Knowledge and Skills of Midwives Regarding Perinatal Mental Health and Their Needs for Further Education DOI Open Access

Anastasia Karalia,

Athina Diamanti,

Christina Nanou

et al.

Cureus, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 22, 2024

Introduction The literature highlights the crucial role of midwives in assessing and managing perinatal mental health providing information to women about related issues. However, research also indicates significant gaps midwives' knowledge skills needed fulfill this role. Data suggest that while are interested support, they lack confidence, knowledge, training do so effectively. This study aimed investigate regarding health, as well needs for further education area. Methods included 223 from across Greece. were collected using a structured questionnaire with multiple sections. first section psychometric tools Professional Issues Maternal Mental Health Scale (PIMMHS), professional issues affecting midwifery practice. second used Illness Clinicians' Attitudes (MICA-4), third Perinatal Awareness (PMHA) scale. final evaluated learning development. analysis was conducted SPSS 22.0. Results findings revealed confidence particularly areas such bipolar disorder, schizophrenia, anxiety disorders. average score 52.1%, indicating moderate level awareness, "Anxiety Worry Depression" dimension PMHA scale had mean 5.3 (range 4-6). Significant correlations observed between their attitudes, those possessing greater exhibiting less stigmatizing views toward illness (β = -0.004, p < 0.001). Midwives higher scores "Emotion" PIMMHS found hold negative attitudes -0.01, 0.008). Additionally, who frequently cared significantly 0.18, 0.019). majority participants expressed need additional training, 171 (76.7%) desiring more on disorder 164 (73.5%) schizophrenia. Conclusions results highlight management challenges among area primarily due education. These underscore programs improve capabilities care.

Language: Английский

Canadian Network for Mood and Anxiety Treatments 2024 Clinical Practice Guideline for the Management of Perinatal Mood, Anxiety, and Related Disorders: Guide de pratique 2024 du Canadian Network for Mood and Anxiety Treatments pour le traitement des troubles de l'humeur, des troubles anxieux et des troubles connexes périnatals DOI
Simone N. Vigod, Benício N. Frey, Crystal T. Clark

et al.

The Canadian Journal of Psychiatry, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 12, 2025

Background The Canadian Network for Mood and Anxiety Treatments (CANMAT) publishes clinical practice guidelines mood anxiety disorders. This CANMAT guideline aims to provide comprehensive guidance the pregnancy postpartum (perinatal) management of mood, related Methods convened a core editorial group interdisciplinary academic clinicians persons with lived experience (PWLE), 3 advisory panels PWLE perinatal health mental clinicians. We searched systematic reviews prevention treatment interventions depressive, bipolar, anxiety, obsessive–compulsive post-traumatic stress disorders (January 2013–October 2023). prioritized evidence from randomized controlled trials (RCTs), except safety medications where large high-quality observational studies were due absence RCT data. Targeted searches individual conducted when limited or absent. Recommendations organized by lines based on CANMAT-defined levels quality, supplemented consensus balance efficacy, safety, tolerability feasibility considerations. Results covers 10 sections in question-and-answer format that maps onto patient care journey: case identification; organization delivery care; non-pharmacological (lifestyle, psychosocial, psychological), pharmacological, neuromodulation complementary alternative medicine interventions; high-risk situations; father co-parent. Equity, diversity inclusion considerations are provided. Conclusions guideline's detailed evidence-based recommendations key information promote effective safe healthcare. It is hoped will serve as valuable tool Canada around world help optimize outcomes area health.

Language: Английский

Citations

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Prevalence of psychiatric disorders during pregnancy—a feasibility study at second trimester ultrasound in the general population (GROUP study): study protocol DOI Creative Commons

Lucie Knabe,

Chinatsu Tanaka,

Sarah Tebeka

et al.

BMJ Open, Journal Year: 2025, Volume and Issue: 15(2), P. e091923 - e091923

Published: Feb. 1, 2025

During the perinatal period, women have an increased risk for psychiatric disorders, which are highly prevalent in this context. In addition, there significant delays diagnosing these conditions, worsening their prognosis and increasing societal burden. Studies describing disorders period often focus on specific disorders; only postpartum depression and, to a lesser extent, anxiety studied. There also very few evaluations conducted by clinicians based semistructured interview, relying diagnostic criteria of international nosography. This multicentric prospective study will recruit 140 adult pregnant randomly selected second trimester (T2) ultrasound consultations. The primary outcome is prevalence any disorder assessed with standardised assessment, Mini-International Neuropsychiatric Interview (M.I.N.I.). Within 10 days after T2 appointment, we conduct M.I.N.I., collect demographic data, evaluate suicidal behaviour Columbia-Suicide Severity Rating Scale, describe negative life events from past year using Paykel questionnaire evaluation social deprivation (Evaluation Deprivation Inequalities Health Healthcare Centres score). Participants complete self-administered questionnaires that screen pathologies. We build biological sample collection. At two months post partum, repeat questionnaires, adding assessment mother-child bonding. Patients can choose between in-person or telemedicine visits both occasions. All participants be required provide written informed consent. has received ethical approval French National Committee ('Comité de Protection des Personnes Ouest VI') (approval number: 23.03919.000236). Results disseminated through peer-reviewed journal publications at scientific conferences meetings. NCT06297252.

Language: Английский

Citations

0
Case Report: Management of a patient with Sheehan’s syndrome presenting with anxiety and depression DOI Creative Commons
Hongxia Liu, Rong Chen,

C. T. Feng

et al.

