Continuous Education for Perinatal Mental Health Among Clinical Midwives: Necessity and a Literature Review
[1]
Mizuki Takegata, Department of Midwifery and Women’s Health, Division of Health Sciences and Nursing, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan; Kitamura Institute of Mental Health Tokyo, Tokyo, Japan.
[2]
Megumi Haruna, Department of Midwifery and Women’s Health, Division of Health Sciences and Nursing, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan.
[3]
Toshinori Kitamura, Kitamura Institute of Mental Health Tokyo, Tokyo, Japan; Department of Psychiatry, Graduate School of Medicine, Nagoya University, Nagoya, Japan.
During perinatal period, a variety of mental disorders are often seen among pregnant and child rearing women; psychosis, depression, anxiety disorders including tokophobia (fear of childbirth), panic disorders, and traumatic symptoms due to childbirth. Due to the negative impact on mother’s well-being, childrearing, and family relationships, midwives should obtain sufficient knowledge and skills for detecting women with either of these mental disorders and their family and providing proper care. However, education of mental health care for mothers with psychiatric disorders may not be sufficient in the current curriculum of midwifery. Therefore, continuous training for the mental disorders, is essential for improving the quality of midwifery care. This literature review describes clinical symptoms, related factors, pharmacological and non-pharmacological treatments of the mental disorders, suggesting clinical implication for midwives.
Continuous Education, Mental Disorders, Midwives, Literature Review
[1]
Brockington IF. Diagnosis and management of post-partum disorders: A review. World Psychiatry 2004; 32: 89-95.
[2]
Brockington IF, Macdonald E, Wainscott G. Anxiety, obsessions and morbid preoccupations in pregnancy and the puerperium. Arch Women Ment Health 2006; 9: 253-63.
[3]
Grote NK, Bridge JA, Gavin AR, Melville JL, Iyengar S, Katon WJ. A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Arch Gen Psych 2010; 67: 1012-24.
[4]
Murray L, & Cooper P. Effects of postnatal depression on infant development. Archives of Disease in Childhood 1997; 77: 99-101.
[5]
Patel V, & Prince M. Maternal psychological morbidity and low birth weight in India. BJ Psych 2006; 188: 284-5.
[6]
International Confederation of Midwives Web Site. Model curriculum outlines for professional midwifery education. Available from http://www.internationalmidwives.org/what-we-do/education-coredocuments/model-curriculum-outlines-forprofessional-midwifery-education/packet-1-2-3-4.html. [Accessed July 30, 2015]
[7]
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5): American Psychiatric Publishing 2013, Incorporated.
[8]
O'hara MW, & Swain AM. Rates and risk of postpartum depression: A meta-analysis. Int Rev Psychiatry 1996; 8: 37-54.
[9]
Kitamura T, Yoshida K, Okano T, Kinoshita K, Hayashi M, Toyoda N, et al. Multicentre prospective study of perinatal depression in Japan: Incidence and correlates of antenatal and postnatal depression. Arch Women Ment Health 2006; 9: 121-130.
[10]
Pitt B. "A typical" depression following childbirth. BJ Psych 1968; 114: 1325-1335.
[11]
Sanger C, Iles JE, Andrew CS, Ramchandani PG. Associations between postnatal maternal depression and psychological outcomes in adolescent offspring: A systematic review. Arch Women Ment Health 2015; 18: 147-162.
[12]
Austin MP, Frilingos M, Lumley J, Hadzi-Pavlovic D, Roncolato W, et al. Brief antenatal cognitive behaviour therapy group intervention for the prevention of postnatal depression and anxiety: A randomised controlled trial. J Affect Disord 2008; 105: 35-44.
[13]
Cuijpers P, Brannmark JG, van Straten, A. Psychological treatment of postpartum depression: A meta-analysis. J Clin Psychol 2008; 64: 103-118.
[14]
Zlotnick C, Miller IW, Pearlstein T, Howard M, Sweeney P. A preventive intervention for pregnant women on public assistance at risk for postpartum depression. Am J Psychiatry 2006; 163: 1443-1445.
[15]
Cooper P, Murray L, Wilson A, Romaniuk H. Controlled trial of the short-and long-term effect of psychological treatment of post-partum depression. Impact on maternal mood. BJ Psychiatry 2003; 182, 412-419.
[16]
Ohashi Y, Takegata M, Haruna M, Kitamura T, Takauma F, Tada K. Association of specific negative life events with depression severity one month after childbirth in community-dwelling mothers, Int J Nurs Health Sci 2015; 2: 13-20.
[17]
Terry DJ, Rawle R, Callan VJ. The effects of social support on adjustment to stress: the mediating role of coping. Personal Relationships 1995; 2: 97-124.
[18]
Miniati M, Callari S, Calugi P, & Rucci, M., Savino M., Mauri M, et al. Interpersonal psychotherapy for postpartum depression: a systematic review. Arch Women Ment Health 2014; 17: 257- 268.
[19]
Abramowitz JS, Meltzer-Brody S, Leserman J, Killenberg S, Rinaldi K, Mahaffey BL, et al. Obsessional thoughts and compulsive behaviors in a sample of women with postpartum mood symptoms. Arch Women Mental Health 2010; 13: 523-530.
