Key Topics In Perinatal Mental Health

The book offers a comprehensive and up-to-date overview of key issues in perinatal mental health. Classic topics such as screening, assessment, pharmacological, psychological and psychosocial interventions of the most common conditions (depression, anxiety disorders, etc.) are combined with lesser known issues, such as mother-infant relationship disorders or thoughts of infant-related harm and aggressive behaviors, sleep disturbances in puerperium, obsessional disorders, fetal death etc., paying particular attention to specific groups of perinatal patients like mothers with cancer, adolescents, fathers, migrants, and preterm babies. The chapters written by health professionals working in hospitals, community services or voluntary agencies alternate with contributions from researchers whose fields of expertise include biology and neuroscience, diagnosis and special needs, treatment and prognosis, etc., striking a balance between scientific investigation and clinical practice.The book offers a valuable tool for a wide range of professionals like psychiatrists, psychologists, gynecologists, midwives, oncologists, pediatricians, and social workers, who want to improve their clinical practice and the effectiveness of their treatment pathways using evidence from perinatal health research.

This book addresses key issues in perinatal mental health and discusses the different types of psychiatric care that may be appropriate for pregnant women, parents and infants, with emphasis on the need for joint care. The wide range of preventive measures, mainly applicable in primary care and the various potential curative interventions are examined in detail, with coverage of ambulatory care, day care and the role of mother and baby units. The importance of working in networks and joint decision-making strategies is explained. In addition, an overview of maternal perinatal psychopathology is provided and other relevant aspects are fully discussed, including the establishment of parent–infant interactions and the impacts of parental psychiatric illness on parenting skills and infant development. The book will be invaluable for adult and child psychiatrists, psychologists, psychotherapists, midwives, nurses and all others involved in the provision of perinatal psychiatric care.

Identifying Perinatal Depression and Anxiety brings together the very latest research and clinical practice on this topic from around the world in one valuable resource. Examines current screening and management models, particularly those in Australia, England and Wales, Scotland, and the United States Discusses the evidence, accuracy, and limitations of screening methods in the context of challenges, policy issues, and questions that require further research Up to date practical guidance of how to screen, assess, diagnose and manage is provided. Considers the importance of screening processes that involve infants and fathers, additional training for health professionals, pathways to care following screening, and the economics of screening Offers forward-thinking synthesis and analysis of the current state of the field by leading international experts, with the goal of sketching out areas in need of future research

This text provides background on the history of perinatal psychiatry, and discusses future directions in the field. It clearly defines perinatal mood and anxiety disorders (PMADs), which are the most common complication of pregnancy. When left untreated, PMADs are morbid and devastating for both the patient and their entire family. It reviews gold standard recommendations for the treatment of PMADs, including evidence-based psychotherapies, as well as risk-benefit analysis of psychotropic medication use in pregnancy and lactation. Additionally, common presentations of depression, anxiety, and trauma in pregnancy and postpartum women, as well as mania, psychosis, suicidal and homicidal thoughts are reviewed. Women’s Mood Disorders: A Clinician’s Guide to Perinatal Psychiatry highlights special considerations in pregnancy, including teenage pregnancies, hyperemesis gravidum, eating disorders, substance abuse disorders, as well as infertility, miscarriage and loss. The text concludes with outlining the importance of collaborative care in providing gold standard treatment of perinatal women and review documentation and legal considerations. This handbook will help educate and train future psychiatrists and OBGYNs in feeling confident and comfortable assessing and treating pregnant women who suffer from PMADs.

With up to 20% of women developing a mental health problem during pregnancy or within a year of giving birth, Perinatal Mental Health provides the UK’s first practical guide aimed specifically at the midwives who care for them. The book combines clinical and theoretical approaches to midwifery practice, and takes a holistic, women-centred approach to care. All aspects of perinatal mental health are covered comprehensively, including birth, support for fathers, social and cultural factors, the parent/infant relationship, and midwifery care for trans/masculine, and non-binary people. Written through a unique collaboration between experienced midwives, academics and perinatal mental health experts, this text contains all the key information needed by midwives and student midwives who may encounter women in need of mental health support during pregnancy and beyond. Practical guidance to help with the difficult conversations. Strategies to enhance psychological support for women with mental health conditions. Patient scenarios to encourage debate and reflection. Aligns with Nursing & Midwifery Council Standards. Case studies and references to national and international guidelines throughout to link theory with practice. Succinct and easy to follow text to help readers master the core issues with confidence.

The prospect of parenthood represents a milestone in anyone's life course and is often a period of stress and challenge. There are a number of significant mental health problems that can occur during the perinatal period, the consequences of which can be both enduring and, occasionally, life threatening. However, irrespective of the specifics of the clinical manifestation of a disturbance, the distress and misery that accompanies it has significant ramifications for the mother or mother-to-be and her partner and family. This book is arranged in themed parts that represent key aspects of facili.

Pursuing a multidisciplinary approach, this book demonstrates the best quality care for pregnant women and new mothers who may have complex social needs. This book will benefit all health and social care professionals working in women’s health, while also providing a valuable reference guide for maternity departments. The latest Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK (MBRRACE-UK) demonstrates the consequences that having multiple complexities has and the need to ensure that susceptible groups receive personalised, appropriate care and meeting the needs of all women is urgent and essential. This book brings together a blend of health and social care professionals, experts by experience and the charity third sector. All have expertise in caring for and supporting perinatal women with issues that may affect their health and the type of care they require. Through our collective writing, we provide a paradigm for partnership working and hope to have strengthened voices by highlighting women’s experiences and the importance of third sector partnerships, working in tandem with women who are experts by experiences and bringing health professionals together. In combination with recommendations from specialists in the field, we have offered a unique mix of compassion and evidence-based guidance. From substance abuse, domestic violence and HIV to experiences of Black, Asian and Ethnic Minorities, homelessness, women seeking asylum and women in prison, we have addressed a range of current issues and provided essential information and opportunities to reflect. Each chapter invites the reader to step into the shoes of the perinatal woman. Through our collective writing, we provide a paradigm for partnership working and hope to have strengthened voices by highlighting diverse experiences. We have looked at how using a trauma informed approach can be applied universally to care for all women and learn from charities such as Birth Companions, the 4M project and the Salamander Trust, how different approaches may directly impact women’s care in a positive and holistic way. An overarching aim of our book has been to find ways to deliver multi-agency continuity of care, whilst being aware of bias, professional responsibilities and an understanding how we can take a holistic approach - crucial for attaining excellence in 21st century maternity care provision.

The twelve articles included offer a comprehensive up-to-date overview of the most relevant research and treatment considerations in this neglected field. A brief, though very interesting introduction to the history of psychiatry of motherhood is followed by the discussion of the old question if perinatal disorders are specific entities and if they should have a specific place in our classification systems. This book is aimed primarily at clinicians, teachers and researchers from the fields of psychiatry (adult as well as child and adolescent psychiatry), obstetrics and gynaecology, paediatrics, psychology, psychotherapy, neurobiology and psychoneuroendocrinology as well as their students and learners.