Reinsperger Inanna, Paul Jean Lillian, Zechmeister-Koss Ingrid
HTA Austria - Austrian Institute for Health Technology Assessment GmbH, Vienna, Austria.
Division of Psychiatry I, Department of Psychiatry, Psychotherapy, Psychosomatics, and Medical Psychology, Medical University Innsbruck, Innsbruck, Austria.
Front Psychiatry. 2025 Jun 17;16:1536145. doi: 10.3389/fpsyt.2025.1536145. eCollection 2025.
Perinatal mental illnesses (PMI) affect up to 20% of women and 10% of men during pregnancy and in the first year after the birth of the child. Perinatal mental illness contributes significantly to maternal mortality and adverse neonatal, infant, and child outcomes. Because of the high prevalence and the impact of PMI on both the parents and the infant, there is an urgent need for rapid and effective care. The aim of this scoping review was to identify comprehensive evidence-based guidelines and care models for the prevention and treatment of PMI and summarize their common characteristics.
We searched manually in several databases and on websites of relevant institutions and contacted experts. We included guidelines and guidance documents based on pre-defined inclusion criteria.
We identified six relevant guidelines and care models from four countries (United Kingdom, Ireland, Canada, Australia). The identified documents highlight the need for integrated care models (including prevention, early identification, counseling, treatment), clear referral pathways, stepped-care approaches and multi-professional, coordinated networks.
The 'ideal' care model should consider not only the mental health of the mother, but also that of the father/co-parent and the children, as well as the parent-infant relationship. The results from this scoping review can be used for further discussion and as decision support for designing, developing, and implementing perinatal and infant mental health (PIMH) care.
围产期精神疾病（PMI）在孕期及产后第一年影响着多达20%的女性和10%的男性。围产期精神疾病是导致孕产妇死亡以及新生儿、婴儿和儿童出现不良结局的重要因素。鉴于PMI的高患病率及其对父母和婴儿的影响，迫切需要快速有效的护理。本范围综述的目的是确定预防和治疗PMI的全面循证指南及护理模式，并总结其共同特征。
我们在多个数据库以及相关机构的网站上进行了人工检索，并联系了专家。我们纳入了基于预定义纳入标准的指南和指导文件。
我们从四个国家（英国、爱尔兰、加拿大、澳大利亚）确定了六项相关指南和护理模式。所确定的文件强调了综合护理模式（包括预防、早期识别、咨询、治疗）、明确的转诊途径、分级护理方法以及多专业协作网络的必要性。
“理想”的护理模式不仅应考虑母亲的心理健康，还应考虑父亲/共同抚养者和孩子的心理健康以及亲子关系。本范围综述的结果可用于进一步讨论，并为设计、开发和实施围产期及婴幼儿心理健康（PIMH）护理提供决策支持。
