Connellan Kathleen, Bartholomaeus Clare, Due Clemence, Riggs Damien W
Art, Architecture and Design, University of South Australia, Adelaide, South Australia, 5000, Australia.
School of Social and Policy Studies, Flinders University, GPO Box 2100, Adelaide, 5005, Australia.
Arch Womens Ment Health. 2017 Jun;20(3):373-388. doi: 10.1007/s00737-017-0718-9. Epub 2017 Mar 22.
Psychiatric mother-baby units (MBUs) are currently viewed as best practice, particularly in the UK, Australia and France, for improving outcomes for mothers and babies when the former are experiencing severe forms of mental illness. A growing number of publications have examined MBUs, but to date, there has not been a comprehensive review of these studies. As such, the systematic review reported in this paper sought to address this gap. A systematic search was conducted for peer-reviewed research and grey literature published in English between 2000 and 2015. A final sample of 44 publications were identified that reported on empirical findings with regard to MBUs. Three quarters of the studies focused on individual MBUs and most studies were quantitative. A thematic analysis of the studies identified three major themes: (1) admissions data, (2) outcomes for mothers, and (3) programmes and interventions. The analysis also identified four secondary themes: (i) follow-up after discharge, (ii) separation of mothers and babies after discharge, (iii) client satisfaction with MBUs, and (iv) partners of women admitted to MBUs. The findings of the review highlight gaps in knowledge about MBUs and provide suggestions for future research.
精神科母婴病房（MBUs）目前被视为最佳实践模式，尤其在英国、澳大利亚和法国，用于改善患有严重精神疾病的母亲及其婴儿的治疗效果。越来越多的出版物对母婴病房进行了研究，但迄今为止，尚未对这些研究进行全面综述。因此，本文所报告的系统综述旨在填补这一空白。我们对2000年至2015年间以英文发表的同行评审研究和灰色文献进行了系统检索。最终确定了44份出版物样本，这些样本报告了有关母婴病房的实证研究结果。四分之三的研究聚焦于单个母婴病房，且大多数研究是定量研究。对这些研究的主题分析确定了三个主要主题：（1）入院数据，（2）母亲的治疗效果，以及（3）项目与干预措施。分析还确定了四个次要主题：（i）出院后的随访，（ii）出院后母婴分离情况，（iii）患者对母婴病房的满意度，以及（iv）入住母婴病房女性的伴侣情况。综述结果突出了关于母婴病房的知识空白，并为未来研究提供了建议。
