Ayala Nina K, Lewkowitz Adam K, Whelan Anna R, Miller Emily S
Division of Maternal Fetal Medicine, Women and Infants Hospital of Rhode Island, Providence, RI, USA.
Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, Providence, RI, USA.
Neuropsychiatr Dis Treat. 2023 Feb 23;19:427-432. doi: 10.2147/NDT.S292734. eCollection 2023.
Perinatal mental health has garnered significant attention within obstetrics over the last couple of decades as the long- and short-term morbidities of untreated perinatal mental health disorders on both the mother and fetus/neonate have become increasingly apparent. There have been major strides in increasing screening for perinatal mental health disorders, clinician comfort with prescribing common psychiatric medications, and integrating mental health professionals into prenatal care via health services approaches such as the collaborative care model. Despite these advances, however, gaps still remain in the tools used for screening and diagnosis, obstetric clinician training in diagnosis and management of perinatal mood and anxiety disorders, as well as patient access to mental health care during pregnancy and especially postpartum. Herein we review the state of perinatal mental health from the perspective of the obstetric provider and identify areas of ongoing innovation.
在过去几十年里，围产期心理健康在产科领域受到了极大关注，因为未经治疗的围产期心理健康障碍对母亲和胎儿/新生儿造成的长期和短期发病情况日益明显。在增加围产期心理健康障碍筛查、临床医生对开具常见精神科药物的信心，以及通过协作护理模式等卫生服务方法将心理健康专业人员纳入产前护理方面，已经取得了重大进展。然而，尽管有这些进展，用于筛查和诊断的工具、产科临床医生在围产期情绪和焦虑障碍诊断与管理方面的培训，以及患者在孕期尤其是产后获得心理健康护理的机会，仍然存在差距。在此，我们从产科提供者的角度回顾围产期心理健康状况，并确定持续创新的领域。
