scholarly journals The risks of motherhood

1991 ◽  
Vol 15 (4) ◽  
pp. 220-220
Author(s):  
Rosalind Ramsay
Keyword(s):  
Mental Illness ◽  
Maternal Morbidity ◽  
Psychiatric Illness ◽  
Post Partum ◽  
Psychiatric Morbidity ◽  
Obstetric Care ◽  
Prevention And Treatment ◽  
Multidisciplinary Group ◽  
Set Up ◽  
The 19Th Century

The Marcé Society, a multidisciplinary group set up in 1980 to advance the understanding, prevention and treatment of post-partum mental illness, met in York for its biennial meeting last September to celebrate its tenth birthday. In the middle of the 19th century, Louis Marcé first drew attention to the special nature of psychiatric illness in the puerperium. Since then, as opening speaker, Dr Channi Kumar pointed out, although maternal morbidity has dropped dramatically, in particular over the last 40 years with improvements in obstetric care together with social, cultural and educational changes, psychiatric morbidity in the puerperium remains as prevalent as it was 100 years ago.

scholarly journals Risk of puerperal and non-puerperal recurrence of illness following bipolar affective puerperal (post-partum) psychosis

2005 ◽  
Vol 186 (3) ◽  
pp. 258-259 ◽  
Author(s):  
Emma Robertson ◽  
Ian Jones ◽  
Sayeed Haque ◽  
Roger Holder ◽  
Nick Craddock
Keyword(s):  
Mental Illness ◽  
Value Of Information ◽  
Psychiatric Illness ◽  
Post Partum ◽  
Positive Family History ◽  
Psychotic Episode ◽  
Clinical Value ◽  
Puerperal Psychosis ◽  
History Of

SummaryThe clinical value of information on the risk of future psychiatric illness in women who have experienced puerperal (post-partum) psychosis has been limited by inconsistencies in terminology and nosology. Here we report rates of subsequent puerperal and non-puerperal episodes, in a well-characterised sample of women diagnosed with clearly defined bipolar affective puerperal psychosis (n=103). Out of 54 women having further children, 31 (57%; 95% Cl 44–69) experienced an additional puerperal psychotic episode, and 64 of 103 women (62%; 95%Cl 52–71) experienced a non-puerperal affective episode during the follow-up period (mean duration 9 years). A history of bipolar episodes prior to the puerperal psychosis did not predict risk following subsequent pregnancies, but positive family history of mental illness predicted shorter time to non-puerperal relapse.

scholarly journals Maternal Near Miss : A Case Report

2015 ◽  
Vol 14 (1) ◽  
pp. 67-70
Author(s):  
Serajun Noor ◽  
AMM Ehtashumul Hoque ◽  
Kawsar Alam ◽  
Nasir Uddin
Keyword(s):  
Health Care ◽  
Maternal Morbidity ◽  
Post Partum ◽  
Emergency Situation ◽  
Obstetric Care ◽  
Good Health ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Intrauterine Death ◽  
Quality Of Obstetric Care

The term “Maternal Near Miss” (MNM) refer to women who have escaped death either by chance or due to good health care after experiencing severe life threatening complication during pregnancy, labour and within six weeks after termination of pregnancy. A “Near Miss” event in a 3rd gravid at 42 weeks with intrauterine death having intractable Post Partum Haemorrhage (PPH) with severe maternal morbidity is reported here. Delay means death holds true for such emergency situation. The aim of the report is to stress the need of patients education, importance of emergency transportation and availability of multi-disciplinary tools and adequate blood transfusion at all level of health care system. Severe Acute Maternal Morbidity (SAMM) is a complement for maternal mortality and also to evaluate the quality of obstetric care in that particular institution. DOI: http://dx.doi.org/10.3329/cmoshmcj.v14i1.22889 Chatt Maa Shi Hosp Med Coll J; Vol.14 (1); Jan 2015; Page 67-70

scholarly journals Economics of mental well-being: a prospective study estimating associated health care costs and sickness benefit transfers in Denmark

2021 ◽  
Author(s):  
Ziggi Ivan Santini ◽  
Hannah Becher ◽  
Maja Bæksgaard Jørgensen ◽  
Michael Davidsen ◽  
Line Nielsen ◽  
...  
Keyword(s):  
Health Care ◽  
Mental Illness ◽  
Healthcare Costs ◽  
Psychiatric Morbidity ◽  
Government Expenditure ◽  
Well Being ◽  
Population Based ◽  
Sickness Benefit ◽  
A Prospective Study ◽  
Mental Well Being

