A review of research and nursing management of mental health problems in pregnancy and motherhood

Judith M Jarosinski,1 Jane A Fox21Nursing Department, Henson School of Science, Salisbury University, Salisbury, MD, 2School of Nursing, College of Health and Human Services, University of North Carolina Wilmington, Wilmington, NC, USAAbstract: In this article, the authors explore the risks pregnant...

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Autores principales: Jarosinski JM, Fox JA
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2016
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Acceso en línea:https://doaj.org/article/0b47bbac2abf4ff686245c8ffe64e9c4
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spelling oai:doaj.org-article:0b47bbac2abf4ff686245c8ffe64e9c42021-12-02T00:58:18ZA review of research and nursing management of mental health problems in pregnancy and motherhood2230-522Xhttps://doaj.org/article/0b47bbac2abf4ff686245c8ffe64e9c42016-01-01T00:00:00Zhttps://www.dovepress.com/a-review-of-research-and-nursing-management-of-mental-health-problems--peer-reviewed-article-NRRhttps://doaj.org/toc/2230-522XJudith M Jarosinski,1 Jane A Fox21Nursing Department, Henson School of Science, Salisbury University, Salisbury, MD, 2School of Nursing, College of Health and Human Services, University of North Carolina Wilmington, Wilmington, NC, USAAbstract: In this article, the authors explore the risks pregnant women experience due to mental illness and intimate partner violence (IPV) and discuss the nursing role involved in the management of their care. For many women, pregnancy is a time of hopeful anticipation, yet for others, pregnancy reflects a new or an ongoing struggle with mental illness. The sequelae of untreated mental illness can be as severe as infanticide, maternal suicide, lack of maternal attachment, and inability to parent. Newborns whose mothers misuse alcohol and drugs are at risk of fetal alcohol spectrum disorders and neonatal addiction syndrome. Women who live with IPV risk their physical and mental well-being as well as the safety of their newborn. Implications for practice include the use of assessment tools early and during the treatment trajectory; otherwise, mental illness and IPV in pregnancy would go undetected/untreated. Identifying postpartum depression early is key toward providing timely care for both the mother and infant; yet, few obstetric practices use a depression assessment tool such as the Edinburgh Postnatal Depression Scale. During the initial intake assessment, the Edinburgh Postnatal Depression Scale can provide the means of early treatment through targeted assessment. Further implications include specialized services for substance-misusing pregnant women whose issues are different and separate from those of men, integration of services to address their multifaceted needs, and educating nurses to the reality of comorbidity as the norm rather than the rare occurrence, with a truly holistic approach that diminishes stigma. Keywords: intimate partner violence, mental illness, pregnancy, serious mental illness, Women Abuse Screening Tool, depression, domestic violence, family violence, HITSJarosinski JMFox JADove Medical PressarticleMental illnesspregnancy and interventionsNursingRT1-120ENNursing: Research and Reviews, Vol 2016, Iss Issue 1, Pp 1-8 (2016)
institution DOAJ
collection DOAJ
language EN
topic Mental illness
pregnancy and interventions
Nursing
RT1-120
spellingShingle Mental illness
pregnancy and interventions
Nursing
RT1-120
Jarosinski JM
Fox JA
A review of research and nursing management of mental health problems in pregnancy and motherhood
description Judith M Jarosinski,1 Jane A Fox21Nursing Department, Henson School of Science, Salisbury University, Salisbury, MD, 2School of Nursing, College of Health and Human Services, University of North Carolina Wilmington, Wilmington, NC, USAAbstract: In this article, the authors explore the risks pregnant women experience due to mental illness and intimate partner violence (IPV) and discuss the nursing role involved in the management of their care. For many women, pregnancy is a time of hopeful anticipation, yet for others, pregnancy reflects a new or an ongoing struggle with mental illness. The sequelae of untreated mental illness can be as severe as infanticide, maternal suicide, lack of maternal attachment, and inability to parent. Newborns whose mothers misuse alcohol and drugs are at risk of fetal alcohol spectrum disorders and neonatal addiction syndrome. Women who live with IPV risk their physical and mental well-being as well as the safety of their newborn. Implications for practice include the use of assessment tools early and during the treatment trajectory; otherwise, mental illness and IPV in pregnancy would go undetected/untreated. Identifying postpartum depression early is key toward providing timely care for both the mother and infant; yet, few obstetric practices use a depression assessment tool such as the Edinburgh Postnatal Depression Scale. During the initial intake assessment, the Edinburgh Postnatal Depression Scale can provide the means of early treatment through targeted assessment. Further implications include specialized services for substance-misusing pregnant women whose issues are different and separate from those of men, integration of services to address their multifaceted needs, and educating nurses to the reality of comorbidity as the norm rather than the rare occurrence, with a truly holistic approach that diminishes stigma. Keywords: intimate partner violence, mental illness, pregnancy, serious mental illness, Women Abuse Screening Tool, depression, domestic violence, family violence, HITS
format article
author Jarosinski JM
Fox JA
author_facet Jarosinski JM
Fox JA
author_sort Jarosinski JM
title A review of research and nursing management of mental health problems in pregnancy and motherhood
title_short A review of research and nursing management of mental health problems in pregnancy and motherhood
title_full A review of research and nursing management of mental health problems in pregnancy and motherhood
title_fullStr A review of research and nursing management of mental health problems in pregnancy and motherhood
title_full_unstemmed A review of research and nursing management of mental health problems in pregnancy and motherhood
title_sort review of research and nursing management of mental health problems in pregnancy and motherhood
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/0b47bbac2abf4ff686245c8ffe64e9c4
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