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Journal articles on the topic 'Perinatal psychiatry'

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Published: 9 March 2023
Last updated: 10 March 2023

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1

Freeman, Marlene P. "Perinatal Psychiatry." Journal of Clinical Psychiatry 70, no. 9 (September 15, 2009): 1311–12. http://dx.doi.org/10.4088/jcp.09f05512.

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2

Freeman, Marlene P. "Perinatal Psychiatry." Journal of Clinical Psychiatry 75, no. 10 (October 28, 2014): 1086–87. http://dx.doi.org/10.4088/jcp.14f09436.

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3

Freeman, Marlene P. "Perinatal Psychiatry." Journal of Clinical Psychiatry 69, no. 4 (April 15, 2008): 633–34. http://dx.doi.org/10.4088/jcp.v69n0416.

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4

Appleby, Louis, Channi Kumar, and Rachel Warner. "Perinatal psychiatry." International Review of Psychiatry 8, no. 1 (January 1996): 5–7. http://dx.doi.org/10.3109/09540269609037812.

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5

Gregoire, Alain. "Perinatal Psychiatry." Medicine 28, no. 5 (2000): 79–84. http://dx.doi.org/10.1383/medc.28.5.79.28570.

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6

Henshaw, Carol. "Perinatal psychiatry." Medicine 32, no. 8 (August 2004): 42–43. http://dx.doi.org/10.1383/medc.32.8.42.43172.

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Jones, Ian. "Perinatal psychiatry." Medicine 36, no. 9 (September 2008): 459–62. http://dx.doi.org/10.1016/j.mpmed.2008.07.002.

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Jones, Ian. "Perinatal psychiatry." Medicine 40, no. 12 (December 2012): 654–57. http://dx.doi.org/10.1016/j.mpmed.2012.09.001.

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Dias, Marisa Casanova, and Ian Jones. "Perinatal psychiatry." Medicine 44, no. 12 (December 2016): 720–23. http://dx.doi.org/10.1016/j.mpmed.2016.09.006.

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Casanova Dias, Marisa, and Ian Jones. "Perinatal psychiatry." Medicine 48, no. 12 (December 2020): 774–78. http://dx.doi.org/10.1016/j.mpmed.2020.09.016.

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Williams, Shehan, and Thilini Rajapakse. "Perinatal psychiatry." Sri Lanka Journal of Psychiatry 4, no. 2 (December 29, 2013): 52. http://dx.doi.org/10.4038/sljpsyc.v4i2.6317.

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Kannabiran, Muthukumar, Rowan Pearson, and Gopinath Narayan. "Perinatal psychiatry." BMJ 334, no. 7591 (March 3, 2007): s75.2—s76. http://dx.doi.org/10.1136/bmj.334.7591.s75-a.

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Casanova Dias, Marisa, Ekin Sönmez Güngör, Sean Naughton, Howard Ryland, Thomas Gargot, Mariana Pinto da Costa, Athanasios Kanellopoulos, Franziska Baessler, and Livia De Picker. "Psychiatric training in perinatal mental health across Europe." Archives of Women's Mental Health 25, no. 2 (March 3, 2022): 501–6. http://dx.doi.org/10.1007/s00737-022-01216-w.

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AbstractPerinatal mental illness is associated with considerable maternal and infant morbidity and mortality. However, there are currently no specific guidelines on the standards and structure of postgraduate perinatal psychiatric training in Europe. We describe the characteristics of available and desired specialist perinatal psychiatry training from the perspective of European psychiatrists in training. An online survey was conducted among 34 national psychiatric trainee association representatives of the European Federation of Psychiatric Trainees (EFPT). Participants from the countries in which perinatal psychiatry training was available were invited to participate in in-depth follow-up interviews. Six countries out of 34 (18%) reported that specialist training in perinatal mental health was available (Finland, France, Germany, Ireland, Malta, and the UK). The nature of available training varied in duration, the supervision and assessment model employed, and the training scheme context. Of the 28 countries where specialist perinatal psychiatry training was unavailable, the majority of national representatives (22 countries, 76%) wanted specialist perinatal psychiatry training to be included in their national training curricula. There is a gap between the expected skills and the available training for psychiatrists to meet the mental healthcare needs of women in the perinatal period. Given the prevalence and impact of perinatal mental illness and the expressed desires of trainees themselves for specialist training, this finding should prompt urgent action.
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14

