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[Psychological intervention during pregnancy. A multidisciplinary hospital network]
1Psykiatrisk afdeling A, Amtssygehuset i Gentofte.
Ugeskrift for Laeger
|September 28, 2001
Summary
Mental distress during pregnancy is common, often linked to past complications or family issues. Early intervention through a professional network can effectively manage these conditions, improving maternal and infant outcomes.
Area of Science:
- Perinatal mental health
- Psychiatric care in obstetrics
- Psychological well-being during pregnancy
Context:
- Pregnancy and postpartum periods are critical for maternal mental health.
- Early identification and treatment of mental distress are crucial for optimal maternal and infant outcomes.
- A multidisciplinary professional network (midwife, obstetrician, psychologist, child psychiatrist) was established at a Danish county hospital.
Purpose:
- To describe a professional network offering psychological therapy and psychiatric treatment to pregnant women.
- To analyze referral patterns, diagnostic profiles, and treatment outcomes for pregnant women receiving psychiatric care.
- To evaluate the effectiveness of a collaborative network in managing perinatal mental health issues.
Summary:
- A retrospective analysis of 106 referrals from obstetrics to psychiatry (1994-1999) identified anxiety and crisis reactions as primary reasons for consultation.
- The majority of cases (87%) were diagnosed with adjustment disorder (ICD-10 F 43.2), with psychotic disorders being rare.
- A significant proportion (52%) required only 1-4 therapeutic sessions for stabilization.
- Pregnancy/birth complications (PBC) were more frequent in this cohort compared to the general population.
- The network facilitates timely psychological therapy and psychiatric treatment for pregnant women experiencing mental distress.
Impact:
- Highlights the high prevalence of mental distress and adjustment disorders in pregnant women referred for psychiatric evaluation.
- Demonstrates the efficacy of a short-term, network-based intervention for stabilizing mental health conditions during pregnancy.
- Suggests that integrated care models can improve outcomes for mothers and infants by addressing perinatal mental health challenges.
- Emphasizes the need for specialized networks to support pregnant women, optimize maternal role, and prevent severe psychopathology.