1
|
Adhikary S, Gillespie K, Kimball H, Healey L, Webb O, Balram A, Branjerdporn G. A systematic review of research examining mothers, infants, family and staff in psychiatric mother-baby units. Acta Psychiatr Scand 2024. [PMID: 38958035 DOI: 10.1111/acps.13727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Revised: 06/07/2024] [Accepted: 06/22/2024] [Indexed: 07/04/2024]
Abstract
OBJECTIVE This systematic review aimed to summarise and synthesise research conducted in psychiatric mother-baby units (MBUs) in relation to patients, their families, or staff, published from 1st January 2016 to 1st May 2024. METHOD Quantitative, qualitative, and mixed-method studies were included for review if they were published in peer-review journals in English and reported research on MBUs between January 2016 and May 2024. From the initial yield of 10,007 unique studies, 53 studies were included for review. RESULTS MBU research was found to more frequently investigate maternal characteristics rather than the benefits of MBU treatment compared to studies conducted prior to 2016. Most studies that did investigate impact of admission showed favourable results, however few follow-up studies and studies comparing MBU outcomes to other clinical settings were undertaken. Little research has been conducted to investigate the differential impacts of MBU admission on different diagnoses and long-term (>1 year) patient outcomes. There was a dearth of research investigating partners of women in MBUs and few studies conducted on infant outcomes. CONCLUSIONS MBUs were consistently found to improve mental health systems and mother-infant attachment in patients after admission. More research investigating patient support networks and child health, impact of diagnosis on outcomes, and studies with adequate follow-up are required.
Collapse
Affiliation(s)
- Sam Adhikary
- Mater Young Adult Health Centre, Catherine's House for Mothers, Babies and Families, Mater Hospital, Brisbane, Queensland, Australia
- Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia
| | - Kerri Gillespie
- Mater Young Adult Health Centre, Catherine's House for Mothers, Babies and Families, Mater Hospital, Brisbane, Queensland, Australia
- Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia
| | - Hayley Kimball
- Mater Young Adult Health Centre, Catherine's House for Mothers, Babies and Families, Mater Hospital, Brisbane, Queensland, Australia
- Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia
| | - Lyndall Healey
- Mental Health and Specialist Services, Gold Coast University Hospital, Gold Coast Hospital and Health Service, Queensland Health, Gold Coast, Queensland, Australia
| | - Olivia Webb
- Mental Health and Specialist Services, Gold Coast University Hospital, Gold Coast Hospital and Health Service, Queensland Health, Gold Coast, Queensland, Australia
| | - Abha Balram
- Mental Health and Specialist Services, Gold Coast University Hospital, Gold Coast Hospital and Health Service, Queensland Health, Gold Coast, Queensland, Australia
| | - Grace Branjerdporn
- Mater Young Adult Health Centre, Catherine's House for Mothers, Babies and Families, Mater Hospital, Brisbane, Queensland, Australia
- Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia
- Mental Health and Specialist Services, Gold Coast University Hospital, Gold Coast Hospital and Health Service, Queensland Health, Gold Coast, Queensland, Australia
- Faculty of Health Sciences & Medicine, Bond University, Robina, Australia
| |
Collapse
|
2
|
Ashrafinia F, Chen H, Heydari O, Mirzaei M, Abdi F. The Importance of Personal and Familial Factors on Breastfeeding Intention and Practices, and Postpartum Distress during the Pandemic: A Longitudinal Observational Study. Matern Child Health J 2024; 28:513-523. [PMID: 37924418 DOI: 10.1007/s10995-023-03813-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/23/2023] [Indexed: 11/06/2023]
Abstract
BACKGROUND The COVID-19 pandemic has significantly impacted pregnant and breastfeeding women. Both low- and high-risk groups adopted preventive approaches such as mask-wearing and handwashing to slow down and prevent viral transmission during critical periods that may affect mother-child interactions. METHODS A longitudinal observational study was conducted with primiparous women recruited using convenience sampling from the postpartum care ward of Afzalipour Teaching Hospital in Kerman from August 1, 2020 to March 30, 2021. The research questionnaires included demographic information, preventive behaviors, breastfeeding intention and practices, postpartum distress, and Edinburgh Postpartum Depression Scale. All the questionnaires were self-reported online in three stages: before discharge from the postpartum ward, the first month after delivery, and the third month after delivery. RESULTS A Total of 160 primiparous women were included. The results showed significant changes in preventive behaviors and postpartum distress levels during the study. Breastfeeding intention and practices were negatively affected by postpartum distress (P = 0.034), unwanted pregnancies (P = 0.009), and cesarean delivery (P < 0.001). Postpartum distress was directly affected by the presence of depression (P < 0.001). Preventive behaviors at discharge were significantly associated with postpartum distress three months after delivery (P = 0.013). The study also found an association between women's and partner's education, unwanted pregnancy, and cesarean delivery that determined postpartum distress. CONCLUSIONS Pandemic restrictions did not affect breastfeeding intentions or practices, possibly due to sufficient social and family support during the pandemic. However, robust guidelines are required to increase enable women's access to specializede care to cope with future pandemics, particularly during the first few weeks after childbirth.
Collapse
Affiliation(s)
- Farzaneh Ashrafinia
- Department of Reproductive Health and Midwifery, Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran.
| | - Hui Chen
- Foetal Programming, School of Life Sciences, University of Technology Sydney, Sydney, Australia
| | - Omolbanin Heydari
- Midwifery, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| | - Maryam Mirzaei
- Obstetrics and Gynecology, Infertility, Jiroft University of Medical Sciences, Jiroft, Iran
| | - Fatemeh Abdi
- Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
| |
Collapse
|
3
|
Identifying women's needs to adjust to postpartum changes: a qualitative study in Iran. BMC Pregnancy Childbirth 2022; 22:115. [PMID: 35148718 PMCID: PMC8832831 DOI: 10.1186/s12884-022-04459-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2021] [Accepted: 02/08/2022] [Indexed: 12/22/2022] Open
Abstract
Background The transition to motherhood is associated with stress because of extensive and rapid changes to which women need to be able to adjust. To help women adjust to postpartum changes, their needs during this period must be identified. Therefore, the present qualitative study explored the needs of women for adjusting to postpartum changes. Methods In this study, 29 participants were selected through purposive sampling with maximum variation in Isfahan, Iran. Data was collected through in-depth individual interviews, daily notes, and field notes, and analyzed using conventional qualitative content analysis. Results Data analysis led to the emergence of 5 main categories: “the need to receive social support,” “the need to receive a sense of worth from the husband,” “the need to compensate and improve the situation,” “the need to create socio-cultural changes,” and “the need for training.” Conclusions According to the results of the study, in order to adjust to the changes in the postpartum period, and in addition to their efforts to compensate and improve the situation, women need to be supported by their husbands, family members and acquaintances, healthcare team, and society in various dimensions. Moreover, they should receive the information they need to turn the challenges of this period into an opportunity for growth.
Collapse
|