Di Giacomo, E., F. Colmegna, and M. Clerici. "Personality Disorders and Perinatal Psychiatry: Food for Thoughts from Perinatal Psychiatric Department Experience." European Psychiatry 41, S1 (April 2017): S90. http://dx.doi.org/10.1016/j.eurpsy.2017.01.282.

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BackgroundPregnancy and postpartum are sensitive unique moments in women's life. Perinatal psychiatry is focused on depression and psychosis, but personality issues is often neglected as well as risk factors for personality disorders instead of being considered causative of onset or recrudescence of psychiatric symptoms in perinatal.MethodsIn total, 129 women were referred to perinatal psychiatric department during their pregnancy or postpartum in the last three years. They were administered SCID II, Childhood Trauma Questionnaire (CTQ), Beck Depression and Anxiety Inventories (BDI and BAI), Edinburgh Postnatal Depression Scale (EPDS) and World Health Organization Quality of Life (WHOQOL). Their interaction with babies was monitored at birth and during follow up. Children's behavioral development is under evaluation through structured tests.ResultsBDI and BAI scored moderate or severe in 31 and 27% of women, EPDS was significant in 36%, while SCID II highlighted 24% of borderline, 17% narcissistic, 4% schizoid, 4% paranoid and 9% obsessive/compulsive PD. Nineteen of them suffered physical abuse during childhood, 26 sexual abuse, 89 emotional neglect and only 15 out of 129 were negative to any kind of abuse during childhood.ConclusionPersonality disorders appears to influence maternal adjustment to pregnancy and motherhood. Abuses suffered during childhood confirm their role as potential risk factor in personality issues which clearly express their effect in adaptation to change in personal role and in emphatic interactions.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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15

Sutter, A. L., and M. L. Bourgeois. "Perinatal psychiatry in france." European Psychiatry 11 (January 1996): 162s. http://dx.doi.org/10.1016/0924-9338(96)88431-8.

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16

Sönmez, E., M. Casanova Dias, and M. Pinto Da Costa. "Psychiatric Trainees’ Experience of their Training in Perinatal Mental Health." European Psychiatry 41, S1 (April 2017): S65. http://dx.doi.org/10.1016/j.eurpsy.2017.01.064.

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IntroductionApproaching and offering treatment to a patient in perinatal period might be complicated. Often, it is regarded as one of the most difficult aspects in psychiatry. Given the increasing trends in the number of female patients of childbearing age consulting to psychiatric services, it has become an issue that specialists of today and tomorrow need to be well aware of.ObjectivesTo better understand the impact of perinatal mental health training on psychiatric trainees from different countries in Europe who receive such training.MethodsThe European Federation of Psychiatric Trainees conducts annual surveys, directing questions to national trainee representatives, to assess the situation of psychiatric training. EFPT representatives of the countries where perinatal mental health training was reported to be included in psychiatry and/or child and adolescent psychiatry training programmes, namely Germany, France, Malta, Finland and Ireland, were contacted. Qualitative interviews focusing on the confidence (or in confidence) trainees feel when a patient who is planning pregnancy, pregnant or breastfeeding consults to them and the impact of training in perinatal mental health on their attitudes as clinicians were explored.ResultsAlthough theoretical training in perinatal mental health is considered as an important aspect of psychiatry training in general, practical training or rotations are not found as essential. However, being able to benefit to more than one generation was perceived as a source of motivation.ConclusionsPerinatal mental health is appreciated as a critical part of theoretical education by trainees and in countries where a clinical rotation is available, it enhances making more use of resources and consultation possibilities.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Casanova Dias, M., E. Sonmez, F. Baessler, A. Kanellopoulos, S. Naughton, M. Pinto Da Costa, H. Ryland, and L. De Picker. "Psychiatric Training in Perinatal Mental Health Across European Countries." European Psychiatry 41, S1 (April 2017): S65. http://dx.doi.org/10.1016/j.eurpsy.2017.01.063.

