[Perinatal psychiatry for mother-infant mental health--perinatal care for untreated patient].
I have presented to our support system, which mainly utilizes the Edinburgh Postnatal Depression Scale (EPDS) at 4 days and 1 month for mothers in the perinatal period and newborn babies, who have been under the care of the Morioka Red Cross Hospital. The perinatal system for mothers and babies, which has evolved over the past 9 years at the Morioka Red Cross Hospital. I explained the case of a 25-year-old woman who had already been suffering from depression before her pregnancy, and the course of improvement she experienced under this support system. In particular, I have shown a means of support, which can be provided by the obstetrics staff and is available to patient and families without making them feel hesitant. We take care of childbirth, and after baby care has started, we encourage depressive mothers to visit the Psychiatric Department. As a result, depression is no longer problematic, and the mothers recover sufficiently to be able to take good care of their babies. Even now, we are keeping track of these mothers and babies, while working together with the public health centers in communities. In the future, we will place emphasis on the implementation of SCID and on the careful observations of mothers and especially, babies, under the room-in system. We are also planning to begin lactation guidance at an earlier stage than before.
Suzuki
Hiroko
H
D000328:Adult; D003156:Community Mental Health Services; D003863:Depression / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*; D019052:Depression, Postpartum / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007564:Japan; D018743:Perinatal Care; D011247:Pregnancy; D011248:Pregnancy Complications; D011569:Psychiatric Status Rating Scales; D012944:Social Support