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Maternal Peripartum Mental Health: Integrating Psychiatric Care into Obstetric Medicine
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Maternal Peripartum Mental Health: Integrating Psychiatric Care into Obstetric Medicine

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Mental Health".

Deadline for manuscript submissions: 25 October 2024 | Viewed by 4878

Special Issue Editors

Dr. Emanuele Caroppo

E-Mail Website
Guest Editor
Department of Mental Health, Local Health Authority ROMA 2, 00159 Rome, Italy
Interests: public mental health; migrant’s mental health; severe psychiatric disorders; psychoanalysis and psychotherapy; gender-related mental health disorders; mental health epidemiology; post-traumatic stress disorder; social psychiatry; gender violence
Special Issues, Collections and Topics in MDPI journals
Dr. Marianna Mazza

E-Mail Website
Guest Editor
1. Department of Neurosciences, Università Cattolica del Sacro Cuore, Rome, Italy
2. Unit of Psychiatry, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
Interests: mood disorders; anxiety disorders; sleep disorders; eating disorders; women’s health; psychotherapy; psychopharmacology; neurosciences; psychoanalysis
Special Issues, Collections and Topics in MDPI journals
Dr. Martina Sapienza

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Guest Editor
Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
Interests: public health; migrant’s health; public mental health; urban sciences; epidemiology; social vulnerability; health iniquity; health determinants; women's health prevention; gender-related disorders; gender violence

Special Issue Information

Dear Colleagues,

Conception, pregnancy and postpartum are conditions that can lead to stress in women. In this way, maternal mental health problems (MMH) occurring during peripartum are a significant public health issue worldwide. The peripartum period is characterized by significant modifications in the immune and endocrine systems. Peripartum mood disorders in mothers and developmental disorders in their infants derive from multiple interactions between the immune, endocrine, nervous systems, culture and socio-environmental aspects. Some recent studies focusing on the impact of the coronavirus disease 2019 (COVID-19) pandemic on peripartum mental health have observed that depression and anxiety significantly changed in connection with the COVID-19 pandemic.

This Special Issue aims to provide an overview of the most recent current perspectives, and to offer an opportunity for the development of existing knowledge in perinatal medicine and obstetric medicine as a pivotal component of women’s mental health. Since a lack of appropriate maternal–fetal care can increase the risk of negative mental health outcomes in both mother and infant, mental health care for perinatal women should foresee effective screening strategies and deliver targeted therapies and interventions to women, taking into account ethnicity, socioeconomic status, history of stressful life events, different clinical phenotypes and the severity of perinatal psychopathology.

The treatment of perinatal psychopathology can be challenging, and the most effective treatment strategies combine psychotherapy, medication and various social–cultural interventions (artistic dimensions included); however, the screening and early interception of psychiatric symptoms or psychological difficulties in pregnant women and their infants represents an important target in mothers’ perinatal depression, anxiety or psychosis, and in the prevention and care of young children’s developmental disorders.

Dr. Emanuele Caroppo
Dr. Marianna Mazza
Dr. Martina Sapienza
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • perinatal psychopathology
  • mother–child bonding
  • postpartum depression
  • peripartum women mental health
  • artistic and cultural interventions and women perinatal mental health
  • peripartum disorders
  • gender violence and peripartum
  • in vitro fertilization (IVF)
  • women’s mental health

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Published Papers (4 papers)