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IntroductionThe aim of postgraduate psychiatric training is to prepare psychiatrists to practice independently. The quality of care provided will depend on the training they received. Pregnancy and childbirth (usually called the perinatal period) are a high-risk period for many women with psychiatric problems. An illness episode at that time can have a devastating effect on women and the whole family, including the child's development.ObjectivesTo understand how perinatal mental health training is organized within Europe and how it fits in the training curricula.MethodsThe European Federation of Psychiatric Trainees conducts an annual survey of all member country organizations. We have asked respondents if they received training in perinatal psychiatry, whether that was optional or mandatory and what was its duration. Where training in perinatal psychiatry was not available we asked if they felt it should be.ResultsData will be presented from the 35 countries that responded in the 2016 survey. Six countries reported that training in perinatal mental health is available. But it is mandatory in only one, with the others offering a mix of theoretical and practical optional training. Of the 29 countries that do not offer perinatal psychiatry training, the majority reported it should be offered and mandatory.ConclusionThere is a gap in the expectations of psychiatrists treating women in pregnancy and after birth, and a widespread lack of training for them to be able to do so effectively.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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18

Sutter-Dallay, A. L. "Joint care of parents and infants in perinatal psychiatry." European Psychiatry 64, S1 (April 2021): S65. http://dx.doi.org/10.1192/j.eurpsy.2021.203.

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Abstract BodyIn the perinatal period, about 15-20 % of women will present a mental health disorder. These disorders, as with all sources of psychological and physical stress in early childhood, especially the poor quality of parent-child relationships, are widely involved in predicting poor mental health in adulthood. The economic cost of perinatal mental health, corollary of this human cost, evaluated in 2014 would amount to £GBP 8.1 billion per annual birth cohort according to a UK report. This report highlights another fundamental element: 3/4 of the costs are associated with the deleterious consequences of parental psychological disorders on child development. The mechanisms involved in the relationship between parental psychiatric disorders and child development are complex. On the other hand, the influence of parental characteristics on the future of children can vary depending on social determinants such as familial income level. During the perinatal period, parental mental health represents one of the keys to the infant development. Perinatal psychiatry allows a dual approach essential to deal with the complexity of perinatal psychiatry care, combining a curative aim (care of the parent) and a preventive one (preventing the risk of dysfunction in the process of becoming parents, in parent-child relationships and of impaired child developement). This intervention wil discuss how this interactive circle must be supported by perinatal mental health policies, of which the joint care of parents and infants (from parent-child psychotherapy to joint mother-baby hospitalisation) in perinatal psychiatry is a pivotal element.DisclosureNo significant relationships.
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19

Sobowale, Kunmi, Misty Richards, and Lisa B. Dixon. "Perinatal Psychiatry: Improving Access to Perinatal Mental Health Care." Psychiatric Services 73, no. 1 (January 1, 2022): 116–17. http://dx.doi.org/10.1176/appi.ps.2021.73102.

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20

Godbole, Nupur, Gregory Sullivan, and Lauren Weber. "Reproductive Psychiatry: Beyond Perinatal Health." American Journal of Geriatric Psychiatry 30, no. 4 (April 2022): S10—S11. http://dx.doi.org/10.1016/j.jagp.2022.01.267.

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21

Freeman, Marlene P. "The Tenets of Perinatal Psychiatry." Journal of Clinical Psychiatry 73, no. 02 (February 15, 2012): 233–34. http://dx.doi.org/10.4088/jcp.12f07634.

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22

Sved Williams, Anne. "What’s new in perinatal psychiatry?" Australasian Psychiatry 27, no. 2 (April 2019): 109–10. http://dx.doi.org/10.1177/1039856219833838.

