A qualitative investigation in the role of the baby in recovery from postpartum psychosis

Plunkett, Charlene; Peters, Sarah; Wieck, Angelika; Wittkowski, Anja

doi:10.1002/cpp.2074

Cited by 20 publications

(23 citation statements)

References 33 publications

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“…All fathers reported seeking support. Previous findings have demonstrated the importance of the father's support for the mother when recovering from severe mental illness (Grube, 2004;McGrath, Peters, Wieck, & Wittkowski, 2013;Plunkett, Peters, Wieck, & Wittkowski, 2016). Furthermore, social support has also been identified as a coping resource in the face of stressful events (Taylor & Stanton, 2007).…”

Section: Discussionmentioning

confidence: 99%

“…However, it is possible that this led to some fathers' opinions and thoughts not being captured. (2017) Three fathers took up the option of having an interview conducted via the telephone which allows parents with childcare commitments to take part in research as well as harder-to-reach groups (e.g., McGrath et al, 2013;Opdenakker, 2006;Plunkett et al, 2016). Telephone interviews can also help to minimize social desirability bias (Novik, 2008;Opdenakker, 2006), and fathers are often difficult to engage in research.…”

Section: Limitationsmentioning

confidence: 99%

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The Experiences of Fathers When Their Partners are Admitted with Their Infants to a Psychiatric Mother and Baby Unit

Reid

Wieck

Matrunola

et al. 2016

Clin Psychology and Psychoth

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Partners of mothers admitted to a psychiatric mother and baby unit have shown increased vulnerability to mental illness themselves; however, little is known about the support that these fathers need and receive during this time. Using interviews, this study sought to understand a) how fathers experienced the mental illness of their partner and the unit's services and b) how fathers could be better supported. Fathers face many emotional and practical challenges during their partner's admission and seek support from numerous sources, including the mother and baby unit. Fathers require more information from the mother and baby unit with regard to mental illness and the unit's services. Furthermore, the introduction of regular one-to-one updates between staff and fathers would provide an opportunity for fathers to understand how their partner is progressing and for staff to informally assess the father's wellbeing and outstanding support needs.

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Section: Discussionmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

The Experiences of Fathers When Their Partners are Admitted with Their Infants to a Psychiatric Mother and Baby Unit

Reid

Wieck

Matrunola

et al. 2016

Clin Psychology and Psychoth

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“…Our study has identified several nursing interventions to help mothers with PP gain insight into their baby's needs. Research by Plunkett, Peters, Wieck, and Wittkowski () found that, during recovery, these women can experience their baby either as a barrier or as a facilitator. Women's self‐esteem was particularly reinforced when they experienced their ability to meet their baby's needs.…”

Section: Discussionmentioning

confidence: 99%

“…Women's self‐esteem was particularly reinforced when they experienced their ability to meet their baby's needs. On the other hand, feelings of guilt and anxiety were a significant barrier to recovery (Plunkett et al, ). Our study highlights the essential role MHNs play not only in improving a mother's ability to fulfil her baby's needs, but particularly in observing any signs of distress a mother shows, when she is in contact with her baby.…”

Section: Discussionmentioning

confidence: 99%

Nursing interventions for patients with postpartum psychosis hospitalized in a psychiatric mother–baby unit: A qualitative study

