Ressenti des sages-femmes dans la prise en charge en suites de couche des patientes avec troubles psychiques sévères : une analyse qualitative

Dubreucq, Marine; Jourdan, S.; Poizat, Annie; Dubreucq, Julien

doi:10.1016/j.encep.2019.07.009

Cited by 4 publications

(4 citation statements)

References 12 publications

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“…Extending the results of previous qualitative research ( 1 , 14 , 24 ), MHPs reported feelings of discomfort and needs for additional training when caring for (future) parents with SMI (e.g., fear of being clumsy when discussing these issues with their patients). Of note, MHPs, who agreed on the potential importance of these domains in the process of recovery, outlined the need for adopting a recovery-oriented practice in order to be able to distance from their own representations and to see beyond the patient with SMI the partner or parent the person was or wished to be.…”

Section: Discussionmentioning

confidence: 53%

A qualitative exploration of stakeholders’ perspectives on the experiences, challenges, and needs of persons with serious mental illness as they consider finding a partner or becoming parent

2023

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BackgroundWhile many persons with serious mental illness (SMI) consider intimate relationships and becoming parent as central parts of their lives deeply affecting wellbeing and recovery, others anticipate facing multiple challenges in these life domains. This qualitative study sought to explore the perspectives of persons with SMI and mental health providers (MHPs) with diverse backgrounds and practices on the experiences, challenges, needs and expectations of persons with SMI as they consider finding a partner or becoming parent.MethodsFor this qualitative study, we conducted five focus groups between March and December 2020 for a total number of 22 participants (nine persons with SMI and thirteen MHPs) recruited from a center for psychiatric rehabilitation and a community mental health center in France. We used the inductive six-step process by Braun and Clarke for the thematic analysis.ResultsParticipants reported some challenges related to intimate relationships, stigma/self-stigma, disclosure and decision-making about start a family. Their expectations included: (i) psychoeducation about decision-making about finding a partner and starting a family; (ii) support in making empowered decisions about finding a partner, starting a family or disclosure to a prospective partner or their child; (iii) peer-support interventions; (iv) enhancing coping strategies; (v) integrated service provision including home treatment interventions, training to recovery-oriented practices and access to dedicated resources for providers.ConclusionIn short, intimate relationships and desire to start a family for persons with SMI should be more considered in psychiatric rehabilitation and additional support and interventions should therefore be provided.

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Section: Discussionmentioning

confidence: 53%

A qualitative exploration of stakeholders’ perspectives on the experiences, challenges, and needs of persons with serious mental illness as they consider finding a partner or becoming parent

2023

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“…Several studies have indicated that perinatal depression is both a complication (80) and/or a consequence of complications in pregnancy (81)(82)(83). Perinatal depression could be a cause of complications that signi cantly affect pregnancy outcomes (76,84,85), child development, and higher maternal risk of subsequent psychological morbidities (72,(86)(87)(88)(89).…”

Section: Discussionmentioning

confidence: 99%

“We do not know how to screen and provide treatment”: A qualitative study of barriers and enablers of implementing perinatal depression health services in Ethiopia

Dadi

Miller

Azale

et al. 2020

Preprint

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Background: Qualitative studies evaluating maternal mental health services are lacking in Ethiopia, and the available evidence targets severe mental illnesses in the general population. We conducted a qualitative study to explore barriers to, enablers of, or opportunities for perinatal depression health services implementations in Ethiopia.Methods: We conducted a total of 13 face to face interviews with mental and maternal health service administrators from different levels of the Ethiopian healthcare system. We interviewed in Amharic (a local language), transcribed and translated into English, and imported into NVivo. We analysed the translated interviews inductively using thematic framework analysis. Results: The study identified: (i) health administrators’ low literacy about perinatal depression as individual level barriers; (ii) community low awareness, health-seeking behaviours and cultural norms about perinatal depression as socio-cultural level barriers; (iii) lack of government capacity, readiness, and priority of screening and managing perinatal depression as organisational level barriers; and (iv) lack of mental health policy, strategies, and healthcare systems as structural level barriers of perinatal mental health implementation in Ethiopia. The introduction of the new Mental Health Gap Action Programme (mhGap), health professionals’ commitment, and simplicity of screening programs were identified enablers of, or opportunities for, perinatal mental health service implementation.Conclusions: This qualitative inquiry identified important barriers and potential opportunities that could be used to address perinatal depression in Ethiopia. Building the capacity of policy makers and planners, strengthening the mental healthcare system and governance should be a priority issue for an effective integration of maternal mental health care with the routine maternal health services in Ethiopia.

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“…(2020) ( 79 ) found that student midwives had more negative attitudes toward persons with mental illness compared with mental health nursing students. However, other studies reported that midwives consider caring for parents with these conditions as part of their role but felt ill equipped to do so and expressed the need for additional training ( 8 , 28 , 29 , 34 , 39 , 49 ).…”

Section: Discussionmentioning

confidence: 99%

“…While the need to improve midwives’ initial and continuous education in PMH is now well established ( 7 , 10 ), student midwives, midwives and even specialist midwives continue reporting to feel ill prepared to care for parents with PMHP in particular in case of co-occurring SMI ( 9 , 21 , 24 , 33 , 34 , 36 ). Moreover, the proportion of midwives who received education in PMH - in particular in topics such as mental health/suicide risk assessment - remains consistently low.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of midwives’ training needs in perinatal mental health and related interventions

Dubreucq,

Dupont,

Lambregtse-Van den Berg

et al. 2024

Front. Psychiatry

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BackgroundMidwives may be key stakeholders to improve perinatal mental healthcare (PMHC). Three systematic reviews considered midwives’ educational needs in perinatal mental health (PMH) or related interventions with a focus on depression or anxiety. This systematic review aims to review: 1) midwives’ educational/training needs in PMH; 2) the training programs in PMH and their effectiveness in improving PMHC.MethodsWe searched six electronic databases using a search strategy designed by a biomedical information specialist. Inclusion criteria were: (1) focus on midwives; (2) reporting on training needs in PMH, perinatal mental health problems or related conditions or training programs; (3) using quantitative, qualitative or mixed-methods design. We used the Mixed Methods Appraisal Tool for study quality.ResultsOf 4969 articles screened, 66 papers met eligibility criteria (47 on knowledge, skills or attitudes and 19 on training programs). Study quality was low to moderate in most studies. We found that midwives’ understanding of their role in PMHC (e.g. finding meaning in opening discussions about PMH; perception that screening, referral and support is part of their routine clinical duties) is determinant. Training programs had positive effects on proximal outcomes (e.g. knowledge) and contrasted effects on distal outcomes (e.g. number of referrals).ConclusionsThis review generated novel insights to inform initial and continuous education curriculums on PMH (e.g. focus on midwives’ understanding on their role in PMHC or content on person-centered care).Registration detailsThe protocol is registered on PROSPERO (CRD42021285926)

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Ressenti des sages-femmes dans la prise en charge en suites de couche des patientes avec troubles psychiques sévères : une analyse qualitative

Cited by 4 publications

References 12 publications

A qualitative exploration of stakeholders’ perspectives on the experiences, challenges, and needs of persons with serious mental illness as they consider finding a partner or becoming parent

A qualitative exploration of stakeholders’ perspectives on the experiences, challenges, and needs of persons with serious mental illness as they consider finding a partner or becoming parent

“We do not know how to screen and provide treatment”: A qualitative study of barriers and enablers of implementing perinatal depression health services in Ethiopia

A systematic review of midwives’ training needs in perinatal mental health and related interventions

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