Perinatal Obsessive Compulsive Disorder

Obsessive compulsive disorder (OCD) is a fairly common mental health problem that can affect men and women at any time of life (Young 2019). It is called perinatal OCD when a woman develops OCD during pregnancy or after birth—the perinatal period. Perinatal OCD affects at least 2 in every 100 women (Marchesi et al. 2016)

Perinatal mental health : preparing the future nursing workforce

Perinatal mental health (PMH) problems occur during pregnancy and up to a year after giving birth. They can have a significant effect on the mother and family, and can affect the social, emotional and cognitive development of the child. PMH nursing is gaining increasing recognition in national policy; additional funding has been announced to align national perinatal services with agreed standards and the perinatal workforce has been identified as an area of growth. The PMH competency framework published by Health Education England and the Tavistock and Portman NHS Foundation Trust, London, is aimed at training staff to deliver high-quality care to women who experience mental health problems during the perinatal period. However, the framework does not address the competencies required from the emerging workforce: nursing students. The pre-registration nursing curriculum must align with PMH competencies to ensure that nursing students become competent practitioners who are adequately prepared to care for the PMH needs of the mother and family

HUBUNGAN BEBERAPA FAKTOR IBU DENGAN KEJADIAN KEMATIAN PERINATAL KABUPATEN TAHUN 2004RELATIONSHIP SOME FACTOR OF MOTHER WITH OCCURENCE OF DEATH OF PERINATAL IN REGION WORK ATTACHED PUSKESMAS DEMPET IN DEMAK REGENCY AT 2004

Abstrak. Kejadian Kematian perinatal di Indonesia masih tertinggi jika dibandingkan dengan Negara ASEAN. Tahun 2003 derajat kesehatan di Kabupaten Demak mengalami penurunan, tercatat AKB tahun 2002 sebesar 2,51 dan tahun 2003 sebesar 8,28, demikian halnya di wilayah kerja Puskesmas Dempet, terdapat 23 kasus dari 483 kelahiran, Penelitian ini bertujuan untukmengetahui hubunganbeebrapa faktor ibu (umur ibu, pendididikanibu, pekerja ibu peritas, jarak kelahiran, periksaan antenatal dan lingkungan) dengan kejadian kematian perinatal. Penelitian ini bersifatexplanatory survey denganpendekatancross setional study.Populasi sebesar 483 orang dan unit sampling adalah seluruh ibu yang melahirkan bulan Januari sampai dengan bulan Desember 2004 di wilayah kerja Pukesmas Dempet, dengan teknik sampling menggunakan cara simple random sampling, sehingga diperoleh sampel sebanyak 80 orang. Hasil analisis diperoleh 30,8% ibu yang berusia 3 anak, 25,6% dari ibu yang memepunyai jarak kelahiran anak < 3 tahun, dan 29% dari ibu yang tidak melakukan pemeriksaan antenatal, serta 26,1% dari ibu yang tinggal di lingkungan yang tidak sehat juga mengalami kejadian kematian perinatal. Hasil uji Chi-Square pada Alfa= 0,05 hubungan umur ibu dengan kejadaian kematian perinatal diperoleh nilai p-value =0,023 dan Cl =0,066-0,794, pendidikan ibu dengan kejadian kematian perinatal diperoleh nilai p-value = 0,27 dan Cl=0,015-1,006, pekerjaan ibu dengan kejadian kematian perinatal diperoleh p-value =0,022, Cl=1,369-20,962,peritas dengan kejadian kematian perinatal diperoleh p-value=0,041 dan Cl=0,065-0,837, jarak kelahiran, pemeriksaan antenatal, lingkungan dengan kejadian kematian Disarankan kepada Pengelola progaram KIA Puskesmas Dempel untuk lebih meningkatkan gerakan sayang ibu tentang perlunya kesehatan reproduksi. Abstract. Occurrences of Deeath of perinatal in in Indonesia still are highest in comparison with State AsEAN. In 2003, degree of health in Demak Regency experince of degradation, noted by AKB in 2002 equal to 2,51 and in 2003 equal to 8,28, that way the things in region work Attached Puskesmas, there are 23 case from 483 birth,. This research aim to know relation some mother fasctor (mother age, mother education, mother work, parity, aparty birth, environmental and antenatal inspection) with occurrences of death perinatal. These researches have the character of explanatory survey with approach of cross sectional study. Population {of} equal to to 483 people and unit of sampling {is} entite/all mother bearing in January up to December 2004 in region work Attached Puskesmas, with technique of sampling use the way of simple random sampling, so that obtained by simple as much 80 people. Result of analysis obtained by 30,8% mother which have age 35 year with occurrences of death perinatal, 23,1% from mother which elementary education, 11,8% from all mother which heven't work, 28,1% from mother having parity > 3 child, 25,6% from mother having distance of birth of child 3 year, and 29% from mother which {do} not{do/conduct} antenatal inspection, and also 26,1% from mother which live in indisposed environment also experience of occurrences of death perinatal.Result of test of Chi-Square at a =0,05 relation old age mother with occurrences of death of perinatal obtained with value p-value=0,023 and Cl=0,066-0.794, education of mother with occurrences of death of perinatall obtained with value p-value=0,027 and Cl=0,015-1,006, work of mother with occurrences of death of perinatal obtained {by} p-value =0,022, Cl=1,369-20,962, pertas with occurrences of death of perinatal obtained with p-value=0,041 and Cl=0,001-0698. Conclusion of this research is there is relation old age mother, mother education, mother work, parity, a part birth, antenatal inspection, environment with occurrences of death perinatal. Suggested to organizer program Attached KIA Puskesmas to more improve daring movement mother about the importance of health reproduce. Kata Kunci: Karakteristik Ibu,Kematian PerinatalMother Characteristic,Death With Perinata