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23

Cox, John L. "Transcultural aspects of perinatal psychiatry." European Psychiatry 11 (January 1996): 162s. http://dx.doi.org/10.1016/0924-9338(96)88432-x.

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24

Eranti, S. V. "Somatic treatments in perinatal psychiatry." European Psychiatry 22 (March 2007): S42. http://dx.doi.org/10.1016/j.eurpsy.2007.01.169.

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25

Boyce, Philip. "50 years of perinatal psychiatry." Australian & New Zealand Journal of Psychiatry 51, no. 9 (August 22, 2017): 860–62. http://dx.doi.org/10.1177/0004867417726585.

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26

Ramsay, Rosalind, and Channi Kumar. "Ethical dilemmas in perinatal psychiatry." Psychiatric Bulletin 20, no. 2 (February 1996): 90–92. http://dx.doi.org/10.1192/pb.20.2.90.

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This paper discusses ethical dilemmas that arise in parenting assessments on an in-patient Mother and Baby Unit with reference to one subject, a mother with schizophrenia who had been referred for a specialist opinion. The case raises ethical issues about the sometimes conflicting needs and wishes of mothers and their infants, and considers the requirements of the Children Act.
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Orsolini, Laura, Domenico De Berardis, and Cesario Bellantuono. "The ‘hidden' and ‘forgotten' psychiatry: The Perinatal Psychiatry." RIVISTA SPERIMENTALE DI FRENIATRIA, no. 1 (March 2019): 35–58. http://dx.doi.org/10.3280/rsf2019-001003.

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28

Pritchard, Dewi B., and Brian Harris. "Aspects of Perinatal Psychiatric Illness." British Journal of Psychiatry 169, no. 5 (November 1996): 555–62. http://dx.doi.org/10.1192/bjp.169.5.555.

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BackgroundIn view of the current changes in the National Health Service, it was considered an opportune time to review the literature on perinatal psychiatric illness.MethodA systematic review was undertaken of relevant articles on medline, ClinPsych and Excerpta Medica Psychiatry.ResultsSixty-eight articles were used in the review.ConclusionsDevelopments in the field of perinatal psychiatry include a greater understanding of the nosology and aetiology of the conditions, the effect of maternal illness on the child as well as transcultural factors. The perspective of the individual sufferer has been somewhat ignored. New treatments with both pharmacotherapy and hormones are emerging, but perhaps the greatest current challenge is to adapt our management strategies to community care.
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Parveen, Shahana, Mohammad Akteruzzaman, Mohammad Muntasir Maruf, Sumiya Akhter, and Sadya Tarannum. "Factors of psychiatric morbidity during perinatal period." Bangladesh Journal of Psychiatry 29, no. 2 (August 12, 2018): 53–58. http://dx.doi.org/10.3329/bjpsy.v29i2.37850.

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The presence of psychiatric disorders during perinatal period imposes negative and long-term effect on maternal health and child development as well as normal family environment. The purpose of our study was to investigate the socio-demographic factors associated with psychiatric morbidity during perinatal period. It was a descriptive cross-sectional study conducted among purposively selected 197 perinatal women attending the Obstetrics & Gynaecology Outpatient Department (OPD) of Bangabandhu Sheikh Mujib Medical University and Dhaka Medical College Hospital, Dhaka from August 2012 to July 2013. Data were collected through face-to-face interview by administering a semistructured questionnaire, containing socio-demographic and other variables and translated Bangla version of Structured Clinical Interview for DSM-IV Axis-I Disorders – Clinician Version (SCID-CV). Majority (79.7%) of the women were included in the age group of 20-34 years. The mean (±SD) age of the respondents were calculated as 24.60 (±4.88) years. Rural habitat was predominant (53.6%). A good number (5.1%) of respondents with psychiatric disorders had positive family history of psychiatric illness which was found statistically significant. Majority (7.6%) of the respondents with psychiatric disorders had previous history of psychiatric illness. Women in perinatal period with the risk factors for developing psychiatric disorders need proper psychiatric evaluation to prevent and treat perinatal mental illness.Bang J Psychiatry December 2015; 29(2): 53-58
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Dere, ShubhangiS. "IPS travel fellowship in perinatal psychiatry." Indian Journal of Psychiatry 59, no. 3 (2017): 402. http://dx.doi.org/10.4103/psychiatry.indianjpsychiatry_9_17.

