Indiana University School of Medicine, Goodman Hall / IU Health Neuroscience Center, Suite 2800 355 W. 16 St. Indianapolis, IN, 46202, Indiana, United States.
Purdue University, Indiana, USA.
Curr Psychiatry Rep. 2024 Sep;26(9):460-469. doi: 10.1007/s11920-024-01521-4. Epub 2024 Jul 15.
Pregnancy and the postpartum period are vulnerable times to experience psychiatric symptoms. Our goal was to describe existing inequities in perinatal mental health, especially across populations, geography, and in the role of childbirth.
People of color are at an increased risk for perinatal mental health difficulties and more likely to experience neglect, poor communication, and racial discrimination. LGBTQ + individuals encounter unique challenges, implicating the role of heteronormativity, cisnormativity, and gender dysphoria through pregnancy-related processes. Rural-dwelling women are significantly less likely to seek care, be screened for, or receive treatment for perinatal mental health conditions. Trauma-informed, comprehensive mental health support must be provided to all patients during pregnancy, childbirth, and the postpartum period, especially for racially and ethnically minoritized individuals that have often been omitted from care. Future research needs to prioritize inclusion of perinatal populations not well represented in the literature, including rural-dwelling individuals.
妊娠和产后是出现精神症状的脆弱时期。我们的目标是描述围产期心理健康方面现存的不平等现象，特别是在不同人群、地理区域和分娩角色方面。
有色人种患围产期精神健康障碍的风险增加，并且更有可能经历忽视、沟通不畅和种族歧视。LGBTQ⁺个人在怀孕相关过程中面临着独特的挑战，这涉及到异性恋规范、顺性别规范和性别焦虑。与农村地区女性相比，城市女性寻求围产期心理健康护理、接受筛查或接受治疗的可能性显著降低。在妊娠、分娩和产后期间，必须向所有患者提供以创伤知情为基础的全面心理健康支持，对于经常被忽视的少数族裔和种族女性更应如此。未来的研究需要优先纳入在文献中代表性不足的围产期人群，包括农村地区的女性。
