围产期心理健康和与怀孕相关的死亡率:改变的机会
Joan L Combellick1,2,3, Aryan Esmaeili4, Amanda M Johnson5
1Department of Veterans Affairs, Veterans Health Administration, Office of Women's Health, 810 Vermont Ave NW, Washington, DC, 20420, USA. Joan.combellick@va.gov.
Archives of women's mental health
|January 3, 2024
概括
患有精神疾病的退伍军人中与怀孕相关的死亡与护理差距有关. 改善心理健康护理,解决差异,并支持分娩后的个人可以减少这些孕产妇死亡.
科学领域:
- 围产期心理健康问题
- 产妇死亡率 产妇死亡率
- 质量改善 质量改善
背景情况:
- 围产期精神健康状况与不良妊娠结果有关,包括孕产妇死亡.
- 使用退伍军人卫生管理局 (VHA) 产妇护理的退伍军人是一个脆弱的人群.
研究的目的:
- 分析精神健康状况的退伍军人中与怀孕相关的死亡.
- 确定改善医疗保健和减少这一群体中的孕产妇死亡率的机会.
主要方法:
- 分析国家VHA数据库的与怀孕相关的死亡情况 (2011-2020财年).
- 使用CDC调整的模板,对有活跃精神健康状况的个体死亡情况进行个人图表审查.
主要成果:
- 在39,720次分娩中,发现了32起与怀孕相关的死亡.
- 81%的死亡发生在具有活跃围产期精神健康状况的个体中.
- 自杀,杀人或过量服用占精神健康队列42%的死亡人数,其中62%发生在分娩后期.
结论:
- 与围产期心理健康状况相关的与怀孕相关的死亡是可以预防的.
- 改善护理的机会包括解决种族差异,围产损失,晚产后脆弱性,药物连续性,伴侣心理健康,儿童监护,患者教育和生殖健康整合.
相关概念视频
01:52Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
01:30Community Based Intervention
43
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
43
01:30Stress and Mental Health
157
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
157
01:30Socioemotional Development during Infancy
55
Socio-emotional development in infancy is primarily shaped by early emotional responses and social connections, with temperament playing a central role. Temperament refers to the consistent patterns in an individual's emotional and behavioral responses, observable even in infancy. By examining temperament, researchers can better understand an infant's unique ways of interacting with the world, influencing subsequent personality and socio-emotional growth.
Primary Temperament Types
Primary Temperament Types
55
01:07Teratogenicity
2.5K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.5K
01:30Bulimia Nervosa
83
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
83