产前精神病医院住院:与新生儿在儿童保护服务下的监护相关的因素
Tyler Torrico1, Emily Fitzsimmons2, Shrey Patel3
1Department of Psychiatry, Kern Medical, Bakersfield, CA.
Journal of the Academy of Consultation-Liaison Psychiatry
|March 24, 2024
概括
怀孕期间因精神疾病住院的母亲面临更高的新生儿进入儿童保护服务 (CPS) 的监护率,特别是那些患有精神病症状或无家可归病史的新生儿.
科学领域:
- 产科和妇科 产科和妇科
- 精神病学是一个精神病学.
- 社会工作 社会工作 社会工作
背景情况:
- 怀孕精神疾病与不良的产科结果有关.
- 儿童保护服务 (CPS) 的参与不成比例地影响到边缘化家庭.
- 关于精神疾病对育儿能力的影响的研究有限.
研究的目的:
- 为了确定预测产前精神病医院住院的母亲CPS新生儿监护的临床因素.
- 调查精神疾病,无家可归和CPS监护之间的关联.
主要方法:
- 追溯电子病历审查 (2012-2021年).
- 研究包括81名在住院期间分娩的孕妇住院患者.
- 后勤回归分析了与CPS监护相关的因素.
主要成果:
- 64.2%的新生儿进入CPS监护.
- 患有精神病症状的母亲在CPS监护的几率高出8.43倍.
- 无家可归的历史增加了CPS监护风险的6.59倍.
结论:
- 精神病症状和无家可归病史是精神病医院住院孕妇CPS监护的重要预测因素.
- 精神病症状并不能明确表明父母无能力;近25%的人成功过渡到家中.
- 优化精神病症状管理和解决无家可归的影响对于养育能力至关重要.
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