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Research

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11 pages, 254 KiB  
Article
Self-Efficacy and Perceived Stress in Women Experiencing Preterm Birth
by Agata Białas, Anna Nowak, Karolina Kamecka, Paweł Rasmus, Dariusz Timler, Michał Marczak, Remigiusz Kozłowski and Anna Lipert
J. Clin. Med. 2024, 13(16), 4945; https://doi.org/10.3390/jcm13164945 - 22 Aug 2024
Viewed by 387
Abstract
Background: Being an unexpected, undesired and life-threatening situation, preterm birth (PTB) is a stress-, anxiety- and depression-generating factor for women delivering prematurely. The aim of this study was to assess the relationship between self-efficacy, coping strategies and perceived stress in mothers who experienced [...] Read more.
Background: Being an unexpected, undesired and life-threatening situation, preterm birth (PTB) is a stress-, anxiety- and depression-generating factor for women delivering prematurely. The aim of this study was to assess the relationship between self-efficacy, coping strategies and perceived stress in mothers who experienced preterm birth and full-term birth, to determine the needs for personalized emotional support. Methods: The study was conducted among 251 women divided into the preterm birth group (PBG) and the full-term birth group (FBG). Data were collected using the following: (1) The State-Trait Anxiety Inventory (STAI) Questionnaire, (2) Generalized Self-Efficacy Scale (GSES) and (3) Coping Inventory for Stressful Situations Questionnaire (CISS), which were distributed online from January 2021 to June 2021. Results: Lower STAI scores were recorded in the preterm birth group (PBG) with high self-efficacy (HSE) when compared to the full-term birth group with HSE. CISS test scores were higher in PBG women with low self-efficacy (LSE) in comparison to women with LSE in FBG (p < 0.001). A positive and strong relationship (0.83; p < 0.05) was found between avoidance-oriented style and strategy of avoidance by engaging in surrogate activities and a positive moderate relationship (0.58; p < 0.05) with the style of looking for social contacts in PBG with LSE. Conclusions: The task-oriented coping style seems to be the most beneficial strategy for mothers, regardless of their preterm or term delivery, as focusing on specific activities increases the sense of self-efficacy and the anxiety level can decrease. Awareness of different styles of coping with stress and a sense of self-efficacy are necessary to plan personalized interventions for premature infants’ mothers. Full article
(This article belongs to the Special Issue Maternal Peripartum Mental Health: Integrating Psychiatric Care into Obstetric Medicine)
18 pages, 291 KiB  
Article
Pregnancy and Childbirth Fear of Women from Poland, Greece, Turkey, Belarus, and Russia
by Agnieszka Kułak Bejda, Lambrini Kourkouta, Areti Tsaloglidou, Konstantinos Koukourikos, Ilknur Aydin Avci, Dilek Çelik Eren, Andrei Shpakou, Natallia Khvoryk, Liudmila Hutsikava and Napoleon Waszkiewicz
J. Clin. Med. 2024, 13(13), 3681; https://doi.org/10.3390/jcm13133681 - 24 Jun 2024
Viewed by 657
Abstract
Background/Objectives: Pregnancy and childbirth in many women cause various situations, from physical to emotional. The analysis of selected factors affecting pregnancy and childbirth in a group of women from Poland, Greece, Turkey, Belarus, and Russia and self-assessment of their impact on fear [...] Read more.
Background/Objectives: Pregnancy and childbirth in many women cause various situations, from physical to emotional. The analysis of selected factors affecting pregnancy and childbirth in a group of women from Poland, Greece, Turkey, Belarus, and Russia and self-assessment of their impact on fear of pregnancy and childbirth. Material and Methods: A total of 2017 women were surveyed, including 584 pregnant women, 528 postpartum women, and 906 non-pregnant and never-pregnant women. The study used an original questionnaire, including questions on socio-demographics and the history of pregnancy and childbirth. The material status of the respondents was assessed using the Family Affluence Scale. Results: The age range of respondents was 19–50. The surveyed women most often reported (p < 0.001) fear (n = 928) and excitement (n = 901). A positive correlation was found between anemia, infections, and fear in women from Belarus. No correlation was found between low, average, or high material status and the perception of pregnancy in women from the studied countries. Significantly (p < 0.001), women from Turkey had more children (p < 0.001) than women from other countries. With the exception of Russia, statistical correlations were shown between the feeling of fear of pregnancy and childbirth and the way the previous/current pregnancy was delivered and the experience of an artificial/natural miscarriage in the past. In general, 630 women had given birth vaginally, and 283 women had given birth by cesarean section. In the group of currently pregnant women, 22 women had had natural miscarriages in Belarus, 37 in Poland, 27 in Greece, 29 in Turkey, and 9 in Russia. Conclusions: When thinking about pregnancy, respondents in all groups most often felt joy and excitement, as well as fear and excitement, about childbirth. Natural miscarriage was experienced most frequently by women in Poland and Greece and induced in Belarus. The largest number of women who had cesarean section were from Poland and Belarus. Full article
(This article belongs to the Special Issue Maternal Peripartum Mental Health: Integrating Psychiatric Care into Obstetric Medicine)