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31

Marchesi, Carlo. "Is Perinatal Psychiatry a Needed Specialty?" Journal of Clinical Psychiatry 76, no. 09 (September 23, 2015): 1251. http://dx.doi.org/10.4088/jcp.14lr09676.

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32

Schofield, Zena, and Neelam Sisodia. "An obstetrician's guide to perinatal psychiatry." Obstetrics, Gynaecology & Reproductive Medicine 24, no. 11 (November 2014): 340–44. http://dx.doi.org/10.1016/j.ogrm.2014.08.003.

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33

O'Keane, Veronica. "Planning perinatal psychiatry services for Ireland." Irish Journal of Psychological Medicine 27, no. 1 (March 2010): 3–5. http://dx.doi.org/10.1017/s0790966700000823.

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34

Humphreys, Jacqueline, Janet Obeney-Williams, Rachael W. Cheung, and Nisha Shah. "Perinatal psychiatry: a new specialty or everyone's business?" BJPsych Advances 22, no. 6 (November 2016): 363–72. http://dx.doi.org/10.1192/apt.bp.115.014548.

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SummaryPerinatal psychiatry is a relatively new subspecialty and controversy exists about such specialist provision. Differences can occur in how mental illnesses present in pregnancy, and there is a need to take into account both mother and baby. The risks of not treating perinatal mental illness can be both acute and chronic, and suicide in the context of untreated illness remains a leading indirect cause of maternal mortality. Despite the government's agenda of preventive healthcare, service provision is inequitable across the UK. Advice regarding treatment continues to be complex, and perinatal psychiatrists need to keep abreast of a growing evidence base. This review offers an overview of some current issues in the care of patients in the perinatal period and shows how specialised perinatal services are uniquely placed to meet their needs. Hopefully, it will prove useful to all clinicians responsible for the perinatal care of women and their families.
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35

Gressier, F., and A. L. Sutter-Dallay. "Suicide attempts in women with severe mental illness in the perinatal period." European Psychiatry 64, S1 (April 2021): S43. http://dx.doi.org/10.1192/j.eurpsy.2021.143.

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Suicide is one of the leading causes of perinatal maternal mortality (1). Maternal suicidality has a negative impact on the mother-baby relationship and child development. However, little is known about specific risk factors for perinatal suicide attempts in women with severe mental illness. In a sample of 1439 women with severe mental illness in the perinatal period and jointly admitted with their baby in a mother and baby unit, 154 (11.7%) attempted suicide, 49 in pregnancy (3.7%) and 105 (8.0%) in the post-partum period (2). Suicide attempt in pregnancy was related to alcohol use, smoking during pregnancy and a history of miscarriage, and in the post-partum period to major depressive episode or recurrent depression and younger age. Women who attempt suicide either in pregnancy or in the postnatal period could have different psychopathological and environmental profiles. Past obstetric history and addictive behaviours during pregnancy are essential elements to explore. In addition, depressive symptoms should be assessed in all women to treat major depression, as a means of preventing suicide attempt. Special attention to risk of suicide is needed during the perinatal period for women with severe mental illness. For women suffering from an acute psychiatric disorder, or a history of mental illness, multi-disciplinary management should be implemented. 1. Oates M. Suicide: the leading cause of maternal death. Br J Psychiatry. 2003;183:279-81. 2. Gressier F et al. Risk factors for suicide attempt in pregnancy and the post-partum period in women with serious mental illnesses. J Psychiatr Res. 2017;84:284-291.DisclosureNo significant relationships.
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36

Senanayake, Saumya Madhri, Iresha Perera, Janith Galhenage, and Raveen Hanwella. "Psychological morbidity and associated factors among perinatal patients referred for psychiatry assessments at a tertiary care centre in Sri Lanka." BJPsych Open 7, S1 (June 2021): S288. http://dx.doi.org/10.1192/bjo.2021.766.

