How women with obsessive compulsive disorder experience maternity care and mental health care during pregnancy and postpartum: A systematic literature review
Introduction Obsessive Compulsive Disorder has a higher prevalence in pregnancy and postpartum than in the general population. Experiences of maternity care and mental health care can impact the health and wellbeing of perinatal women. The aim of this review was to synthesize evidence on the experie...
| Glavni autori: | , , , , |
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| Format: | Journal article |
| Jezik: | English |
| Izdano: |
Elsevier
2022
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| _version_ | 1826308201127084032 |
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| author | Burton, HAL Pickenhan, L Carson, C Salkovskis, P Alderdice, F |
| author_facet | Burton, HAL Pickenhan, L Carson, C Salkovskis, P Alderdice, F |
| author_sort | Burton, HAL |
| collection | OXFORD |
| description | Introduction
Obsessive Compulsive Disorder has a higher prevalence in pregnancy and postpartum than in the general population. Experiences of maternity care and mental health care can impact the health and wellbeing of perinatal women. The aim of this review was to synthesize evidence on the experiences of maternity care and mental health care for women with OCD during pregnancy and postpartum.
Methods
Studies were systematically reviewed by two independent reviewers after identification in MEDLINE, Embase, PsycINFO, Global Health, CINAHL, the Cochrane Library, Web of Science and grey literature searches (last searched October 2021). Papers meeting pre-specified inclusion criteria were extracted using a pre-determined extraction sheet and were quality assessed. Thematic synthesis was conducted.
Results
19 papers reporting 18 studies describing 33 participants were included. Three descriptive themes were found: experiences of barriers to treatment and care, experiences of treatment/care decision making and experiences of treatment and care. Three analytic themes were found demonstrating tensions: keeping baby healthy vs keeping mother healthy, keeping baby safe vs keeping mother safe, and normal perinatal experience vs not normal perinatal experience.
Limitations
Despite an inclusive search strategy, available data was limited. 17 of the studies were case studies that were poor in quality. Synthesis and subsequent findings were limited.
Conclusions
There were significant literature gaps for all aspects of care but particularly around experiences of maternity and pharmacological care. Tensions that could impact the experience of care need to be carefully balanced to ensure that women with OCD get the care that they need.
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| first_indexed | 2024-03-07T07:15:59Z |
| format | Journal article |
| id | oxford-uuid:dcc1b3e2-de0d-408b-9e18-85c497e41819 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T07:15:59Z |
| publishDate | 2022 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oxford-uuid:dcc1b3e2-de0d-408b-9e18-85c497e418192022-08-04T07:04:55ZHow women with obsessive compulsive disorder experience maternity care and mental health care during pregnancy and postpartum: A systematic literature reviewJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:dcc1b3e2-de0d-408b-9e18-85c497e41819EnglishSymplectic ElementsElsevier2022Burton, HALPickenhan, LCarson, CSalkovskis, PAlderdice, FIntroduction Obsessive Compulsive Disorder has a higher prevalence in pregnancy and postpartum than in the general population. Experiences of maternity care and mental health care can impact the health and wellbeing of perinatal women. The aim of this review was to synthesize evidence on the experiences of maternity care and mental health care for women with OCD during pregnancy and postpartum. Methods Studies were systematically reviewed by two independent reviewers after identification in MEDLINE, Embase, PsycINFO, Global Health, CINAHL, the Cochrane Library, Web of Science and grey literature searches (last searched October 2021). Papers meeting pre-specified inclusion criteria were extracted using a pre-determined extraction sheet and were quality assessed. Thematic synthesis was conducted. Results 19 papers reporting 18 studies describing 33 participants were included. Three descriptive themes were found: experiences of barriers to treatment and care, experiences of treatment/care decision making and experiences of treatment and care. Three analytic themes were found demonstrating tensions: keeping baby healthy vs keeping mother healthy, keeping baby safe vs keeping mother safe, and normal perinatal experience vs not normal perinatal experience. Limitations Despite an inclusive search strategy, available data was limited. 17 of the studies were case studies that were poor in quality. Synthesis and subsequent findings were limited. Conclusions There were significant literature gaps for all aspects of care but particularly around experiences of maternity and pharmacological care. Tensions that could impact the experience of care need to be carefully balanced to ensure that women with OCD get the care that they need. |
| spellingShingle | Burton, HAL Pickenhan, L Carson, C Salkovskis, P Alderdice, F How women with obsessive compulsive disorder experience maternity care and mental health care during pregnancy and postpartum: A systematic literature review |
| title | How women with obsessive compulsive disorder experience maternity care and mental health care during pregnancy and postpartum: A systematic literature review |
| title_full | How women with obsessive compulsive disorder experience maternity care and mental health care during pregnancy and postpartum: A systematic literature review |
| title_fullStr | How women with obsessive compulsive disorder experience maternity care and mental health care during pregnancy and postpartum: A systematic literature review |
| title_full_unstemmed | How women with obsessive compulsive disorder experience maternity care and mental health care during pregnancy and postpartum: A systematic literature review |
| title_short | How women with obsessive compulsive disorder experience maternity care and mental health care during pregnancy and postpartum: A systematic literature review |
| title_sort | how women with obsessive compulsive disorder experience maternity care and mental health care during pregnancy and postpartum a systematic literature review |
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