Review

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10 pages, 240 KiB  
Review
Sleep and Postpartum Psychosis: A Narrative Review of the Existing Literature
by Camilla Carr, Daniela Borges, Katie Lewis, Jessica Heron, Sally Wilson, Matthew R. Broome, Ian Jones, Arianna Di Florio and Isabel Morales-Muñoz
J. Clin. Med. 2023, 12(24), 7550; https://doi.org/10.3390/jcm12247550 - 7 Dec 2023
Viewed by 1668
Abstract
Sleep problems are extremely common during the postpartum period. The role of sleep in the development of postpartum psychosis (PP) is, however, still under-researched. This narrative review aims to (1) provide a summary of the existing evidence for the associations between sleep problems [...] Read more.
Sleep problems are extremely common during the postpartum period. The role of sleep in the development of postpartum psychosis (PP) is, however, still under-researched. This narrative review aims to (1) provide a summary of the existing evidence for the associations between sleep problems and PP, (2) discuss the relevant risk factors associated with sleep problems and PP, and (3) suggest future lines of research in this area. Some of the existing literature suggests an association between sleep problems, specifically insomnia, sleep loss and sleep disruption during pregnancy and postpartum, and PP, with the most relevant risk factors including history of bipolar disorder and time of delivery. However, it is still unclear whether the previously mentioned sleep problems are a symptom of, or a trigger for PP. Thus, further research is needed to identify the specific role of sleep problems in PP, using longitudinal designs and more objective measures of sleep. This will allow appropriate detection, intervention and support for women experiencing and/or at risk for PP. Full article
(This article belongs to the Special Issue Maternal Peripartum Mental Health: Integrating Psychiatric Care into Obstetric Medicine)

Other

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26 pages, 1460 KiB  
Systematic Review
Obstetric Outcomes in Women on Lithium: A Systematic Review and Meta-Analysis
by Tommaso Callovini, Silvia Montanari, Francesca Bardi, Sara Barbonetti, Sara Rossi, Romina Caso, Giuseppe Mandracchia, Stella Margoni, Andrea Brugnami, Marco Paolini, Giovanni Manfredi, Luca Lo Giudice, Daniele Segatori, Andrea Zanzarri, Luca Onori, Claudia Calderoni, Elisabetta Benini, Giuseppe Marano, Marco Massetti, Federica Fiaschè, Federica Di Segni, Delfina Janiri, Alessio Simonetti, Lorenzo Moccia, Flavia Grisoni, Sara Ruggiero, Giovanni Bartolucci, Marco Biscosi, Ottavia Marianna Ferrara, Evelina Bernardi, Leonardo Monacelli, Alessandro Michele Giannico, Domenico De Berardis, Giulia Battisti, Michele Ciliberto, Caterina Brisi, Francesco Maria Lisci, Antonio Maria D’Onofrio, Antonio Restaino, Luca Di Benedetto, Maria Benedetta Anesini, Gianluca Boggio, Elettra Specogna, Arianna Crupi, Emanuela De Chiara, Emanuele Caroppo, Valentina Ieritano, Laura Monti, Daniela Pia Rosaria Chieffo, Lucio Rinaldi, Giovanni Camardese, Ilaria Cuomo, Roberto Brugnoli, Georgios D. Kotzalidis, Gabriele Sani and Marianna Mazzaadd Show full author list remove Hide full author list
J. Clin. Med. 2024, 13(16), 4872; https://doi.org/10.3390/jcm13164872 - 18 Aug 2024
Viewed by 634
Abstract
Background/Objectives: Lithium taken during pregnancy was linked in the past with increased risk for foetal/newborn malformations, but clinicians believe that it is worse for newborn children not to treat the mothers’ underlying psychiatric illness. We set to review the available evidence of [...] Read more.
Background/Objectives: Lithium taken during pregnancy was linked in the past with increased risk for foetal/newborn malformations, but clinicians believe that it is worse for newborn children not to treat the mothers’ underlying psychiatric illness. We set to review the available evidence of adverse foetal outcomes in women who received lithium treatment for some time during their pregnancy. Methods: We searched four databases and a register to seek papers reporting neonatal outcomes of women who took lithium during their pregnancy by using the appropriate terms. We adopted the PRISMA statement and used Delphi rounds among all the authors to assess eligibility and the Cochrane Risk-of-Bias tool to evaluate the RoB of the included studies. Results: We found 28 eligible studies, 10 of which met the criteria for inclusion in the meta-analysis. The studies regarded 1402 newborn babies and 2595 women exposed to lithium. Overall, the systematic review found slightly increased adverse pregnancy outcomes for women taking lithium for both the first trimester only and any time during pregnancy, while the meta-analysis found increased odds for cardiac or other malformations, preterm birth, and a large size for gestational age with lithium at any time during pregnancy. Conclusions: Women with BD planning a pregnancy should consider discontinuing lithium when euthymic; lithium use during the first trimester and at any time during pregnancy increases the odds for some adverse pregnancy outcomes. Once the pregnancy has started, there is no reason for discontinuing lithium; close foetal monitoring and regular blood lithium levels may obviate some disadvantages of lithium administration during pregnancy. Full article
(This article belongs to the Special Issue Maternal Peripartum Mental Health: Integrating Psychiatric Care into Obstetric Medicine)
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