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AimsOur objective was to study the psychological morbidity and associated risk factors among antenatal and postnatal patients referred for the psychiatric assessment at University Psychiatry Unit of National Hospital of Sri Lanka.MethodAll the Clinic records of perinatal referrals from 1st January 2019 to 31st December 2019 were assessed. Sociodemographic details, delivery details, health of the newborn, past and present psychiatry illness related details were obtained using a questionnaire. Data were analysed using SPSS.ResultTotal of 161 perinatal referrals were studied. Mean age of the mothers were 28.7 years (SD = 6.60). About 18 (11.8%) were not legally married, partner passed away or estranged. Above Ordinary level education was having 34.5% of participants. Majority were postnatal mothers (61.5%). Some mothers (32.3%) have reported the pregnancy was unexpected whilst 20(32.3%) and 49(30.8%) have experienced delivery complications and neonatal illnesses respectively. Past mental illnesses were found among 31(20.7%) of mothers. Out of whole perinatal referrals maternity blues (28.9%) was the commonest current psychiatry diagnosis. Among antenatal mothers, adjustment disorder (28.8%) and depressive disorder (17.3%) were the commonest. Schizophrenia, Schizophreniform disorder and bipolar illness were found among 8(5%), 6(3.7%) and 3(1.9%) mothers respectively. Major psychoactive substance use disorder was found among 4 (2.5%) mothers. Presence of pregnancy related complications were significantly associated with postpartum metal illnesses(p = 0.008).ConclusionCommonest perinatal mental illness was the maternity blues. Depressive disorder was the commonest major mental illness and neonatal complications were associated with psychological morbidity in postnatal mothers.
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Amos, Andrew. "Perinatal psychiatry: landing safely without a parachute." Australasian Psychiatry 27, no. 2 (April 2019): 110–11. http://dx.doi.org/10.1177/1039856219833838a.

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38

Coen, A. "Moving from perinatal psychiatry to mental health." European Psychiatry 17 (May 2002): 63. http://dx.doi.org/10.1016/s0924-9338(02)80291-7.

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Yadav, Devender Singh. "Risks and case registers in perinatal psychiatry." Advances in Psychiatric Treatment 16, no. 2 (March 2010): 155. http://dx.doi.org/10.1192/apt.16.2.155.

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40

Doherty, Anne M., Genevieve Crudden, Faraz Jabbar, John D. Sheehan, and Patricia Casey. "Suicidality in Women with Adjustment Disorder and Depressive Episodes Attending an Irish Perinatal Mental Health Service." International Journal of Environmental Research and Public Health 16, no. 20 (October 18, 2019): 3970. http://dx.doi.org/10.3390/ijerph16203970.

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Depression is common in the perinatal period, with prevalence rates of 14.4%, but prevalence rates of adjustment disorder in this period have not been established. We aimed to examine the characteristics of women attending a perinatal psychiatry service diagnosed with adjustment disorder (AD) or depressive episodes (DE). The data were collected as part of a multicentre case-control study of 370 patients, 45 of whom were recruited from perinatal psychiatry service at a maternity hospital. We recruited 45 patients with AD or DE diagnosed in the perinatal period and compared them to a matched sample of 109 non-perinatal women. Almost half, 22 (48.9%) perinatal women had a diagnosis of AD and 23 (51.1%) had a diagnosis of DE. Of the perinatal participants, those with AD had more stressful life events, and suicidal ideation and behaviours were three times more common (31.8%) in AD than in DE (8.7%). There were no significant differences in levels of suicidality between the perinatal and the non-perinatal groups. In our cohort, AD is associated with symptoms of depression including suicidal ideation during the perinatal period. Further study is required to examine the relationship between stressors and suicidality in this population.
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41

Calhoun, Laura. "Book Review: Perinatal Disorders: Modern Management of Perinatal Psychiatric Disorders." Canadian Journal of Psychiatry 56, no. 7 (July 2011): 442. http://dx.doi.org/10.1177/070674371105600709.

