Document Detail

Clinical dilemmas due to the lack of inpatient mother-baby units.
MedLine Citation:
PMID:  9071635     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Epidemiologic studies have demonstrated the dramatic increase in the rates of new episodes of psychiatric illness in postpartum women. Mother-Baby joint admission inpatient units serve the needs of women with psychiatric illness related to childbearing in other countries. Such units have been rare experiments in the United States. This article explores the clinical dilemmas that clinicians who treat postpartum women face when mother-baby units are not available. Barriers to the implementation of these units are also discussed. METHODS: A survey of mothers admitted to general adult units was performed to study their satisfaction with the experience. The authors also discuss their extensive clinical experience in the treatment of women with postpartum disorders and provide examples of the clinical dilemmas which occur because of mother-only admissions. RESULTS: Clinical dilemmas were: separation from infants causes mothers to refuse admission, undermines breastfeeding, complicates the diagnostic evaluation, precludes participation of the infant in dyadic psychotherapy, produces longer lengths of hospital stay, and places the responsibility of caring for the baby on the spouse and extended family. Post-discharge readjustment to caring for the baby can contribute to maternal relapse. CONCLUSIONS: Although admission to Mother-Baby units offers significant advantages to mothers and families, firm data to support the cost-effectiveness of these units is not available and is a major barrier to implementation.
K L Wisner; K D Jennings; B Conley
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International journal of psychiatry in medicine     Volume:  26     ISSN:  0091-2174     ISO Abbreviation:  Int J Psychiatry Med     Publication Date:  1996  
Date Detail:
Created Date:  1997-06-24     Completed Date:  1997-06-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0365646     Medline TA:  Int J Psychiatry Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  479-93     Citation Subset:  IM    
Case Western Reserve University, Cleveland, Ohio, USA.
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MeSH Terms
Family Health
Health Care Surveys
Health Services Needs and Demand
Infant, Newborn
Maternal Behavior / psychology
Maternal-Child Health Centers / organization & administration*
Mental Disorders / therapy*
Mother-Child Relations
Patient Acceptance of Health Care*
Puerperal Disorders / therapy*
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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