Frontiers in Endocrinology, Journal Year: 2025, Volume and Issue: 16

Published: April 28, 2025

Sheehan's syndrome is a rare and under-recognized disorder that may be encountered in variety of clinical settings. The diagnosis the condition challenging due to its rarity fact it often overlooked differential diagnoses. In addition, there are no characteristic features or routine laboratory tests immediately inform diagnosis. We report case 50-year-old woman diagnosed with an anxiety-depressive state, who had marked progressive symptoms, which resolved more rapidly following treatment escitalopram oxalate recurred after discontinuation medication. Further examination revealed abnormalities hormone levels pituitary augmentation MRI, based patient was finally syndrome. This emphasizes patients presenting anxiety depression, thereby diagnostic challenge clinicians. objective this emphasize necessity for heightened awareness among healthcare professionals regarding presentations significance timely collaborative strategies.

Language: Английский

Citations

0
Mother’s maladies: understanding the intricacies of postpartum psychosis and motherhood through Jerry Pinto’sEm and the Big Hoom DOI
Neha Singh,

Rajni Mujral

Medical Humanities, Journal Year: 2025, Volume and Issue: unknown, P. medhum - 013183

Published: May 11, 2025

Motherhood, a familiar yet complex phenomenon, is informed by many factors whose consequences for women are often detrimental undermined. Particularly in India, discourse surrounding mothers’ health disregards the social and familial expectations impositions that threaten women’s authority over their own bodies. Amidst this, postpartum disorders, particularly concept of psychosis, embody anomalies medical knowledge bases. Addressing ambiguities interconnectedness motherhood madness, this paper discusses simplification concerns as biological condition alone explores complexities diagnosis based on Em’s aetiologies. psychopathological nuances also advocates destigmatising apprehensions regarding structural obligation broadening reproductive autonomy.

Language: Английский

Citations

0
POGIMDYMINĖ PSICHOZĖ: APIBRĖŽTIS, RIZIKOS VEIKSNIAI, DIAGNOSTIKA IR GYDYMAS DOI Open Access

Justina Kirdeikytė,

Neringa Bogdanovaitė,

Tautvydas Joteika

et al.

Health Sciences, Journal Year: 2024, Volume and Issue: 35(5), P. 90 - 93

Published: Aug. 1, 2024

Tikslas. Nagrinėjant naujausius tyrimus, atskleisti su pogimdymine psichoze susijusius rizikos veiksnius, simptomatiką, diagnostikos bei gydymo galimybes. Metodai. Publikacijų paieška atlikta tarptautinėje medicinos duomenų bazėje PubMed ir mokslinės informacijos paieškos sistemoje Google Scholar. Į literatūros apžvalgą įtrauktas 21 straipsnis. Visi įtrauktieji straipsniai buvo publikuoti 2014– 2024 metais. Rezultatai. Pogimdyminės psichozės išsivystymui įtakos turi bipolinis sutrikimas genetinis polinkis į kitus psichikos sutrikimus. Maždaug pusė moterų, patyrusių pogimdyminę psichozę, anksčiau nėra sirgusios jokiais sutrikimais. Šio sutrikimo atsiradimui gali turėti gimdymo komplikacijos, hormonų ašies sutrikimai. Pogimdyminė psichozė pasireikšti įvairiais simptomais, kurie dažnai skiriasi nuo ne pogimdyminės psichozės, todėl svarbu diferencijuoti šį sutrikimą suteikti gimdyvei skubią pagalbą. Išvados. yra vienas iš pavojingiausių mažiausiai žinomų sutrikimų, keliančių didelį pavojų tik motinai, bet naujagimiui kitiems šeimos nariams. Pogimdyminę psichozę kitų pogimdyminių sutrikimų pradėti skubų gydymą.

Citations

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Knowledge and Skills of Midwives Regarding Perinatal Mental Health and Their Needs for Further Education DOI Open Access

Anastasia Karalia,

Athina Diamanti,

Christina Nanou

et al.

Cureus, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 22, 2024

Introduction The literature highlights the crucial role of midwives in assessing and managing perinatal mental health providing information to women about related issues. However, research also indicates significant gaps midwives' knowledge skills needed fulfill this role. Data suggest that while are interested support, they lack confidence, knowledge, training do so effectively. This study aimed investigate regarding health, as well needs for further education area. Methods included 223 from across Greece. were collected using a structured questionnaire with multiple sections. first section psychometric tools Professional Issues Maternal Mental Health Scale (PIMMHS), professional issues affecting midwifery practice. second used Illness Clinicians' Attitudes (MICA-4), third Perinatal Awareness (PMHA) scale. final evaluated learning development. analysis was conducted SPSS 22.0. Results findings revealed confidence particularly areas such bipolar disorder, schizophrenia, anxiety disorders. average score 52.1%, indicating moderate level awareness, "Anxiety Worry Depression" dimension PMHA scale had mean 5.3 (range 4-6). Significant correlations observed between their attitudes, those possessing greater exhibiting less stigmatizing views toward illness (β = -0.004, p < 0.001). Midwives higher scores "Emotion" PIMMHS found hold negative attitudes -0.01, 0.008). Additionally, who frequently cared significantly 0.18, 0.019). majority participants expressed need additional training, 171 (76.7%) desiring more on disorder 164 (73.5%) schizophrenia. Conclusions results highlight management challenges among area primarily due education. These underscore programs improve capabilities care.

Language: Английский

Citations

0