Attachment--and loss.

Prevalence and incidence of postpartum depression among healthy mothers: A systematic review and meta-analysis

Risk factors for postpartum depression: An evidence-based systematic review of systematic reviews and meta-analyses.

Prevalence of perinatal depression and its determinants in Mainland China: A systematic review and meta-analysis

Bipolar Disorder (BD) is a mental disorder usually diagnosed between 18 and 30 years of age; this coincides with the period when many women experience pregnancy and childbirth As specific problems have been reported in pregnancy and childbirth when the mother has BD, a systematic review was carried out to summarise the outcomes of pregnancy and childbirth, in mother and child, when the mother has BD diagnosed before pregnancy An a priori protocol was designed and a systematic search conducted in PubMed, CINAHL, Scopus, PsycINFO and Cochrane databases in March 2015 Studies of all designs were included if they involved women with a diagnosis of bipolar disorder prior to pregnancy, who were pregnant and/or followed up to one year postpartum All stages of inclusion, quality assessment and data extraction were done by two people All maternal or infant outcomes were examined, and narrative synthesis was used for most outcomes Meta-analysis was used to achieve a combined prevalence for some outcomes and, where possible, case and control groups were combined and compared The search identified 2809 papers After screening and quality assessement (using the EPHPP and AMSTAR tools), nine papers were included Adverse pregnancy outcomes such as gestational hypertension and antepartum haemorrhage occur more frequently in women with BD They also have increased rates of induction of labour and caesarean section, and have an increased risk of mood disorders in the postnatal period Women with BD are more likely to have babies that are severely small for gestational age (<2nd-3rd percentile), and it appears that those women not being treated with mood stabilisers in pregnancy might not have an increased risk of having a baby with congenital abnormalities Due to heterogeneity of data, particularly the use of differing definitions of bipolar disorder, narrative synthesis was used for most outcomes, rather than a meta-analysis It is evident that adverse outcomes are more common in women with BD and their babies Large cohort studies examining fetal abnormality outcomes for women with BD who are not on mood stabilisers in pregnancy are required, as are studies on maternal-infant interaction

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Bipolar disorder in pregnancy and childbirth: a systematic review of outcomes

Postpartum Depression Prevalence and Risk Factors in Turkey: A Systematic Review and Meta-Analysis.

Aim: This study was to determine pregnant women's knowledge and attitudes towards stem cells and cord blood banking in Istanbul, Turkey.



Background:  Stem cell research is one of the most important and, at the same time, the most controversial topics of science and technology today. Nurses need to understand stem cell research so they can enter the debate on this issue. They can become important sources of information in order to help parents understand the issues.



Methods:  This exploratory descriptive study was conducted in two antenatal outpatient clinics in Istanbul. The sample consisted of 334 pregnant women during routine prenatal visits. Data were collected in interviews by using an interview form developed by the researchers according to the literature. The form included demographic characteristics of participants and 20 questions about stem cells, storing cord blood and banking and 10 independent attitude statements.



Results:  The majority of the participants had a lack of knowledge about stem cells and cord blood banking and wanted more information. Before pregnancy, they received some information through the media (newspaper, Internet, television, etc.), but unintentionally. It was determined that they wanted information before becoming pregnant, more from their obstetrician but also from nurses and midwives. The majority also wanted to store their infants' cord blood and stated that they would be more likely to choose a public cord blood bank.



Conclusion:  Those giving ante- and perinatal care need to offer accurate and scientific counselling services on this subject to parents who need to be informed.

Pregnant women's knowledge and attitudes about stem cells and cord blood banking

Aims and objectives To determine what problems female psychiatric patients have in terms of reproductive health. Background The reproductive health problems faced by female psychiatric patients are matters that have been neglected in the areas of both psychiatry and women's health. This study aims to make a contribution from Turkey to the literature in this neglected field. Design The study is descriptive and was conducted with 292 female patients treated in an acute inpatient psychiatric ward. Methods Data were collected through face-to-face interviews and a questionnaire based on the literature and prepared by the researchers which was designed to determine the kinds of reproductive health issues the patients were experiencing. Results It was found that compared with healthy women, the distinctive features of the participants in terms of sexuality were more negative; in particular, patients diagnosed with bipolar disorder were more likely to have been forced by their partners to have sex, they had suffered from rape or sexually transmitted diseases, the majority of those who had previous sexual experience had tried to use contraceptives but had been unable to continue using them, they were most likely to choose the method of withdrawal for contraception, their rates of pregnancy and abortion were high, they received less antenatal care, and they were more likely to have smoked during pregnancy. Conclusions It was found that female patients with psychiatric disorders had more negative attributes with regard to marriage, sexuality, family planning, maternal characteristics and pregnancy, compared with a corresponding healthy population. Relevance to clinical practice The results of this study may be useful for nurses in the clinical field for calling an attention and raising an awareness of the reproductive health problems of women with psychiatric disorders, taking the necessary preventive measures, and developing damage-reducing strategies.