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42

Adeyemi, Stephanie. "Growing pains: a scoping literature review of how perinatal psychiatry was impacted by COVID-19." BJPsych Open 7, S1 (June 2021): S231. http://dx.doi.org/10.1192/bjo.2021.615.

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AimsThis scoping review aims to assess the impact of COVID-19 on the field of Perinatal Psychiatry and identify any innovations made as a result of this.BackgroundThe World Health Organisation declared the COVID-19 outbreak a global pandemic on March 11th 2020. This pandemic has transformed the way in which Perinatal Psychiatric services are delivered in the United Kingdom and countries across the globe acting as a catalyst for innovation.MethodThe databases searched for peer reviewed literature written since December 2019 were: PsychINFO, MEDLINE, EMBASE, CINAHL and PUBMED. Search strategy key words were: COVID-19, SARS-CoV-2, perinatal psychiatry and maternal mental health. Arksey and O'Malley's framework was utilised. Data were collated and summarized thematically.Result42 studies met the inclusion criteria. The aforementioned studies included data from over 60,000 women from the following countries: China, Italy, Netherlands, United States, United Kingdom, Brazil, India, Spain, Ireland, Norway, Switzerland, Iran, Japan and Nepal. Literature clearly indicates that during the pandemic there was an increase in depression and anxiety. Risk factors included: financial insecurity, disrupted antenatal care, isolation, poor physical health and domestic violence. Evidence also suggested COVID-19 stressors impacted feeding practices and infant development as cytokines pass from mother to baby.Perinatal Psychiatry services have adopted social media apps to provide antenatal information, teleconsultations, smartphone-based cognitive-behavioral therapy (iCBT) programs and increased utilisation of screening tools such as the Pandemic-Related Pregnancy Stress Scale (PREPS), the Edinburgh Postnatal Depression Scale (EPDS) and the Postpartum Specific Anxiety Scale.ConclusionWhilst this review features literature centred on women from across the globe African women are underrepresented. This should be addressed in future studies. This review shows that the COVID-19 pandemic has impacted maternal mental health and acted as a catalyst for innovation. It is essential that efforts are made to support women during pregnancy and the perinatal period now more than ever.
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43

Kattan, Wid, Laura Avigan, Barbara Hayton, Jennifer L. Barkin, Martin St-André, Tuong-Vi Nguyen, Hannah Schwartz, et al. "Creating a Multisite Perinatal Psychiatry Databank: Purpose and Development." International Journal of Environmental Research and Public Health 17, no. 24 (December 14, 2020): 9352. http://dx.doi.org/10.3390/ijerph17249352.

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Mental health issues during the perinatal period are common; up to 29% of pregnant and 15% of postpartum women meet psychiatric diagnostic criteria. Despite its ubiquity, little is known about the longitudinal trajectories of perinatal psychiatric illness. This paper describes a collaboration among six perinatal mental health services in Quebec, Canada, to create an electronic databank that captures longitudinal patient data over the course of the perinatal period. The collaborating sites met to identify research interests and to select a standardized set of variables to be collected during clinical appointments. Procedures were implemented for creating a databank that serves both research and clinical purposes. The resulting databank allows pregnant and postpartum patients to complete self-report questionnaires on medical and psychosocial variables during their intake appointment in conjunction with their clinicians who fill in relevant medical information. All participants are followed until 6 months postpartum. The databank represents an opportunity to examine illness trajectories and to study rare mental disorders and the relationship between biological and psychosocial variables.
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Newman AM, Louise. "Thinking about parents and infants – finding a home for perinatal and infant psychiatry." Australasian Psychiatry 28, no. 5 (October 2020): 489–91. http://dx.doi.org/10.1177/1039856220953717.

