Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland.
The Department of Nursing and Healthcare, Technological University of the Shannon, Athlone, Co Westmeath, Ireland.
Arch Womens Ment Health. 2023 Aug;26(4):453-471. doi: 10.1007/s00737-023-01338-9.
Specialist perinatal mental health services identify and treat women experiencing mental health conditions during pregnancy and up to one year post birth. There is limited knowledge about women's experiences of care from specialist services. Evaluation and optimisation of service delivery requires knowledge of women's care experiences. This review aimed to systematically identify, appraise, and synthesise qualitative evidence exploring women's experiences of specialist perinatal mental health services.
A systematic literature search of five databases: Medline (OVID), EMBASE (Elsevier), PsycINFO (EBSCO), CINAHL (EBSCO) and Scopus (Elsevier), grey literature searching, and backward citation, identified a total of 1035 papers of which sixteen met inclusion criteria. Methodological quality of the included studies was assessed using the Critical Appraisal Skills Program (CASP) tool.
Thematic synthesis identified three themes: connected relationships; new beginnings; and meaningful service delivery. Findings identified that relationships developed with clinicians were significant to women and their experience of care. Women valued continuity of care from dedicated non-judgemental clinicians. Peer support from other mothers was perceived as meaningful to women. Through service interventions women gained new insights into their infant's needs and grew in confidence as a mother.
Women require provision of flexible and accessible specialist services with clinicians who are sensitive to their individual psychosocial needs and preferences. Examining discharge practices and continuing care needs is essential to ensure the best outcomes for women and their families.
围产期心理健康专家服务机构负责识别和治疗孕妇及产后一年期间出现心理健康问题的女性。目前，我们对女性在该类专家服务机构中的护理体验知之甚少。要对服务提供进行评估和优化，就需要了解女性的护理体验。本综述旨在系统地识别、评估和综合定性证据，以探讨女性在围产期心理健康专家服务机构中的体验。
对五个数据库（OVID 中的 Medline、Elsevier 中的 EMBASE、EBSCO 中的 PsycINFO、EBSCO 中的 CINAHL 和 Elsevier 中的 Scopus）进行了系统的文献检索，此外还进行了灰色文献搜索和回溯引文搜索，共检索到 1035 篇论文，其中 16 篇符合纳入标准。使用批判性评估技能计划 (CASP) 工具评估纳入研究的方法学质量。
主题综合分析确定了三个主题：有联系的关系；新的开始；有意义的服务提供。研究结果表明，与临床医生建立的关系对女性及其护理体验具有重要意义。女性重视来自专注、非评判性临床医生的连续护理。来自其他母亲的同伴支持被认为对女性有意义。通过服务干预，女性对婴儿的需求有了新的认识，并增强了作为母亲的信心。
女性需要提供灵活且可及的专家服务，并配备对其个人心理社会需求和偏好敏感的临床医生。检查出院实践和持续护理需求对于确保女性及其家庭的最佳结果至关重要。
