Subjective views of motherhood in women with mental illness – a sociological perspective

Abstract

Background: Women with mental disorder perceive decisions on reproductive issues as a central domain of personal autonomy. Family planning issues in women with mental disorders are often neglected in psychiatric practice and research.Aims: Developing a comprehensive understanding of family planning in women with mental disorders.Method: Some factors are introduced which impact on family planning among women with mental disorders. A sociological perspective is used; structural and individual factors are considered.Results: Following factors are likely to influence women's decisions in the field of reproduction: stigma of mentally ill mothers, increase in self-responsibility for reproductive behaviour, growing impact of genetic counselling for future mental health care, knowledge about adverse effects of pregnancy, consequences of childbearing and motherhood on the course of maternal illness, and the risks for children.Conclusions: While many women may feel empowered to take autonomous reproductive decisions, they may feel overwhelmed at times by decisions on a complex matter without adequate support. Professionals should bear in mind that reproductive behaviour and motherhood are central aspects in female biographies. They should be aware that family planning aspects are not restricted to adequate birth control. In research, the inclusion of sociological concepts and methods is a promising approach.