[20]
Speisman BB, Storch EA, Abramowitz JS. Postpartum Obsessive-Compulsive Disorder. J Obstet Gynecol Neonatal Nurs 2011; 40: 680-690.
[21]
Hofberg K, Brockington I. Tokophobia: An unreasoning dread of childbirth. A series of 26 cases. BJ Psychiatry 2000; 176, 83-85.
[22]
Wijma K, Wijma B, Zar M. Psychometric aspects of the W-DEQ: A new questionnaire for the measurement of fear of childbirth. J Psychosom Obstet Gynaecol 1998; 19: 84-97.
[23]
Eriksson SL, Olausson PO, Olofsson C. Use of epidural analgesia and its relation to caesarean and instrumental deliveries: A population based study of 94,217 primiparae. Eur J Obstet Gynecol Reprod Biol 2006; 128: 270- 275.
[24]
Nilsson C, Lundgren I. Women's lived experience of fear of childbirth. Midwifery 2009; 25: 1-9.
[25]
Nieminen K, Stephansson O, Ryding EL. Women's fear of childbirth and preference for Cesarean section: A cross-sectional study at various stages of pregnancy in Sweden. Acta Obstet Gynecol Scand 2009; 88: 807-813.
[26]
Hall WA, Hauck YL, Carty EM, Hutton EK, Fenwick J, Stoll K. Childbirth fear, anxiety, fatigue, and sleep deprivation in pregnant women. J Obstet Gynecol Neonatal Nurs 2009; 38: 567-576.
[27]
Fenwick J, Gamble J, Nathan E, Bayes S, Hauck Y. Pre- and postpartum levels of childbirth fear and the relationship to birth outcomes in a cohort of Australian women. J Clin Nurs 2009; 18: 667-677.
[28]
Soderquist J, Wijma B, Wijma K. The longitudinal course of post-traumatic stress after childbirth. J Psychosom Obstet Gynaecol 2006; 27: 113-119.
[29]
Waldenstrom U, Irestedt L. Obstetric pain relief and its association with remembrance of labor pain at two months and one year after birth. J Psychosom Obstet Gynaecol 2006; 27: 147-156.
[30]
Ryding EL, Wijma K, Wijma B. Postpartum counselling after an emergency Cesarean. Clin Psychol Psychother 1998; 5: 231-237.
[31]
Horowitz M. Stress response syndromes. Character style and dynamic psychotherapy. Archiv Gend Psychiat 1974; 31: 768-781.
[32]
Soderquist J, Wijma B, Thorbert G, Wijma K. Risk factors in pregnancy for post-traumatic stress and depression after childbirth. BJOG 2009; 116: 672-680.
[33]
Grekin R, O'Hara, MW. Prevalence and risk factors of postpartum posttraumatic stress disorder: A meta-analysis. Clin Psychol Rev 2014; 34: 389-401.
[34]
Olde E., van der Hart O, Kleber R, van Son M. Posttraumatic stress following childbirth: A review. Clin Psychol Rev 2006; 26: 1-16.
[35]
Nicholls K, Ayers S. Childbirth-related post-traumatic stress disorder in couples: A qualitative study. BJ Health Psychol 2007; 12: 491-509.
[36]
Allen, S. A qualitative analysis of the process, mediating variables and impact of traumatic childbirth. J Reprod Infant Psychol 1998; 16: 107-131.
[37]
Beck CT. Post-traumatic stress disorder due to childbirth: The aftermath. Nurs Res 2004; 53: 216-224.
[38]
Priest SR, Henderson J, Evans SF, Hagan R. Stress debriefing after childbirth: A randomised controlled trial. Medical Journal Australia 2003; 178: 542-545.
[39]
Harvey AG, Bryant RA, Tarrier N. Cognitive behavior therapy for posttraumatic stress disorder. Clin Psychol Rev 2003; 501-502.
[40]
Kershaw K, Jolly K, Bhabra K, Ford J. Randomised controlled trial of community debriefing following operative delivery. BJOG 2005; 112: 1504-1509.
[41]
Gamble JA, Creedy DK, Webster J, Moyle W. A review if the literature on debriefing or non-directive counselling to prevent postoartum emotional distress. Midwifery 2002; 18: 72-79.
[42]
Lapp LK, Agbokou C, Peretti CS, Ferreri F. Management of post traumatic stress disorder after childbirth: A review. J Psychosom Obstet Gynaecol 2010; 31: 113-122.
[43]
Czarnocka J, Slade P. Prevalence and predictors of post-traumatic stress symptoms following childbirth. BJ Clin Psychol 2000; 39: 35-51.
[44]
Creedy DK, Shochet IM, Horsfall J. Childbirth and the development of acute trauma symptoms: Incidence and contributing factors. Birth 2000; 27: 104-111.
[45]
Soderquist J, Wijma K, Wijma B. Traumatic stress after childbirth: The role of obstetric variables. J Psychosom Obstet Gynaecol 2002; 23: 31-39.
[46]
Fairbrother N, Woody, SR. Fear of childbirth and obstetrical events as predictors of postnatal symptoms of depression and post-traumatic stress disorder. J Psychosom Obstet Gynaecol 2007; 28: 239-242.
[47]
Wijma K, Söderquist J, Wijma, B. Posttraumatic stress disorder after childbirth: A cross sectional study. J Anxiety Disord 1998; 11: 587-597.