Reproductive health in women with serious mental illnesses

Amac: Arastirma gebelerin dogum korkularini ve etkileyen faktorleri belirlemek amaciyla tanimlayici olarak planlanmistir. Gerec ve yontem: Calismaya Istanbul'da bir devlet hastanesine 1/31 Ekim 2008 tarihleri arasinda dogumhaneye basvuran, son trimesterde ve calismaya katilmayi kabul eden 100 gebe kadin alinmistir. Veriler arastirmaci tarafindan yuz yuze gorusme yontemi kullanilarak toplanmistir. Verilerin toplanmasinda, 20 soruluk Tanitici Bilgi Formu ve 33 soruluk Wijma Dogum Beklentisi/Deneyimi Olcegi (W-DEQ) A versiyonu kullanilmistir. Veriler SPSS 11.5programinda sayi, yuzdelik, student's t test ve mann whitney U testi kullanilarak istatistiksel degerlendirilmistir. Bulgular: Calismaya katilan kadinlarin yas ortalamasi 27,87±6,42, %69'u ilkokul mezunudur ve %92'si ev kadinidir. Kadinlarin %30'inin primipar ve simdiki gebelikleri boyunca 7,64±2,99 kez herhangi bir saglik kurulusundan dogum oncesi bakim almistir. Calismaya katilan gebe kadinlarin %15'inin daha onceki, %19'unun da simdiki gebeliklerinde gebelikle ilgili sorun yasadiklari belirlenmistir. Travaydaki kadinlarin %70'inin normal spontan vaginal dogum yaptigi ve %58 'ine dogum agrisiyla bas etmede hic bir sey yapilmadigi belirlenmistir. Digerlerine dogumhanede stajyer ebe ve hemsirelerin solunum egzersizleri ve masaj teknikleri gibi nonfarmakolojik girisimler uyguladiklari belirlenmistir. Kadinlarin Wijma Dogum Beklentisi ve Deneyim Olcegi'nden ortalama 85,63±13,76 puan aldiklari, yasa, egitim durumuna, pariteye ve dogum agrilariyla bas etmede herhangi bir yontem uygulama durumuna gore istatistiksel acidan fark saptanmamistir. Sonuc: Cogunlugu calismayan, ilkokul mezunu ve yaridan fazlasi multipar olan calisma grubu kadinlarin travaydaki korkulari ve beklentileri benzer sekilde yuksek bulunmustur. "Antenatal bakim alma" oranlari Dunya Saglik Orgut'unce onerilen sayilarin uzerinde olmasina ragmen doguma yeterince iyi hazirlanmadiklari ve dogum korkusu yasadiklari belirlenen grubun yaridan fazlasina herhangi bir agri ile bas etme girisimi uygulanmamistir. Saglikli anne ve bebekler icin "Guvenli annelik" hedefleri dogrultusunda yeterli ve kaliteli dogum oncesi ve ani bakim sunmada tum saglik calisanlarinin yani sira ebe ve hemsirelerin onemli gorevleri vardir.

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Gebelerin doğuma ilişkin korkuları ve etkileyen faktörler

The presence of a mental disorder in the mother is one of the key factors affecting attachment. The present study aimed to evaluate prenatal and postnatal attachment among mothers diagnosed with a mental health disorder by comparing them to a healthy group. The patient group included women who received follow-up care in a psychiatric clinic (74 pregnant and 75 postpartum), and the healthy group consisted of women who attended a follow-up polyclinic (118 pregnant and 82 postpartum). Data were collected using questionnaire forms, including the Prenatal Attachment Inventory and the Maternal Attachment Scale. Mothers diagnosed with a mental health disorder were determined to have lower attachment scores than the healthy group, both during the prenatal and postnatal periods. The literature suggests that mothers diagnosed with a mental health disorder showed low maternal attachment scores during pregnancy and/or the postnatal period. Psychiatric nurses should be involved in initiatives that may increase the prenatal and maternal attachment.

Hüsniye Dinç

Papers

Postpartum Depression Prevalence and Risk Factors in Turkey: A Systematic Review and Meta-Analysis.

Pregnant women's knowledge and attitudes about stem cells and cord blood banking

Reproductive health in women with serious mental illnesses

Gebelerin doğuma ilişkin korkuları ve etkileyen faktörler

Prenatal and Postnatal Attachment Among Turkish Mothers Diagnosed with a Mental Health Disorder.