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Objectives: To describe current issues facing the field of perinatal and infant psychiatry, the issues involved in developing service models and greater awareness of the area in mental health service strategic development. To describe contemporary approaches working to integrate perinatal and infant models with a focus on early-in-life intervention and prevention. Conclusions: Perinatal and infant psychiatry has ongoing issues in clarifying the location of services and their models of care with a lack of clear higher level governance. It remains a vital area for improving the mental health of both carers and infants and child development.
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Kimmel, Mary C., S. Lara-Cinisomo, K. Melvin, A. Di Florio, A. Brandon, and S. Meltzer-Brody. "Treatment of severe perinatal mood disorders on a specialized perinatal psychiatry inpatient unit." Archives of Women's Mental Health 19, no. 4 (January 22, 2016): 645–53. http://dx.doi.org/10.1007/s00737-016-0599-3.

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46

Shah, N., C. Musters, A. Selwood, and D. Ellis. "The rise and fall of a psychiatric antenatal clinic: development of a perinatal psychiatric service linked directly to the provision of antenatal care." Obstetric Medicine 3, no. 2 (June 2010): 69–72. http://dx.doi.org/10.1258/om.2010.090034.

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Usual referral pathways to psychiatric services can miss opportunities for timely intervention in maternal perinatal psychiatric ill health. Psychiatric illness leading to suicide is a significant factor in at least 10% of maternal deaths. Despite Royal College of Psychiatry and National Institute for Health and Clinical Excellence recommendations for specialist provision of perinatal mental health services, this remains sporadic and insufficient. We set out to develop a new integrated antenatal–psychiatric direct referral pathway and present a year of experience using this service model. The psychiatric service was delivered from within the antenatal clinic setting with a direct health-care professional (HCP) led referral pathway between 2003 and 2004. The service comprised one session per week of a senior psychiatric specialist registrar and provided three new patients and two follow-up appointments per week. During this period, a total of 75 referrals to the service were made with 57 individuals attending for an appointment. There was a range of diagnoses among the women who attended, with only 24% meeting eligibility criteria for referral to secondary psychiatric services. The majority diagnosis was depression. More severely ill women were not referred to this clinic by obstetric HCPs. In conclusion, this model for developing and delivering a specialist perinatal psychiatric service using direct links to antenatal medical care was not successful despite requiring minimal funding. Nevertheless, it has been used to inform development of a new perinatal service in keeping with the Royal College of Psychiatrists' recommendations and incorporating enhanced training of HCPs responsible for the referral pathway.
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Huttunen, M. O., and S. A. Mednick. "Polyvagal theory, neurodevelopment and psychiatric disorders." Irish Journal of Psychological Medicine 35, no. 1 (December 6, 2017): 9–10. http://dx.doi.org/10.1017/ipm.2017.66.

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Neurodevelopment is an area of psychiatry which has attracted huge interest in the last few decades. There is substantial evidence that perinatal events can contribute to later development of mental disorder. In the current perspective article we propose a novel polyvagal theory which attempts to link prenatal events with neurodevelopment and the later onset of psychiatric disorder.
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Ross, L. E., S. Grigoriadis, L. Mamisashvili, G. Koren, M. Steiner, C. ‐L Dennis, A. Cheung, and P. Mousmanis. "Quality assessment of observational studies in psychiatry: an example from perinatal psychiatric research." International Journal of Methods in Psychiatric Research 20, no. 4 (November 24, 2011): 224–34. http://dx.doi.org/10.1002/mpr.356.

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Hughes, Caitlin M. "Perinatal psychiatry: Innovative practice and transitions of care." Mental Health Clinician 3, no. 2 (August 1, 2013): 81–82. http://dx.doi.org/10.9740/mhc.n163633.

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Rashid, Ahmed. "Yonder: Grandparenthood, rural health, diabetes, & perinatal psychiatry." British Journal of General Practice 64, no. 623 (May 27, 2014): 299. http://dx.doi.org/10.3399/bjgp14x680221.

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