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    Maternal Mental Health

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    Kennedy Kachingwe
    Maternal mental health remains a challange women face around giving birth. This presentation is an introduction to conceipt of maternal mental health, importance of maternal mental health and its impact on both mothers and their children. It introduces common mental health challenges experienced during pregnancy and postpartum, such as postpartum depression, anxiety, and bipolar disorder and what those who are not trained mental heakth providers can do to support these women

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    Maternal Mental Health

    Uploaded by

    Kennedy Kachingwe
    6 views16 pages
    Maternal mental health remains a challange women face around giving birth. This presentation is an introduction to conceipt of maternal mental health, importance of maternal mental health and its impact on both mothers and their children. It introduces common mental health challenges experienced during pregnancy and postpartum, such as postpartum depression, anxiety, and bipolar disorder and what those who are not trained mental heakth providers can do to support these women

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    Maternal mental health remains a challange women face around giving birth. This presentation is an introduction to conceipt of maternal mental health, importance of maternal mental health and its impact on both mothers and their children. It introduces common mental health challenges experienced during pregnancy and postpartum, such as postpartum depression, anxiety, and bipolar disorder and what those who are not trained mental heakth providers can do to support these women

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    6 views16 pages

    Maternal Mental Health

    Uploaded by

    Kennedy Kachingwe
    Maternal mental health remains a challange women face around giving birth. This presentation is an introduction to conceipt of maternal mental health, importance of maternal mental health and its impact on both mothers and their children. It introduces common mental health challenges experienced during pregnancy and postpartum, such as postpartum depression, anxiety, and bipolar disorder and what those who are not trained mental heakth providers can do to support these women

    Copyright:

    © All Rights Reserved
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    of 16

    MATERNAL MENTAL

    HEALTH
    Kennedy Kachingwe MHPN
    BROAD OBJECTIVE

    To give an overview introduction to maternal Mental


    Health trends
    OUTLINE

    Discuss Meaning of Maternal Mental Health


    Outline Common Maternal Mental Health Disorders
    Discuss Prevalence
    Identify risk factors
    Discuss efforts to combat MMHD
    WHAT IS MATERNAL MENTAL HEALTH?

    A woman's emotional
    wellness and ability to enjoy
    life during pregnancy and 12
    months after giving birth
    Maternal mental health problems are emotional or
    psychological conditions which women experience
    during pregnancy and 12 months after giving birth.
    MATERNAL MENTAL HEALTH PROBLEMS INCLUDE:

    Baby blues
    Depression
    Anxiety
    Post traumatic stress
    Postpartum psychosis
    Alcohol and substance misuse
    Mental disorders due to general medical condition (e.g.
    preeclampsia)
    Pre-existing severe mental disorder (e.g. schizophrenia) or
    learning disability
    PREVALENCE OF ANTENAL DEPRESSION

    GLOBALLY
    10% Pregnant women
    13% Women
    SUB SAHARAN AFRICA
    15-40% (Nakku et al., 2016)
    8.3% to 41% (pregnancy)
    13.5 to 34.7 % (first year postpartum)
    LOCALLY
    25.8% (Chorwe-Sungani & Chipps, 2018).
    WHY PAY ATTENTION TO MATERNAL
    MENTAL HEALTH?
    Childbirth and mental health association
    Perinatal physiological and psychological changes
    Maternal stress and Fetal wellbeing (LBW, IUGR, PTB,
    Developmental and Cognitive delays)
    Poor maternal mental health disrupts infant
    attachment
    Costly for family, community and Nation
    Vulnerability of pregnant women in
    community/work/Disasters
    Risk for suicide/ homicide
    RISK FACTORS FOR MATERNAL MENTAL HEALTH
    DISORDERS

    Physical
    -Biological fx ie disease, age. Substance use. Preexisting
    Mental disorder

    Psychosocial
    -lack of support, poverty, food insecurity, GBV
    REG FLAGS

    Pregnant teens
    Prim gravidas
    Preexisting mental illness
    Refugees
    HIV-positive women
    Poor women
    Women with social problems , Intimate partner abuse
    Women who seem ‘stressed’
    Women with medical/surgical condition
    Women showing strange or difficulties relate with baby
    Women using substances
    WHAT TO DO?

