Department of Psychiatry and Medical Psychology, OLVG, Oosterpark 9, 1091 AC Amsterdam, The Netherlands.
Department of Psychiatry, Amsterdam UMC, Vrije Universiteit Amsterdam, Boelelaan 1117, 1081 HV Amsterdam, The Netherlands.
Int J Environ Res Public Health. 2023 Feb 9;20(4):3070. doi: 10.3390/ijerph20043070.
High rates of unintended pregnancies in patients with mental health problems reflect the unmet need for tailored family planning. This study aims to explore aspects of family planning that are especially challenging for patients experiencing health problems by obtaining the perspective of (former) patients and those with close relationships with the (former) patients. In August 2021, members of a Dutch national mental health panel, consisting of (former) patients and close ones, were invited to respond to a 34-question online survey that included questions on four domains: reproductive history, decision making, parenting, and sexuality. This study has revealed the severe and adverse impact of mental health problems across all of the four domains of reproductive health and family planning, which the questions specifically targeted. Based on these results, we recommend discussing family planning with all patients experiencing or at risk for mental health problems and their partners. These discussions should address a desire to have children, (involuntary) childlessness, uncertainties about parenting and sexuality, while remaining considerate of experienced taboos.
心理健康问题患者的意外怀孕率居高不下，反映了他们对定制化计划生育服务的需求未得到满足。本研究旨在通过获取（前）患者及其密切关系者的观点，探索患有健康问题的患者在计划生育方面面临的特别具有挑战性的方面。2021 年 8 月，邀请荷兰国家心理健康小组的成员（前）患者及其密切关系者对一项 34 个问题的在线调查做出回应，该调查包括四个领域的问题：生殖史、决策、育儿和性。本研究揭示了心理健康问题对生殖健康和计划生育的所有四个领域都产生了严重和不利的影响，这些问题正是研究的重点。基于这些结果，我们建议与所有经历或有心理健康问题风险的患者及其伴侣讨论计划生育问题。这些讨论应涉及对生育孩子的愿望、（非自愿）无子女、对育儿和性的不确定性，同时考虑到已有的禁忌。