Pregnancy, prison and perinatal outcomes in New South Wales, Australia: a retrospective cohort study using linked health data

BACKGROUND Studies from the United States and the United Kingdom have found that imprisoned women are less likely to experience poorer maternal and perinatal outcomes than other disadvantaged women. This population-based study used both community controls and women with a history of incarceration as a control group, to investigate whether imprisoned pregnant women in New South Wales, Australia, have improved maternal and perinatal outcomes. METHODS Retrospective cohort study using probabilistic record linkage of routinely collected data from health and corrective services in New South Wales, Australia. Comparison of the maternal and perinatal outcomes of imprisoned pregnant women aged 18-44 years who gave birth between 2000-2006 with women who were (i) imprisoned at a time other than pregnancy, and (ii) community controls. OUTCOMES OF INTEREST onset of labour, method of birth, pre-term birth, low birthweight, Apgar score, resuscitation, neonatal hospital admission, perinatal death. RESULTS Babies born to women who were imprisoned during pregnancy were significantly more likely to be born pre-term, have low birthweight, and be admitted to hospital, compared with community controls. Pregnant prisoners did not have significantly better outcomes than other similarly disadvantaged women (those with a history of imprisonment who were not imprisoned during pregnancy). CONCLUSIONS In contrast to the published literature, we found no evidence that contact with prison health services during pregnancy was a "therapunitive" intervention. We found no association between imprisonment during pregnancy and improved perinatal outcomes for imprisoned women or their neonates. A history of imprisonment remained the strongest predictor of poor perinatal outcomes, reflecting the relative health disadvantage experienced by this population of women.This work was undertaken with funding from the National Health and Medical Research Council of Australia. Project Grant ID 457515

Perinatal outcomes of frequent attendance in midwifery care in the Netherlands: a retrospective cohort study

Background Over the last decade, a trend towards high utilisation of primary maternity care was observed in high-income countries. There is limited research with contradictory results regarding frequent attendance (FA) and perinatal outcomes in midwifery care. Therefore, this study examined possible associations between FA in midwifery care and obstetric interventions and perinatal outcomes. Methods A retrospective cohort study was performed in a medium-sized midwifery-led care practice in an urban region in the Netherlands. Frequent attenders (FAs) were categorised using the Kotelchuck-Index Revised. Regression analyses were executed to examine the relationship between FAs and perinatal outcomes, stratified by antenatal referral to an obstetrician. Main outcomes of interest were Apgar score ≤ 7 and perinatal death, birth weight, mode of delivery, haemorrhage, place of birth, transfer during labour, and a requirement for pain relief. Results The study included 1015 women, 239 (24%) FAs and 776 (76%) non-FAs, 538 (53%) were not referred and 447 (47%) were referred to an obstetrician. In the non-referred group, FA was significantly associated with a requirement for pain relief (OR 1.98, 95% CI 1.24–3.17) and duration of dilatation (OR 1.20, 95% CI 1.04–1.38). In the referred group, FA was significantly associated with induction of labour (OR 1.86, 95% CI 1.17–2.95), ruptured perineum (OR 0.50, 95% CI 0.27–0.95) and episiotomy (OR 0.48, 95% CI 0.24–0.95). In the non-referred and the referred group, FA was not associated with the other obstetric and neonatal outcomes. Due to small numbers, we could not measure possible associations of FA with an Apgar score ≤ 7 and perinatal death. Conclusion In our study, perinatal outcomes differed by FA and antenatal referral to an obstetrician. In the non-referred group, FA was significantly associated with medical pain relief and duration of dilatation. In the referred group, FA was significantly associated with induction of labour, ruptured perineum, and episiotomy. Further research with a larger study population is needed to look for a possible association between FA and primary adverse birth outcomes such as perinatal mortality

Perinatal mental disorders in Switzerland : prevalence estimates and use of mental-health services

Background: Perinatal mental disorders (PMDs) are the most common complication of pregnancy and the first postpartum year. Since PMD prevalence and use of mental-health services by perinatal women in Switzerland are unknown, we analysed existing health statistics. Methods: We used statistics from a large health insurance company, hospitals and freelance midwives. We assessed the annual rates of mental healthcare use in perinatal women (n = 13 969). We ascertained the annual rates of PMD treatment in obstetric inpatients (n = 89 699), and annual rates of PMD records by freelance midwives (n = 57 951). In 15 104 women who gave birth in 2012 or 2013, we assessed use of mental-healthcare before and during pregnancy, and in the postpartum year. For the same sample, we determined proportions of medication and consultation treatments. We used multiple regression analysis to estimate the influence of PMD on overall healthcare costs of mandatory health insurance. Results: The annual rate of mental-healthcare use by perinatal women was 16.7%. The annual rate of PMD treatment in obstetric inpatients was 1.1%. The annual rate of PMD records in the midwifery care setting was 2.9%. Women with PMD use mental health services mainly in non-obstetric outpatient settings. Medication was the most frequent treatment. Primary care providers and mental health specialists contributed almost equally to consultation treatments. PMD during pregnancy raised overall costs of healthcare in the postpartum year by 1214 Swiss francs. Conclusions: Health-system research and perinatal healthcare should take into consideration the high prevalence of PMD. Real PMD prevalence may be even higher than our data suggest and could be assessed with a survey using our model of PMD prevalence

Progeny, June 2003, Vol. 19, no. 2

Newsletter of the Statewide Perinatal Care Progra