Abstract Background Previous literature has examined the societal costs of mental illness, but few studies have estimated the costs associated with mental well-being. In this study, a prospective analysis was conducted on Danish data to determine 1) the association between mental well-being (measured in 2016) and government expenditure in 2017, specifially healthcare costs and sickness benefit transfers. Methods Data stem from a Danish population-based survey of 3,508 adults (aged 16 + years) in 2016, which was linked to Danish registry data. A validated scale (WEMWBS) was used for the assessment of mental well-being. Costs are expressed in USD PPP. A two-part model was applied to predict costs in 2017, adjusting for sociodemographics, health status (including psychiatric morbidity and health behaviour), as well as costs in the previous year (2016). Results Each point increase in mental well-being (measured in 2016) was associated with lower healthcare costs ($− 42.5, 95% CI = $− 78.7, $− 6.3) and lower costs in terms of sickness benefit transfers ($− 23.1, 95% CI = $− 41.9, $− 4.3) per person in 2017. Conclusions Estimated reductions in costs related to mental well-being add to what is already known about potential savings related to the prevention of mental illness. It does so by illustrating the savings that could be made by moving from lower to higher levels of mental well-being both within and beyond the clinical range. Our estimates pertain to costs associated with those health-related outcomes that were included in the study, but excluding other social and economic outcomes and benefits. They cover immediate cost estimates (costs generated the year following mental well-being measurement) and not those that could follow improved mental well-being over the longer term. They may therefore be considered conservative from a societal perspective. Population approaches to mental health promotion are necessary, not only to potentiate disease prevention strategies, but also to reduce costs related to lower levels of mental well-being in the non-mental illness population. Our results suggest that useful reductions in both health care resource use and costs, as well as in costs due to sick leave from the workplace, could be achieved from investment in mental well-being promotion within a year.

Social Psychiatry and Sociology of Mental Health: A View on Their Past and Future Relevance

1992 ◽  
Vol 26 (1) ◽  
pp. 91-97 ◽  
Author(s):  
Jerzy Krupinski
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
World War Ii ◽  
Industrial Revolution ◽  
Psychiatric Morbidity ◽  
Daily Practice ◽  
Social Psychiatry ◽  
Epidemiological Methods ◽  
World War ◽  
Urban Decay

The origins of social psychiatry can be traced to the age of enlightenment and to the effects of the industrial revolution. Social psychiatry deals with social factors associated with psychiatric morbidity, social effects of mental illness, psycho-social disorders and social approaches to psychiatric care. Since the end of World War II up to the early seventies it has been claimed that social psychiatry should concentrate on the fight against war, poverty, racial discrimination, urban decay and all other social ills affecting people's mental health, and that the psychiatrist should be responsible for the mental health of the society. In contrast, sociology of mental health questioned the expertise of the psychiatrist and the very existence of mental illness, claiming that it covers deviant behaviour rejected by the society. The paper refutes this approach indicating that not the existence but the perception and presentation of psychiatric illness are socially determined. Acknowledging the contribution of sociology and social sciences to psychiatry, it is suggested that the heroic period of social psychiatry and the iconoclastic approach of sociology of mental health are over. However, social psychiatry, enriched by the use of epidemiological methods, has still much to offer to the daily practice of psychiatry.

scholarly journals Suicide prevention: A study of patients' views

2003 ◽  
Vol 182 (3) ◽  
pp. 261-265 ◽  
Author(s):  
John M. Eagles ◽  
Dawn P. Carson ◽  
Annabel Begg ◽  
Simon A. Naji
Keyword(s):  
Social Networks ◽  
Mental Illness ◽  
Suicide Prevention ◽  
Psychiatric Illness ◽  
Structured Interview ◽  
Psychiatric Services ◽  
Prevention Strategies ◽  
Psychiatric Illnesses ◽  
Service Models ◽  
The Media

BackgroundSuicide prevention strategies are usually formulated without seeking the views of people with psychiatric illnesses.AimsTo establish what helped patients with severe psychiatric illness when they felt suicidal.MethodA semi-structured interview was constructed following transcribed interviews with 12 patients. This was administered to 59 out-patients with serious and enduring mental illness, focusing on factors they found helpful or unhelpful when at their most despairing.ResultsThree-quarters of patients were in contact with psychiatric services when feeling at their lowest, and this contact was generally deemed to be helpful. Social networks were considered just as helpful as psychiatric services by the half of patients who discussed their feelings with friends or relatives. Religious beliefs and affiliations were helpful. Negative influences included the media and the stigma of psychiatric illness.ConclusionsEfforts at suicide prevention might usefully focus on enhancing patients' social networks, increasing the likelihood of early contact with psychiatric services and decreasing the stigma attached to psychiatric illness. Larger studies of patients exposed to different service models would be informative.

