Psychiatric Emergencies in Pregnancy and Postpartum

The perinatal period is a vulnerable time for the acute onset and recurrence of psychiatric illness. Primary care providers are opportunely positioned to intervene for women who present with mood decompensation, excessive anxiety, or psychosis during the perinatal period. Owing to increased screening efforts in obstetrical clinics and amount of contact during the perinatal period, obstetricians may be able to identify patients who need treatment before their symptoms become severe. In this article, we address imminent and emergent psychiatric symptoms in the perinatal period including management and risk reduction to help obstetrician/gynecologists treat and/or refer patients as clinically appropriate.
Source: Clinical Obstetrics and Gynecology - Category: OBGYN Tags: Depression in the Pregnant Patient Source Type: research

Related Links:

Publication date: Available online 12 November 2018Source: European Journal of Obstetrics &Gynecology and Reproductive BiologyAuthor(s): Brendan P. McDonnell, Sheila Keogan, Luke Clancy, Carmen ReganAbstractObjectiveMaternal cigarette smoking is a recognised risk factor for maternal and fetal morbidity and mortality and remains a significant problem in the Irish maternity system. Approximately 11% of Irish women will continue to smoke in pregnancy, despite awareness of the negative impact on their pregnancy. Although recommendations exist for the management of pregnant smokers, information on the antenatal care of Iris...
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
ConclusionThis program was evaluated positively. The AALS, PTGI ‐J, EPDS, and STAI showed significant change after the program and the AALS, PTGI‐J, and STAI‐J showed significant correlations with the CNSS.
Source: Japan Journal of Nursing Science - Category: Nursing Authors: Tags: ORIGINAL ARTICLE Source Type: research
Publication date: Available online 8 November 2018Source: Nutrition, Metabolism and Cardiovascular DiseasesAuthor(s): N. Di Biase, S. Balducci, C. Lencioni, A. Bertolotto, A. Tumminia, A.R. Dodesini, B. Pintaudi, T. Marcone, E. Vitacolonna, A. NapoliAbstractThe aim of this review is to provide general suggestions about physical activity (PA) in pre-gestational and gestational diabetes (GDM) and encourage women to take part in safe and effective activities throughout pregnancy, in the absence of other contraindications. Physical activity before, during pregnancy and postpartum has many positive effects on the mother as it c...
Source: Nutrition, Metabolism and Cardiovascular Diseases - Category: Nutrition Source Type: research
Abstract BACKGROUND: Identifying characteristics of individuals at greatest risk for prolonged grief disorder (PGD) can improve its detection and elucidate the etiology of the disorder. The Safe Passage Study, a study of women at high risk for sudden infant death syndrome (SIDS), prospectively examined the psychosocial functioning of women while monitoring their healthy pregnancies. Mothers whose infants died of SIDS were followed in bereavement. METHODS: Pre-loss data were collected from 12 000 pregnant mothers and analyzed for their associations with grief symptoms and PGD in 50 mothers whose infants died f...
Source: Psychological Medicine - Category: Psychiatry Authors: Tags: Psychol Med Source Type: research
CONCLUSIONS: Women with perinatal distress were more likely to use an epidural than non-distressed women. The use of an epidural might help them manage pain and uncertainties related to childbirth. Women who were dissatisfied in their partner relationship may be more likely to undergo induction of childbirth, episiotomy and/or vacuum extraction. IMPLICATION FOR PRACTICE: Midwives need to acknowledge the possible association of distress and use of an epidural during childbirth and screen for distress early in pregnancy. It is important to offer counselling and help during pregnancy for expectant parents who are distres...
Source: Midwifery - Category: Midwifery Authors: Tags: Midwifery Source Type: research
CONCLUSIONS: Prenatal exercise reduced the odds and severity of prenatal depression. PMID: 30337464 [PubMed - in process]
Source: British Journal of Sports Medicine - Category: Sports Medicine Authors: Tags: Br J Sports Med Source Type: research
CONCLUSION: This literature research substantiates the fetal programming hypothesis in which prenatal maternal psychological stress (anxiety, depression and subjectively experienced stress) influences the development of affective disorders in the growing child. PMID: 30328596 [PubMed - in process]
Source: Tijdschrift voor Psychiatrie - Category: Psychiatry Authors: Tags: Tijdschr Psychiatr Source Type: research
Abstract BACKGROUND: Although personality as well as anxiety and depression are recognized as predictors for breastfeeding initiation, evidence of an association of these factors with 6 months' exclusive breastfeeding as recommended by the World Health Organization (WHO) is sparse. PURPOSE: The purpose of this study was to investigate the associations of personality and symptoms of anxiety and depression during and after pregnancy with meeting the WHO recommendation of 6 months' exclusive breastfeeding. METHODS: In their first trimester of pregnancy, 5784 pregnant women were enrolled in Dutch primary obs...
Source: Advances in Neonatal Care - Category: Nursing Authors: Tags: Adv Neonatal Care Source Type: research
CONCLUSION: Psychiatric assessment of women who scored 13 or more on the Edinburgh Postnatal Depression Scale at routine antenatal screening identified a significant number with borderline personality disorder or borderline personality traits rather than depressive or anxiety disorders. Clinical Practice Guidelines note the importance of further assessment for all women who score 13 or more on the Edinburgh Postnatal Depression Scale. The findings here suggest that this assessment should be made by a clinician able to identify personality pathology and organise appropriate and timely interventions. PMID: 30309241 [Pub...
Source: The Australian and New Zealand Journal of Psychiatry - Category: Psychiatry Authors: Tags: Aust N Z J Psychiatry Source Type: research
ConclusionThe results of the study indicate that diaphragmatic breathing exercises appear to provide positive effects on psychological state and may increase levels of maternal-foetal attachment.
Source: European Journal of Integrative Medicine - Category: Complementary Medicine Source Type: research
More News: Anxiety | Depression | Emergency Medicine | OBGYN | Perinatology & Neonatology | Postnatal Depression | Pregnancy | Primary Care | Psychiatry | Women