Postpartum psychosis is one of the severest psychiatric disorders to occur in the postpartum period. If it requires a woman's admission, a psychiatric mother baby unit is recommended, where care will focus on the mother's health, the mother‐baby dyad, and their next of kin. To date, few studies have examined nursing interventions for patients with postpartum psychosis.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
To systematically review and critically evaluate studies reporting alcohol exposure during pregnancy and miscarriage.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
The accuracy of current screening instruments for identification of substance use in pregnancy is unclear, particularly given methodological shortcomings in existing research. This diagnostic accuracy study compared five existing instruments for ability to identify illicit drug, opioid and alcohol use, under privacy expectations consistent with applied practice and using a gold standard incorporating toxicological analysis.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Limited research exists on the impact of prison mother and baby unit (MBU) residence. Research in the UK suggests women in MBUs have lower prevalence of mental disorder. Higher rates of mother-child attachment for women in prison nurseries in the US have been reported.. Please contact the library to request a copy of this article - http://bit.ly/2HjNDf3
To determine if an electronic nursing intervention during the first six months postpartum was effective in improving mood and decreasing stress.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
To investigate clinically relevant subtypes of perinatal depressive symptoms.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Implications for practice and research:
>Healthcare professionals should provide person-centred care to postpartum women with severe mental illness (SMI), promoting their autonomy and the best outcomes for the woman and the child.
>Stigma and negative attitudes towards individuals with SMI can have a detrimental effect on patient care.
>Future research should evaluate interventions that decrease stigma in healthcare professionals caring for women with SMI. To read the full article, log in using your MPFT NHS OpenAthens details.
Implications for practice and research
>Midwives increasingly provide important perinatal care but their role in the identification and management of mental illness, one of the most common complications of pregnancy, remains unclear.
>Access to mental healthcare in midwifery is hampered by supply-side barriers and there are also barriers due to the clients’ inability to interact with midwives to optimise access to care
>Research in innovative strategies to train midwives to provide psychosocial and psychological interventions to women with mild-to-moderate symptom severity is needed to ensure timely access to evidence-based treatment and appropriate follow-up. To read the full article, log in using your NHS OpenAthens details.
Implications for practice and research:
>Healthcare professionals should provide person-centred care to postpartum women with severe mental illness (SMI), promoting their autonomy and the best outcomes for the woman and the child.
>Stigma and negative attitudes towards individuals with SMI can have a detrimental effect on patient care.
>Future research should evaluate interventions that decrease stigma in healthcare professionals caring for women with SMI. To read the full article, log in using your NHS OpenAthens details.
This study examined the relationship between prenatal exposure to alcohol, manifested through FAS and pFAS, and hypertension in children and adolescents.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Open access. Alcohol use during pregnancy can have a variety of harmful consequences on the fetus. Lifelong effects include growth restriction, characteristic facial anomalies, and neurobehavioral dysfunction. This range of effects is known as fetal alcohol spectrum disorders (FASD). There is no amount, pattern, or timing of alcohol use during pregnancy proven safe for a developing embryo or fetus. Therefore, it is important to screen patients for alcohol use, inform them about alcohol's potential effects during pregnancy, encourage abstinence, and refer for intervention if necessary. However, how and how often nurses and midwives inquire about alcohol drinking during pregnancy or use recommended screening tools and barriers they perceive to alcohol screening has not been well established. (US study)
Open access. Psychological Medicine; Cambridge Vol. 49, Iss. 8, (Jun 2019): 1324-1334. DOI:10.1017/S0033291718001940
Background
There is evidence for the cost-effectiveness of health visitor (HV) training to assess postnatal depression (PND) and deliver psychological approaches to women at risk of depression. Whether this approach is cost-effective for lower-risk women is unknown. There is a need to know the cost of HV-delivered universal provision, and how much it might cost to improve health-related quality of life for postnatal women. A sub-study of a cluster-randomised controlled trial in the former Trent region (England) previously investigated the effectiveness of PoNDER HV training in mothers at lower risk of PND. We conducted a parallel cost-effectiveness analysis at 6-months postnatal for all mothers with lower-risk status attributed to an Edinburgh Postnatal Depression Scale (EPDS) score <12 at 6-weeks postnatal.
Due to concerns about increased exposure to nicotine, pregnant women using nicotine replacement therapy (NRT) to stop smoking are usually advised to stop using NRT if they relapse to smoking. This study investigated whether this is justified. We compared changes in saliva cotinine from baseline to 2 weeks post‐target quit date pregnant smokers who relapsed to smoking and continued to use their patches having been assigned to use nicotine patches or placebo.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Sensitivity to sex‐steroid hormone fluctuations may increase risk for perinatal depression. We aimed to identify genome‐wide biological profiles in women demonstrating sensitivity to pharmacological sex‐hormone manipulation with Gonadotrophin Releasing Hormone agonist (GnRHa).. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Researchers have shown that a new way of assessing women’s relationship with their bodies during pregnancy could help predict how well the mother might bond with her unborn baby and her longer-term emotional wellbeing.
Open access. Maternal alcohol consumption in pregnancy may have adverse effects on child gross motor (GM) development. There have been few human studies on this topic, particularly ones examining low exposure. This study examined the association between prenatal alcohol exposure (PAE) and infant GM development at 12-months of age.