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Experiences of health care in women with Peripartum Cardiomyopathy in Sweden: a qualitative interview study.

https://arctichealth.org/en/permalink/ahliterature287028
Source
BMC Pregnancy Childbirth. 2016 Dec 08;16(1):386
Publication Type
Article
Date
Dec-08-2016
Author
Harshida Patel
Maria Schaufelberger
Cecily Begley
Marie Berg
Source
BMC Pregnancy Childbirth. 2016 Dec 08;16(1):386
Date
Dec-08-2016
Language
English
Publication Type
Article
Keywords
Adult
Cardiomyopathies - psychology
Female
Humans
Midwifery
Patient satisfaction
Peripartum Period - psychology
Postnatal Care - psychology
Pregnancy
Professional-Patient Relations
Puerperal Disorders - psychology
Qualitative Research
Sweden
Trust
Abstract
Peripartum cardiomyopathy is often associated with severe heart failure occurring towards the end of pregnancy or in the months following birth with debilitating, exhausting and frightening symptoms requiring person-centered care. The aim of this study was to explore women's experiences of health care while being diagnosed with peripartum cardiomyopathy.
Qualitative interviews were conducted with 19 women with peripartum cardiomyopathy in Sweden, following consent. Data were analysed using qualitative content analysis. Confirmability was ensured by peer-debriefing, and an audit trail was kept to establish the credibility of the study.
The main theme in the experience of health care was, 'Exacerbated Suffering', expressed in three subthemes; 'not being cared about', 'not being cared for' and 'not feeling secure.' The suffering was present in relation to the illness with failing health symptoms, but most of all in relation to not being taken seriously and adequately cared for by healthcare professionals. Women felt they were on an assembly line in midwives' routine work where knowledge about peripartum cardiomyopathy was lacking and they showed distrust and dissatisfaction with care related to negligence and indifference experienced from healthcare professionals. Feelings of being alone and lost were prominent and related to a sense of insecurity, distress and uneasiness.
This study shows a knowledge gap of peripartum cardiomyopathy in maternity care personnel. This is alarming as the deprecation of symptoms and missed diagnosis of peripartum cardiomyopathy can lead to life-threatening consequences. To prompt timely diagnosis and avoid unnecessary suffering it is important to listen seriously to, and respect, women's narratives and act on expressions of symptoms of peripartum cardiomyopathy, even those overlapping normal pregnancy symptoms.
Notes
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PubMed ID
27931191 View in PubMed
Less detail

Maternal Perinatal and Concurrent Anxiety and Mental Health Problems in Early Childhood: A Sibling-Comparison Study.

https://arctichealth.org/en/permalink/ahliterature309691
Source
Child Dev. 2020 03; 91(2):456-470
Publication Type
Comparative Study
Journal Article
Date
03-2020
Author
Line C Gjerde
Espen M Eilertsen
Thalia C Eley
Tom A McAdams
Ted Reichborn-Kjennerud
Espen Røysamb
Eivind Ystrom
Author Affiliation
Norwegian Institute of Public Health and University of Oslo.
Source
Child Dev. 2020 03; 91(2):456-470
Date
03-2020
Language
English
Publication Type
Comparative Study
Journal Article
Keywords
Adult
Anxiety
Child
Child, Preschool
Cohort Studies
Depression - psychology
Female
Humans
Infant
Linear Models
Male
Mental health
Mothers - psychology
Norway
Pregnancy
Pregnancy Complications - psychology
Psychology, Child
Puerperal Disorders - psychology
Siblings - psychology
Abstract
Do associations between maternal anxiety symptoms and offspring mental health remain after comparing differentially exposed siblings? Participants were 17,724 offspring siblings and 11,553 mothers from the Norwegian Mother and Child Cohort study. Mothers reported anxiety and depressive symptoms at 30 weeks' gestation, and 0.5, 1.5, 3, and 5 years postpartum. Child internalizing and externalizing problems were assessed at ages 1.5, 3, and 5, and modeled using multilevel analyses with repeated measures nested within siblings, nested within mothers. Maternal pre- and postnatal anxiety were no longer associated with child internalizing or externalizing problems after adjusting for maternal depression and familial confounding. Maternal anxiety when the children were in preschool age, however, remained significantly associated with child internalizing but not externalizing problems.
PubMed ID
30536534 View in PubMed
Less detail

