Drexel University College of Nursing and Health Professions, 32 N. Lincoln Ave., Newtown PA 18940, USA.
J Midwifery Womens Health. 2010 Sep-Oct;55(5):430-7. doi: 10.1016/j.jmwh.2010.02.011.
Postpartum psychosis, an emergency psychiatric condition affecting one to two women per 1000 after childbirth, can result in a significant increased risk for suicide and infanticide. Symptoms of postpartum psychosis, such as mood lability, delusional beliefs, hallucinations, and disorganized thinking, can be frightening for the women who are affected and for families and obstetric care providers of those women. Women experiencing postpartum psychosis are often thrust into a mental health system that does not capitalize on the close relational bond that forms between midwives and the women they care for over the course of prenatal care. The purpose of this article is to propose using the Recovery Advisory Group Model of mental illness as a theoretical framework for care of women with postpartum psychosis, to assist midwives in recognizing symptoms, define the role of the midwife in treatment, and learn the importance of becoming part of the psychiatric mental health care team in order to facilitate optimum recovery for women with postpartum psychosis.
产后精神病是一种产后紧急精神疾病，每 1000 名产妇中就有 1 至 2 名患者会受到影响，可导致自杀和杀婴风险显著增加。产后精神病的症状，如情绪不稳定、妄想、幻觉和思维混乱，可能会使受影响的妇女及其家庭和产科护理提供者感到恐惧。患有产后精神病的妇女经常被送入心理健康系统，而该系统未能充分利用助产士在产前护理期间与她们所照顾的妇女之间形成的密切关系纽带。本文旨在提出将精神疾病的康复顾问小组模式用作产后精神病妇女护理的理论框架，以帮助助产士识别症状、定义助产士在治疗中的角色，并了解成为精神心理健康护理团队的一部分的重要性，从而促进产后精神病妇女的最佳康复。
