Clinical dilemmas due to the lack of inpatient mother-baby units.
Epidemiologic studies have demonstrated the dramatic increase in the rates of new episodes of psychiatric illness in postpartum women.
Mother-Baby joint admission inpatient units serve the needs of women with psychiatric illness related to childbearing in other countries.
Such units have been rare experiments in the United States.
This article explores the clinical dilemmas that clinicians who treat postpartum women face when mother-baby units are not available.
Barriers to the implementation of these units are also discussed.
A survey of mothers admitted to general adult units was performed to study their satisfaction with the experience.
The authors also discuss their extensive clinical experience in the treatment of women with postpartum disorders and provide examples of the clinical dilemmas which occur because of mother-only admissions.
Clinical dilemmas were : separation from infants causes mothers to refuse admission, undermines breastfeeding, complicates the diagnostic evaluation, precludes participation of the infant in dyadic psychotherapy, produces longer lengths of hospital stay, and places the responsibility of caring for the baby on the spouse and extended family.
Post-discharge readjustment to caring for the baby can contribute to maternal relapse. (...)
Mots-clés Pascal : Trouble psychiatrique, Postpartum, Hospitalisation, Besoin, Service santé, Satisfaction, Admission hôpital, Homme, Service mère-enfant
Mots-clés Pascal anglais : Mental disorder, Puerperium, Hospitalization, Need, Health service, Satisfaction, Hospital admission, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0273715
Code Inist : 002B18C14. Création : 15/07/1997.