scholarly journals Incidence and main causes of severe maternal morbidity in São Luís, Maranhão, Brazil: a longitudinal study

2011 ◽  
Vol 129 (3) ◽  
pp. 146-152 ◽  
Author(s):  
Ana Paula Pierre Moraes ◽  
Sandhi Maria Barreto ◽  
Valéria Maria Azeredo Passos ◽  
Patrícia Silva Golino ◽  
Janne Ayre Costa ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Maternal Morbidity ◽  
Obstetric Care ◽  
Objective Evaluation ◽  
Severe Maternal Morbidity ◽  
Obstetric Hemorrhage ◽  
Prospective Longitudinal Study ◽  
Significance Level ◽  
Maternity Hospitals ◽  
Prospective Longitudinal

CONTEXT AND OBJECTIVE: Evaluation of severe maternal morbidity has been used in monitoring of maternal health. The objective of this study was to estimate its incidence and main causes in São Luís, Maranhão, Brazil. DESIGN AND SETTING: Prospective longitudinal study, carried out in two public high-risk maternity hospitals and two public intensive care units (ICUs) for referral of obstetric cases from the municipality. METHODS: Between March 1, 2009, and February 28, 2010, all cases of severe maternal morbidity according to the Mantel and Waterstone criteria were identified. The sociodemographic and healthcare characteristics of the extremely severe cases were compared with the less severe cases, using the Fisher, Χ2, Student t and Mann-Whitney tests, with a significance level of < 0.05. RESULTS: 127 cases of severe maternal morbidity were identified among 8,493 deliveries, i.e. an incidence of 15.0/1000 deliveries. Out of 122 cases interviewed, 121 cases were within the Waterstone criteria and 29 were within the Mantel criteria, corresponding to incidences of 14.1/1000 and 3.4/1000 deliveries, respectively. These rates were lower than those described in the literature, possibly due to case loss. The main causes were hypertension during pregnancy, which was more frequent in less severe cases (P = 0.001) and obstetric hemorrhage, which was more common among extremely severe cases (P = 0.01). CONCLUSIONS: Direct obstetric disorders were the main causes of severe maternal morbidity in São Luís, Maranhão. Investigation and monitoring of severe morbidity may contribute towards improving obstetric care in the municipality.

scholarly journals Attitude towards mental illness among doctors and nurses in a tertiary care centre, Pondicherry, India

2017 ◽  
Vol 5 (7) ◽  
pp. 3059 ◽  
Author(s):  
V. Sujaritha ◽  
M. Partheeban ◽  
T. Thiviya ◽  
M. Sowmiya
Keyword(s):  
Mental Illness ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Educational Status ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Medical College ◽  
Gender Influence ◽  
Positive Attitudes ◽  
Doctors And Nurses

Background: Stigma can prevent care and treatment of mentally ill. About 54% of diagnosable mental disorders are seen in primary care settings. There is a gross underestimation of psychiatric morbidity among patients by substantial proportion of non-psychiatric clinicians. Hence there is a need to assess the attitude towards mental illness among doctors and staff nurses. The objectives of the study were to assess the attitude towards mental illness among doctors and nurses, to compare the attitude between doctors and nurses, to find if there is any correlation between duration of training or posting and attitude, to find if educational status had any influence on attitude, to find if there is any gender influence on attitude. Methods: It is a cross sectional descriptive study conducted in a private medical college, Pondicherry among doctors and nurses who had completed their under graduation with a sample size of 221 (Doctors-120, Nurses-101). The instruments used were a semi-structured demographic profile and 34 items of OMICC (Opinion About Mental Illness in Chinese Community). The data was entered in Microsoft Excel 2013 analyzed using descriptive statistics, unpaired t-test, pearson’s correlation coefficient.Results: Only 25% of doctors and 4.9% of nurses positive attitude when overall score was considered. Doctors group had higher positive attitudes compared to nurses in domains separatism, stereotyping, benevolence and stigmatisation.Conclusions: There was no correlation between duration of psychiatry posting and attitude.

scholarly journals Assessment of maternal birth satisfaction and intra-partum experiences among the women of rural areas of Tamil Nadu- a cross sectional study

2021 ◽  
Vol 8 (12) ◽  
pp. 6006
Author(s):  
Janakiram Marimuthu ◽  
A. Arul Murugan
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Tamil Nadu ◽  
Post Partum ◽  
Cross Sectional Study ◽  
Maternal Satisfaction ◽  
Sectional Study ◽  
Cross Sectional ◽  
Birth Satisfaction ◽  
Set Up