Koorengevel

Poslawsky

Meijel

2019

Psychiatric Ment Health Nurs

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Accessible summary What is known on the subject If women suffer from postpartum psychosis, treatment in a specialist facility like a psychiatric mother–baby unit is recommended and should focus on the maternal health, mother–baby outcomes and the care for the next of kin. The role of mental health nurses on a mother–baby unit is essential but challenging, given the complex problems and care needs of the patient, the baby and family members. To date, very little evidence about effective nursing interventions for patients with postpartum psychosis is available. What this paper adds to existing knowledge This paper systematically describes nursing interventions and their rationale for patients with postpartum psychosis admitted to a specialized mother–baby unit. Given the limited scientific evidence for effective nursing interventions for patients with postpartum psychosis, knowledge was obtained from a best‐practice setting (i.e., a specialized mother–baby unit), thus providing a basis for the systematic development of nursing interventions to be tested on effectiveness in future studies. Implications for mental health nursing Mental health nurses play an essential role in the multidisciplinary treatment team in providing information on the patient's personal functioning and her ability to take care for the baby, in order to determine the appropriate amount of guidance and protection, in order to prevent harm and promote recovery. To provide integrated and personalized nursing care, mental health nurses should tailor their interventions to the needs of the patient, the baby and the next of kin, adapted to the successive stages of treatment. AbstractIntroductionPostpartum psychosis is one of the severest psychiatric disorders to occur in the postpartum period. If it requires a woman's admission, a psychiatric mother–baby unit is recommended, where care will focus on the mother's health, the mother–baby dyad and their next of kin. To date, few studies have examined nursing interventions for patients with postpartum psychosis.AimIdentifying nursing interventions used at a psychiatric mother–baby unit, when a patient is hospitalized with postpartum psychosis.MethodA qualitative design using thematic analysis. Data were collected using semi‐structured interviews (N = 13) with expert nurses working at such a unit.ResultsThe analysis identified three themes: (a) treatment of the mental disorder, which involves interventions to improve the mother's mental and physical well‐being; (b) care for the mother–baby dyad, which involves interventions intended to promote safe interactions between mother and baby; and (c) care for the partner, which involves interventions to improve the partner's well‐being.DiscussionOverall, within each of these themes, nurses described the urgency to tailor interventions to the needs of the patient, baby and partner.Implications to practiceOur comprehensive description of interventions can be used for the improvement of nursing care for patients hospitalized with postpartum psychosis.

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“…It is therefore important that women continue to receive support and appropriate intervention after the acute symptoms of postpartum psychosis resolve. Practical and social interventions reported to be helpful include support to enhance the mother-baby-interaction and access to information and support groups to help normalise their experiences and reduce feelings of isolation (17)(18)(19).…”

Section: Introductionmentioning

confidence: 99%

Psychological interventions for managing postpartum psychosis: A qualitative analysis of women’s and family members’ experiences and preferences

Forde

Peters

Wittkowski

2019

Preprint

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Background: Postpartum psychosis is a rare, yet severe disorder, in which early identification and immediate intervention are crucial. Despite recommendations for psychological input, little is known about the types of psychological intervention reported to be helpful. The aim of this study was to explore the experiences, needs and preferences for psychological intervention from the perspective of women with postpartum psychosis and from the perspective of family members. Methods: Thirteen women and eight family members, including partners were interviewed. The data from these semi-structured interviews were audio-recorded, transcribed and inductively analysed using thematic analysis. Results: Twelve subthemes were identified and then organised around three main themes: 1) Seeking safety and containment, 2) Recognising and responding to the psychological impact and 3) Planning for the future. These themes highlight the temporal element of recovery from postpartum psychosis, because women’s psychological needs and preferences changed over time. Emphasis was initially placed on ensuring safety, followed by a need to connect, process and adjust to their experiences. Additional needs were reported by women and family when planning for the future, including managing the fear of relapse and help to reach a decision about future pregnancies. Conclusion: The results illustrate a range of areas in which psychological intervention could be delivered to facilitate and enhance recovery. Further research is needed to develop meaningful and effective psychological interventions and to investigate the most appropriate timing for this to be offered.

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A qualitative investigation in the role of the baby in recovery from postpartum psychosis

Cited by 20 publications

References 33 publications

The Experiences of Fathers When Their Partners are Admitted with Their Infants to a Psychiatric Mother and Baby Unit

The Experiences of Fathers When Their Partners are Admitted with Their Infants to a Psychiatric Mother and Baby Unit

Nursing interventions for patients with postpartum psychosis hospitalized in a psychiatric mother–baby unit: A qualitative study

Psychological interventions for managing postpartum psychosis: A qualitative analysis of women’s and family members’ experiences and preferences

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