Kingston iCope, Camden & Islington NHS Foundation Trust, London, UK.
Division of Psychiatry, University College London, London, UK.
Community Ment Health J. 2023 Feb;59(2):243-252. doi: 10.1007/s10597-022-01002-z. Epub 2022 Jul 28.
Postpartum psychosis has been found to affect 0.89-2.6 per 1000 women. Onset is typically rapid and severe. Early recognition and appropriate treatment are crucial for a good prognosis. Our aim in this study was to understand women's experiences of mental health care and services for psychosis in the postnatal period. Semi-structured interviews were conducted with 12 women who reported being treated for postpartum psychosis. Findings were analysed thematically. Women reported that healthcare professionals across maternity and mental health services often lacked awareness and knowledge of postpartum psychosis and did not always keep them or their partners/families informed, supported, and involved. Women wanted better collaboration between and within services, and more efficient, appropriate, and timely care. They valued inpatient services that could meet their needs, favouring Mother and Baby Units over general psychiatric wards. Early Intervention in Psychosis services and specialist perinatal community mental health teams were also well liked.
产后精神病的发病率为每千名女性 0.89-2.6 例。其发病通常迅速且严重。早期识别和适当的治疗对预后至关重要。本研究旨在了解女性在产后期间的心理健康护理和精神病服务的体验。对 12 名报告接受产后精神病治疗的女性进行了半结构化访谈。对研究结果进行了主题分析。研究结果显示，产妇和精神卫生服务机构的医疗保健专业人员通常对产后精神病缺乏认识和了解，而且并不总是向她们自己或其伴侣/家人提供通知、支持和参与。女性希望在服务机构之间和内部更好地开展协作，并提供更高效、更合适和更及时的护理。她们重视能够满足其需求的住院服务，更喜欢母婴单位而不是一般精神科病房。精神病早期干预服务和专门的围产期社区精神卫生团队也很受欢迎。