Background: Childbirth, though a physiological process, has been associated with multiple risks and stress on the women, even before the time of conception till the post-partum. Every woman around the world has a right to receive respectful maternity care. Birth satisfaction and respectful maternal care has direct impact on percentage of institutional deliveries. There is paucity of studies conducted among the women of rural Tamil Nadu regarding birth satisfaction and intrapartum experiences.Methods: A cross-sectional study was conducted in primary health center area, red hills among the post-partum women attending the immunization OPD at 6, 10 and 14th week after delivery during the months of March to June 2018. By simple random sampling technique 195 subjects were included. A semi-structured questionnaire was administered to collect the data. Ethical clearance was obtained from our Institutional Ethics Committee. Data was entered in MS Excel and analysis was done using SPSS Software version 23.Results: The study shows the importance of maternal satisfaction and intrapartum experiences of women in rural areas. It concluded that the overall satisfaction was 85.5%. The transport facility available at the health care set up which satisfied the mothers was around 91.4%. The interaction of health care providers with mothers during delivery was around 64.5%. Cleanliness and comfort of the delivery area was around 64%. Equality of care provided at the health care set up was around 83%.Conclusions: Reasons for delivery visit, duration of labour, and mode of delivery are independent predictors of maternal satisfaction.

scholarly journals Activities of the Asian Department of the Russian Ministry of Foreign Affairs in coordination of the Russian Balkan policy (first half of the 19th century)

2020 ◽  
pp. 45-60
Author(s):  
Elena P. Kudryavtseva ◽  
Keyword(s):  
Ottoman Empire ◽  
19Th Century ◽  
Foreign Affairs ◽  
Russian Government ◽  
Balkan Region ◽  
Set Up ◽  
The 19Th Century

The study is devoted to the activities of the Asian Department of the Russian Ministry of Foreign Affairs that served as a curator of the Russia-Balkans relations in the first half of the 19th century. The Asian Department (set up in 1819) was in charge of the diplomatic, economic, cultural and church relations of Russia with the countries of the «East», and, above all, with the Ottoman Empire. Relations with the Orthodox Balkan nations - Serbs, Bulgarians and Montenegrins – remained traditionally close. This department supervised the policies related to the Balkan region, developed instructions for Russian envoys in Constantinople and Athens, stored consular reports from all over the Balkan region, and, as a result, elaborated approach of the Russian government in relations with Turkey.

Prevention and treatment of post-partum depression: a controlled randomized study on women at risk

2002 ◽  
Vol 32 (6) ◽  
pp. 1039-1047 ◽  
Author(s):  
H. CHABROL, ◽  
F. TEISSEDRE, ◽  
M. SAINT-JEAN, ◽  
N. TEISSEYRE, ◽  
B. ROGÉ ◽  
...  
Keyword(s):  
At Risk ◽  
Treatment Group ◽  
Rating Scale ◽  
Post Partum ◽  
Control Group ◽  
Post Partum Depression ◽  
Cognitive Behavioural ◽  
Post Natal Depression ◽  
Prevention And Treatment ◽  
Probable Depression

Background. Research is needed to evaluate the efficacy of prevention and treatment for post-partum depression.Method. Subjects were screened with the Edinburgh Post-natal Depression Scale (EPDS) at the obstetric clinic. Mothers at risk (N = 258) (EPDS scores [ges ]9) were randomly assigned to a prevention/treatment group or a control group. The prevention group received one cognitive-behavioural prevention session during hospitalization. At 4 to 6 weeks post-partum, subjects were screened again with the EPDS, after drop-out rates (refusals plus no return of the second EPDS) of 25.4% (33/130) in the intervention group and 10.9% (14/128) in the control group. Mothers with probable depression (EPDS scores [ges ]11) were assessed using the Hamilton Depression Rating Scale (HDRS) and the Beck Depression Inventory (BDI). Mothers with major depression continued in the treatment group (N = 18) or in the control group (N = 30). Treated subjects received a cognitive-behavioural programme of between five and eight weekly home-visits.Results. Compared with the control group, women in the prevention group had significant reductions in the frequency of probable depression (30.2% v. 48.2%). Recovery rates based on HDRS scores of <7 and BDI scores of <4 were also significantly greater in the treated group than in the control group.Conclusions. The study suggests that this programme for prevention and treatment of post-partum depression is reasonably well-accepted and efficacious.

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