[Mother-child treatment in psychiatry. III. The author's own experiences--practical implementation and discussion]

https://arctichealth.org/en/permalink/ahliterature59008
Source
Psychiatr Prax. 1997 Nov;24(6):281-5
Publication Type
Article
Date
Nov-1997
Author
H P Hartmann
Author Affiliation
Klinik für Psychiatrie und Psychotherapie, Krankenhaus Weilmünster.
Source
Psychiatr Prax. 1997 Nov;24(6):281-5
Date
Nov-1997
Language
German
Publication Type
Article
Keywords
Adult
English Abstract
Female
Humans
Infant, Newborn
Mother-Child Relations
Mothers - psychology
Prognosis
Psychology, Social
Psychotherapy - methods
Psychotic Disorders - psychology - therapy
Puerperal Disorders - psychology - therapy
Abstract
With regard to experiences described in the literature, and the particular psychotherapeutic and paedagogic effects on mother and child in the inpatient treatment setup presented in this paper, we give an account of the preliminary deliberations and preconditions arising from this particular setup. Prognostically unfavourable aspects of joint admission and treatment are also presented. Finally, previous experiences are discussed, and suggestions for improvement of care for mentally ill mothers and their infants or toddlers are made, taking into consideration the facilities existing in England and Denmark.
PubMed ID
9490442 View in PubMed
Less detail

Parasuicidal snow-wandering in Arctic northern Norway.

https://arctichealth.org/en/permalink/ahliterature3382
Source
Acta Psychiatr Scand. 1988 Mar;77(3):309-13
Publication Type
Article
Date
Mar-1988
Author
T. Nissen
A. Haggag
Author Affiliation
Asgård Psychiatric Hospital, Norway.
Source
Acta Psychiatr Scand. 1988 Mar;77(3):309-13
Date
Mar-1988
Language
English
Publication Type
Article
Keywords
Adult
Cold Climate
Cultural Characteristics
Culture
Delusions - psychology
Depressive Disorder - psychology
Female
Humans
Male
Middle Aged
Norway
Pregnancy
Puerperal Disorders - psychology
Schizophrenic Psychology
Snow
Suicide, Attempted - psychology
Weather
Abstract
Psychiatric morbidity in the Arctic has not been extensively studied. Seasonal variations in climate, light and darkness are unique for these areas and impose special kinds of strains on the population. Three case-histories focusing on snow-wandering as a parasuicidal act are presented. One of them bears some resemblance to the Arctic hysteria described among Eskimoes. Reasons for choosing snow-wandering as an alternative to other kinds of suicide are discussed and a hypothesis is suggested. The psychological and physiological factors as explanations for post snow-wandering amnesia are discussed.
PubMed ID
3394533 View in PubMed
Less detail

Post-abortion and post-partum psychiatric hospitalization.

https://arctichealth.org/en/permalink/ahliterature46759
Source
Ciba Found Symp. 1985;115:150-64
Publication Type
Article
Date
1985
Author
H P David
Source
Ciba Found Symp. 1985;115:150-64
Date
1985
Language
English
Publication Type
Article
Keywords
Abortion, Induced - psychology
Abortion, Legal - psychology
Adjustment Disorders - psychology
Adult
Attitude
Denmark
Depressive Disorder - psychology
Female
Hospitals, Psychiatric
Humans
Middle Aged
Pregnancy
Pregnancy, Unwanted
Puerperal Disorders - psychology
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.
Risk
Stress, Psychological - complications
Abstract
Confusion persists regarding relative psychological risks associated with term deliveries and induced abortions. One reason for the scarcity of comparative findings is the lack of epidemiological data on post-abortion and post-partum admissions to psychiatric hospital. While such admissions are not separately tracked in United States health statistics, they are measurable events, reflective of severe psychological stress associated in time with delivery and abortion, and probably less subject to diverse interpretation than are individual consultations with clinical practitioners in their offices. The paper reviews what is known from published international research about post-abortion and post-partum admissions to psychiatric hospitals and discusses comparative findings obtained from computer linkages of Danish national registers. Admissions to psychiatric hospital were tracked for a three-month period after either delivery or abortion for all women under age 50 and then compared with the three-month admission rate to psychiatric hospitals for all Danish women of similar age. The major finding is that for never-married and currently married women, the post-pregnancy-related risk of admission is about the same-around 12 per 10 000 abortions or deliveries. Higher psychiatric admission rates were noted for separated, divorced and widowed women having abortions or carrying to term.
PubMed ID
3849411 View in PubMed
Less detail

Postpartum and postabortion mental health in Denmark.

https://arctichealth.org/en/permalink/ahliterature65702
Source
Fam Plann Perspect. 1983 Jul-Aug;15(4):156
Publication Type
Article

6 records – page 1 of 1.