Perinatal Mental Health Disorders: A Review of Lessons Learned from Obstetric Care Settings

Nina K Ayala,1,2 Adam K Lewkowitz,1,2 Anna R Whelan,1,2 Emily S Miller1,2 1Division of Maternal Fetal Medicine, Women and Infants Hospital of Rhode Island, Providence, RI, USA; 2Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, Providence, RI, USACorrespondence: Nin...

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Main Authors: Ayala NK, Lewkowitz AK, Whelan AR, Miller ES
Format: Article
Language:English
Published: Dove Medical Press 2023-02-01
Series:Neuropsychiatric Disease and Treatment
Subjects:
Online Access:https://www.dovepress.com/perinatal-mental-health-disorders-a-review-of-lessons-learned-from-obs-peer-reviewed-fulltext-article-NDT
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author Ayala NK
Lewkowitz AK
Whelan AR
Miller ES
author_facet Ayala NK
Lewkowitz AK
Whelan AR
Miller ES
author_sort Ayala NK
collection DOAJ
description Nina K Ayala,1,2 Adam K Lewkowitz,1,2 Anna R Whelan,1,2 Emily S Miller1,2 1Division of Maternal Fetal Medicine, Women and Infants Hospital of Rhode Island, Providence, RI, USA; 2Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, Providence, RI, USACorrespondence: Nina K Ayala, Division of Maternal Fetal Medicine, Women & Infants Hospital of Rhode Island, 101 Dudley Street, Providence, RI, 02905, USA, Tel +1 401-274-1122, ext. 43435, Email nina.ayala.md@gmail.comAbstract: Perinatal mental health has garnered significant attention within obstetrics over the last couple of decades as the long- and short-term morbidities of untreated perinatal mental health disorders on both the mother and fetus/neonate have become increasingly apparent. There have been major strides in increasing screening for perinatal mental health disorders, clinician comfort with prescribing common psychiatric medications, and integrating mental health professionals into prenatal care via health services approaches such as the collaborative care model. Despite these advances, however, gaps still remain in the tools used for screening and diagnosis, obstetric clinician training in diagnosis and management of perinatal mood and anxiety disorders, as well as patient access to mental health care during pregnancy and especially postpartum. Herein we review the state of perinatal mental health from the perspective of the obstetric provider and identify areas of ongoing innovation.Keywords: perinatal mental health, perinatal depression, perinatal anxiety, collaborative care
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spelling doaj.art-78793ea0c6a14cf8b0763327d7a3c2422023-02-26T15:41:34ZengDove Medical PressNeuropsychiatric Disease and Treatment1178-20212023-02-01Volume 1942743281853Perinatal Mental Health Disorders: A Review of Lessons Learned from Obstetric Care SettingsAyala NKLewkowitz AKWhelan ARMiller ESNina K Ayala,1,2 Adam K Lewkowitz,1,2 Anna R Whelan,1,2 Emily S Miller1,2 1Division of Maternal Fetal Medicine, Women and Infants Hospital of Rhode Island, Providence, RI, USA; 2Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, Providence, RI, USACorrespondence: Nina K Ayala, Division of Maternal Fetal Medicine, Women & Infants Hospital of Rhode Island, 101 Dudley Street, Providence, RI, 02905, USA, Tel +1 401-274-1122, ext. 43435, Email nina.ayala.md@gmail.comAbstract: Perinatal mental health has garnered significant attention within obstetrics over the last couple of decades as the long- and short-term morbidities of untreated perinatal mental health disorders on both the mother and fetus/neonate have become increasingly apparent. There have been major strides in increasing screening for perinatal mental health disorders, clinician comfort with prescribing common psychiatric medications, and integrating mental health professionals into prenatal care via health services approaches such as the collaborative care model. Despite these advances, however, gaps still remain in the tools used for screening and diagnosis, obstetric clinician training in diagnosis and management of perinatal mood and anxiety disorders, as well as patient access to mental health care during pregnancy and especially postpartum. Herein we review the state of perinatal mental health from the perspective of the obstetric provider and identify areas of ongoing innovation.Keywords: perinatal mental health, perinatal depression, perinatal anxiety, collaborative carehttps://www.dovepress.com/perinatal-mental-health-disorders-a-review-of-lessons-learned-from-obs-peer-reviewed-fulltext-article-NDTperinatal mental healthperinatal depressionperinatal anxietycollaborative care
spellingShingle Ayala NK
Lewkowitz AK
Whelan AR
Miller ES
Perinatal Mental Health Disorders: A Review of Lessons Learned from Obstetric Care Settings
Neuropsychiatric Disease and Treatment
perinatal mental health
perinatal depression
perinatal anxiety
collaborative care
title Perinatal Mental Health Disorders: A Review of Lessons Learned from Obstetric Care Settings
title_full Perinatal Mental Health Disorders: A Review of Lessons Learned from Obstetric Care Settings
title_fullStr Perinatal Mental Health Disorders: A Review of Lessons Learned from Obstetric Care Settings
title_full_unstemmed Perinatal Mental Health Disorders: A Review of Lessons Learned from Obstetric Care Settings
title_short Perinatal Mental Health Disorders: A Review of Lessons Learned from Obstetric Care Settings
title_sort perinatal mental health disorders a review of lessons learned from obstetric care settings
topic perinatal mental health
perinatal depression
perinatal anxiety
collaborative care
url https://www.dovepress.com/perinatal-mental-health-disorders-a-review-of-lessons-learned-from-obs-peer-reviewed-fulltext-article-NDT
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AT whelanar perinatalmentalhealthdisordersareviewoflessonslearnedfromobstetriccaresettings
AT milleres perinatalmentalhealthdisordersareviewoflessonslearnedfromobstetriccaresettings