    Ask
    Listen
    Validate
    Refer
    EFFORTS TOWARD MATERNAL MENTAL
    HEALTH

    WHO stepped up care model


    -Screen pregnant women twice and once postnatally
    -Integrate maternal mental Health services into MCH
    -Early identification, treatment and referral
    -Clear referral pathway
    CONCLUSSION

    Maternal mental health problems are a public health


    concern which is often under diagnosed in Africa
    Stepped clinical referral pathways have shown to be
    effective in management of maternal mental health care
    in Africa
    Referral pathways to other social and legal support
    services may also be of assistance in antenatal settings
    Early identification can lead to early intervention-
    positive outcome (baby and mother)
    What efforts are there at this institution to improve
    Matern Mental Health?
    REFERENCES

    Gorman, S. (2013, September 11). Why Maternal Mental Health Should be a Priority. Retrieved from
    https://speakingofmedicine.plos.org/2013/09/11/why-maternal-mental-health- should-be-a-priority/
    Chorwe-Sungani, G., & Chipps, J. (2018). A cross-sectional study of depression among women attending antenatal clinics in Blantyre district,
    Malawi. South African Journal of Psychiatry, 24, 1–6. https://doi.org/10.4102/SAJPSYCHIATRY.V24I0.1181
    Dadi, A. F., Miller, E. R., & Mwanri, L. (2020). Antenatal depression and its association with adverse birth outcomes in low and middleincome
    countries: A systematic review and meta-analysis. In PLoS ONE (Vol. 15, Issue 1). https://doi.org/10.1371/journal.pone.0227323
    Engle, P. L. (2009). Maternal mental health: Program and policy implications. American Journal of Clinical Nutrition, 89(3), 963–966.
    https://doi.org/10.3945/ajcn.2008.26692G
    Franke, K., Bergh, B. van den, de Rooij, S., Roseboom, T., Nathanielsz, P., Witte, O., & Schwab, M. (2017). Effects of Prenatal Stress on Structural
    Brain Development and Aging in Humans. BioRxiv, 148916.
    Honikman, S., van Heyningen, T., Field, S., Baron, E., & Tomlinson, M. (2012). Stepped care for maternal mental health: A case study of the
    perinatal mental health project in South Africa. PLoS Medicine, 9(5). https://doi.org/10.1371/journal.pmed.1001222
    Maternal Mental Health Alliance, McPin Foundation, & Mind. (2019). Five Principles of Perinatal Peer Support.
    Molenaar, J., Hanlon, C., Alem, A., Wondimagegn, D., Medhin, G., Prince, M., & Stevenson, E. G. J. (2020). Perinatal mental distress in a rural
    Ethiopian community: A critical examination of psychiatric labels. BMC Psychiatry, 20(1), 1–10. https://doi.org/10.1186/s12888-020-02646-5
    Mónaco, E., Schoeps, K., & Montoya-Castilla, I. (2019). Attachment styles and well-being in adolescents: How does emotional development
    affect this relationship? International journal of environmental research and public health, 16(14), 2554.
    Montagnoli, C., Zanconato, G., Cinelli, G. et al. Maternal mental health and reproductive outcomes: a scoping review of the current
    literature. Arch Gynecol Obstet 302, 801–819 (2020). https://doi.org/10.1007/s00404-020-05685-1
    Ng’oma, M., Meltzer-Brody, S., Chirwa, E., & Stewart, R. C. (2019). “Passing through difficult times”: Perceptions of perinatal depression and
    treatment needs in Malawi - A qualitative study to inform the development of a culturally sensitive intervention. PLoS ONE, 14(6), 1–20.
    https://doi.org/10.1371/journal.pone.0217102
    Perinatal Mental Health Project. (2010). Service Development Guidelines. 1–88.
    Roddy Mitchell A., Gordon H., Lindquist A. (2023). Prevalence of Perinatal Depression in Low- and Middle-Income Countries: A Systematic
    Review and Meta-analysis. JAMA Psychiatry. DOI: 10.1001/jamapsychiatry.2023.0069. PMID: 36884232; PMCID: PMC9996459.
    Tachibana, Y., Koizumi, N., Mikami, M., Shikada, K., Yamashita, S., Shimizu, M., ... & Ito, H. (2020). An integrated community mental healthcare
    program to reduce suicidal ideation and improve maternal mental health during the postnatal period: the findings from the Nagano trial. BMC
    psychiatry, 20(1), 1-15.
    WHO. (2022). Guide for integration of perinatal mental health in maternal and child health services. In World Health Organization (WHO).
    https://www.who.int/publications/i/item/9789240057142

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