness with 0.1-0.2% of birthing parents requiring admission to specialist mental health units in the months after birth. The prevalence and role of trauma in the lives of birthing parents (most commonly mothers) experiencing severe perinatal mental illness is not well known.MethodIn a new perinatal mental health unit in Sydney Australia, a retrospective audit of trauma prevalence was undertaken using patient completed questionnaires and electronic medical record data. Descriptive analysis was undertaken.ResultsPrevalence of trauma in the lives of mothers with severe mental illness was found to be higher than that reported in general or community mental health settings, with 76% of mothers reporting lifetime trauma exposure and 24% meeting criteria for complex PTSD. The majority reported trauma experiences likely to impact attachment and also reported difficulties in responding to their infants’ cues and needs.DiscussionThe findings suggest a need for more research, awareness, and consideration of the role of trauma in experiences of perinatal mental illness, with implications for developing trauma informed models for responding to parental mental illness.

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Section: Discussionsupporting

confidence: 66%

Trauma in the lives of parents experiencing severe perinatal mental illness

Isobel

2024

Front. Psychiatry

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“…For many women the perinatal period is a time of great social, emotional and physical vulnerability that can impact profoundly on their sense of identity, mental health and well‐being (Austin, Kildea, & Sullivan, ; Doucet, Letourneau, & Blackmore, ; Healey et al., ; Monzon, di Scalea, & Pearlstein, ). Estimates indicate that between 15% and 25% of women have a mental health problem during this time (Bauer, Parsonage, Knapp, Lemmi, & Adelaja, ; Khan, ; McCauley, Elsom, Muir‐Cochrane, & Lyneham, ; Schmied et al., ), most commonly depressive and anxiety disorders (Coates, Saleeba, & Howe, ; Leach, Christensen, & Mackinnon, ; Sidebottom, Hellerstedt, Harrison, & Hennrikus, ). Perinatal anxiety is associated with high rates of child birth fear (Halvorsen, Nerum, Øian, & Sørlie, ; Räisänen et al., ; Rouhe, Salmela‐Aro, Gissler, Halmesmäki, & Saisto, ), which can be conceptualised as a form of anxiety (Hall et al., ), and affects around 25% of pregnant women in Australia (O'Connell, Leahy‐Warren, Khashan, Kenny, & O'Neill, ; Toohill, Fenwick, Gamble, & Creedy, ).…”

Section: Introductionmentioning

confidence: 99%

The role and competence of midwives in supporting women with mental health concerns during the perinatal period: A scoping review

Coates

Foureur

2019

Health Soc Care Community

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Perinatal mental health problems are linked to poor outcomes for mothers, babies and families. Despite a recognition of the significance of this issue, women often do not receive the care they need and fall between the gap of maternity and mental health services. To address this, there is a call for reform in the way in which perinatal mental healthcare is delivered. This paper responds to this by exploring the role and competence of midwives in delivering mental healthcare. Using a scoping review methodology, quantitative and qualitative evidence were considered to answer the research question 'what is the nature of the evidence relevant to the provision of mental health interventions by midwives?' To identify studies, the databases PubMed,

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“…A C C E P T E D M A N U S C R I P T 5 with a history of personal, familial or spousal mental illness are vulnerable to depression during pregnancy (Coates et al, 2018). Parental mental disorders have been recognized as a risk factor for a variety of psychiatric disorders in the offspring (Rasic et al, 2014).…”

Section: Accepted Manuscriptmentioning

confidence: 99%