Mental Health in Pregnancy

Anderson, Elaine A.

doi:10.1007/978-3-030-52520-0_36

Cited by 2 publications

(4 citation statements)

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“…Physical examination should focus on evaluating the patient's neurological status and identify any abnormal behavior, altered thought process, suicidal or homicidal ideations, and cognitive impairment (Gottlieb et al, 2018). It is important to note that new onset of psychosis in pregnancy is rare, and clinicians must differentiate acute psychiatric illnesses from organic causes during the initial evaluation (Anderson, 2021). Abrupt cessation of routine psychotropic medications during pregnancy can frequently result in a relapse of psychiatric conditions (Garriga et al, 2016; Puryear, 2018; Rodriguez-Cabezas & Clark, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…Agitation can also be attributable to intense pain from acute placental abruption and uterine contractions (Aftab & Shah, 2017; Bijma et al, 2020). For substance-induced agitation, clinicians must assess for clinical signs of intoxication or withdrawal from alcohol, psychostimulant drugs such as cocaine and amphetamine, hallucinogens, and other synthetic drugs (Anderson, 2021). These conditions must be ruled out in all pregnant patients presenting to the ED in an agitated state (Anderson, 2021).…”

Section: Discussionmentioning

confidence: 99%

“…When untreated, pregnant women may experience an exacerbation of known psychiatric conditions, which prompts them to seek treatment in the emergency department (ED) (Mongan et al, 2019). Though acute psychosis in pregnancy is not a common occurrence, caution should be exercised whenever a pregnant patient presents to the ED in an agitated state (Anderson, 2021). Agitation in pregnant women is an obstetric and behavioral emergency, and it demands careful evaluation between acute psychosis and underlying etiologies (Anderson, 2021).…”

mentioning

confidence: 99%

“…Though acute psychosis in pregnancy is not a common occurrence, caution should be exercised whenever a pregnant patient presents to the ED in an agitated state (Anderson, 2021). Agitation in pregnant women is an obstetric and behavioral emergency, and it demands careful evaluation between acute psychosis and underlying etiologies (Anderson, 2021). Thorough evaluation and prompt treatment of agitation are keys to preventing maternal suffering and compromise of the fetus (Gottlieb, Long, & Koyfman, 2018).…”

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confidence: 99%

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An Obstetric and Psychiatric Emergency: Managing Acute Agitation Among Pregnant Patients in the Emergency Department

Woo,

Gantioque

2023

Advanced Emergency Nursing Journal

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New onset of agitation during pregnancy is an obstetric and behavioral emergency that demands careful evaluation and prompt treatment. This article provides an overview of clinical evaluation and types of nonpharmacologic and pharmacologic interventions when managing acute agitation during pregnancy. Rapid clinical evaluation and behavioral management are keys to preventing detrimental maternal and fetal complications. Clinicians must seek out medical etiologies of agitation and always attempt verbal de-escalation before initiating chemical or physical restraints. Should medication be necessary, first-generation antipsychotics, second-generation antipsychotics, antihistamines, or benzodiazepines may be considered. Managing agitation in pregnancy is a challenging dilemma due to the fear of adverse maternal and neonatal outcomes as well as the legal risk involved. Nevertheless, clinicians should continue to assess the patient without delay, differentiate underlying causes of agitation, treat the mother and fetus aggressively, and consult obstetric and psychiatric services early.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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An Obstetric and Psychiatric Emergency: Managing Acute Agitation Among Pregnant Patients in the Emergency Department

Woo,

Gantioque

2023

Advanced Emergency Nursing Journal

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Can Pregnancy Experience Predict Birth Experience, Postpartum Depression and Anxiety? A Prospective Descriptive Study

Moniri,

Mirghafourvand,

Meedya

et al. 2024

Nursing Open

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AimA positive pregnancy experience can be a good start for healthy motherhood. This study aimed to investigate Iranian women's pregnancy experience and how self‐reported hassles and uplifts influence birth experience, postpartum depression and anxiety, and the association between childbirth experience and postpartum mental health.DesignA prospective descriptive study.MethodsA prospective descriptive study was conducted among 228 pregnant women from health centres in Tabriz, Iran. From the 28th to 36th weeks of pregnancy, participants completed the Pregnancy Experience Scale. Then, the mothers were followed up until 4–6 weeks postpartum, and Childbirth Experience Questionnaires version 2.0, Edinburgh Postnatal Depression and the short form of Specific Postpartum Anxiety Scales were completed. The data were analysed using the general linear model.ResultsAfter adjusting for possible confounding variables, there was no statistically significant association between women's pregnancy and childbirth experiences. However, the mean scores of postpartum depression and anxiety were significantly higher in women who felt unhappy about the discomforts that they experienced during pregnancy (β [95% CI] = 0.01 [0.01–0.02]; p < 0.001, 0.22 [0.09–0.35]; p = 0.001, respectively).ConclusionThere was a significant statistical reverse association between childbirth experience and postpartum anxiety and depression. The study demonstrated a significant association between women's pregnancy, birth experiences and postpartum psychological outcomes. Implementing interventions that create a positive pregnancy experience will likely have an impact on reducing the prevalence of postpartum depression and anxiety.Patient or Public ContributionPregnant women participated solely in the data collection by responding to the questionnaires. No participant contributions were required for the study's design, outcome measurement or implementation.

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Mental Health in Pregnancy

Cited by 2 publications

References 50 publications

An Obstetric and Psychiatric Emergency: Managing Acute Agitation Among Pregnant Patients in the Emergency Department

An Obstetric and Psychiatric Emergency: Managing Acute Agitation Among Pregnant Patients in the Emergency Department

Can Pregnancy Experience Predict Birth Experience, Postpartum Depression and Anxiety? A Prospective Descriptive Study

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